Deskripsi Pekerjaan
Join Optum as a US Healthcare Collections Specialist and become a vital part of our revenue cycle management team. In this dynamic provider-side role, you'll navigate the complexities of US healthcare billing by managing provider contracts, resolving unpaid claims, addressing denials, and driving AR collections through strategic follow-up. You'll ensure billing reconciliation accuracy and implement denial resolution strategies to optimize reimbursement processes. This position offers the opportunity to develop deep expertise in healthcare revenue cycles while working with a global leader committed to transforming healthcare delivery. If you're detail-oriented with a passion for problem-solving in a fast-paced environment, this role will sharpen your skills in medical billing, contract compliance, and financial resolution.
Tanggung Jawab
- Manage provider-side contracts and ensure compliance with billing requirements
- Follow up on unpaid claims and denials to resolve billing discrepancies
- Handle accounts receivable (AR) collections through systematic follow-up processes
- Perform billing reconciliation to ensure claim accuracy and completeness
- Investigate and resolve claim denials with insurance providers
- Maintain detailed documentation of collection activities and resolution outcomes
- Collaborate with internal teams to streamline billing workflows
Kualifikasi
- Previous experience in healthcare collections, AR follow-up, or medical billing
- Strong understanding of US healthcare insurance claim processes
- Proficiency in billing software and Microsoft Office applications
- Excellent communication skills for stakeholder interactions
- Detail-oriented with strong analytical and problem-solving abilities
- Ability to work independently in a target-driven environment
- Knowledge of healthcare regulations and compliance standards