Deskripsi Pekerjaan
Join Optum as a Medical AR Claims Specialist and play a crucial role in the healthcare revenue cycle management. This provider-side position focuses on managing contracts, resolving unpaid claims, addressing denials, and handling AR collections with precision. You'll be responsible for billing reconciliation and ensuring timely resolution of payment discrepancies, contributing to the financial health of healthcare providers. If you have a keen eye for detail, strong communication skills, and a passion for healthcare administration, this role offers an excellent opportunity to grow your career in medical billing and collections.
Tanggung Jawab
- Manage and resolve unpaid medical claims through effective follow-up and collection strategies
- Investigate and address claim denials to ensure proper reimbursement
- Handle accounts receivable collections with professionalism and persistence
- Perform billing reconciliation to identify and resolve discrepancies
- Review and interpret healthcare contracts to ensure proper payment processing
- Communicate effectively with insurance companies and healthcare providers
- Maintain accurate records of all claim activities and resolutions
Kualifikasi
- Previous experience in medical billing, claims processing, or revenue cycle management
- Strong knowledge of healthcare insurance processes and claim procedures
- Excellent communication and negotiation skills
- Attention to detail with ability to analyze complex billing data
- Proficiency in medical billing software and office applications
- Ability to work independently and as part of a team in a fast-paced environment
- Strong problem-solving skills with focus on resolution