Deskripsi Pekerjaan
Join Optum as a US Medical AR Claims Analyst and become a vital part of our healthcare revenue cycle management team. In this role, you'll be responsible for managing the entire accounts receivable process for US-based healthcare providers. Your expertise will help ensure timely reimbursement for medical services while maintaining compliance with complex healthcare regulations.
As an AR Claims Analyst, you'll work closely with healthcare providers to resolve unpaid claims, address denials, and optimize billing processes. This position offers a unique opportunity to gain deep insights into the US healthcare system while working remotely in the Philippines. You'll develop valuable skills in medical billing, contract analysis, and revenue cycle management that are highly sought after in the healthcare industry.
Optum provides a supportive work environment with competitive compensation and opportunities for professional growth. Whether you're looking to advance your career in healthcare administration or gain experience in international healthcare systems, this role offers the perfect platform to achieve your professional goals.
Tanggung Jawab
- Review and analyze unpaid claims to identify and resolve billing discrepancies
- Follow up on denied claims with insurance providers to ensure proper reimbursement
- Manage provider contracts to ensure accurate billing and reimbursement
- Perform billing reconciliation to identify and resolve discrepancies
- Document all claim activities and maintain accurate records in the system
- Communicate effectively with healthcare providers and insurance companies
- Stay updated on healthcare regulations and billing requirements
- Collaborate with team members to resolve complex billing issues
Kualifikasi
- Previous experience in medical billing, accounts receivable, or healthcare administration
- Familiarity with US healthcare system and insurance claim processes
- Strong analytical skills with attention to detail
- Excellent communication skills, both written and verbal
- Ability to work independently and manage multiple tasks simultaneously
- Proficiency in Microsoft Office applications and billing software
- Knowledge of healthcare regulations and compliance requirements
- Problem-solving skills with ability to identify and resolve billing issues