Deskripsi Pekerjaan
Join Optum's dynamic healthcare finance team as a US Medical AR Claims Specialist and become a critical player in optimizing revenue cycles for healthcare providers. This pivotal role combines analytical precision with customer-centric problem-solving to resolve complex billing discrepancies. You'll manage end-to-end accounts receivable processes, including contract interpretation, denial analysis, and collections follow-up, directly impacting financial performance. Our collaborative environment fosters professional growth through exposure to US healthcare regulations and cutting-edge billing systems. This position offers competitive compensation and the opportunity to develop specialized expertise in medical revenue cycle management while supporting the financial health of healthcare organizations across the United States.
Tanggung Jawab
- Manage and resolve unpaid claims, denials, and billing discrepancies for US healthcare providers
- Conduct proactive follow-up on aged accounts receivable to ensure timely reimbursement
- Analyze contracts and insurance policies to ensure accurate billing compliance
- Perform detailed billing reconciliation and resolve payment discrepancies
- Document all collection activities and maintain accurate financial records
- Collaborate with internal teams to streamline denial resolution processes
- Provide exceptional support to healthcare providers regarding payment status
Kualifikasi
- Bachelor's degree in Healthcare Administration, Finance, or related field (or equivalent experience)
- 1-2+ years of experience in medical billing, AR follow-up, or collections
- Strong understanding of US healthcare billing regulations and insurance processes
- Proficiency in billing software (e.g., Epic, Cerner) and Microsoft Office
- Excellent analytical skills with attention to financial details
- Strong verbal and written communication skills
- Ability to work independently in a fast-paced environment
- Customer-focused mindset with problem-solving abilities