Deskripsi Pekerjaan
Join Optum as a US Medical AR Claims & Collections Specialist and play a pivotal role in healthcare revenue cycle management. This provider-facing position demands expertise in navigating complex healthcare contracts, resolving unpaid claims, addressing denials, and managing AR collections to ensure optimal reimbursement cycles. You'll conduct meticulous billing reconciliations, investigate payment discrepancies, and collaborate with insurance payers to resolve outstanding balances. Your analytical skills will be crucial in identifying trends in claim denials and implementing corrective actions to improve collection efficiency. This role offers the opportunity to make a direct impact on financial outcomes while working within a dynamic healthcare environment that values precision and patient advocacy.
Tanggung Jawab
- Manage and resolve unpaid claims, denials, and AR collections for US healthcare providers
- Analyze and interpret complex healthcare contracts to ensure accurate billing and reimbursement
- Conduct billing reconciliation to identify and resolve payment discrepancies
- Communicate effectively with insurance companies and patients to resolve billing issues
- Maintain detailed records of all collections and follow-up activities
- Collaborate with billing teams to improve processes and reduce claim denials
- Meet monthly targets for collections and resolution of aged accounts
Kualifikasi
- Bachelor's degree in Finance, Accounting, Business Administration, or related field
- 1-2 years of experience in medical billing, AR collections, or revenue cycle management
- Strong knowledge of US healthcare billing processes and insurance claim procedures
- Excellent communication and interpersonal skills with cross-cultural proficiency
- Proficient in billing software (e.g., Epic, Cerner) and MS Office applications
- Ability to work in a fast-paced environment and manage multiple tasks
- Attention to detail and problem-solving skills