Full-time
ASAP! US Healthcare Medical Claims Specialist | w/ Day 1 HMO | Quezon City
Posted by Optum • Quezon City, Quezon City, Philippines
About the Role
Job Qualifications:
- SHS Graduate or completed at least 2 years of college.
- Minimum 12 months experience in Healthcare Account Receivable/Collections in a BPO setting.
- Familiarity with UB Claims and UB04 forms.
- Experience in medical billing/AR collections.
- Background in calling insurance (Payer) for claim status and payment disputes.
- Familiar with EPIC SYSTEM.
- Willing to work on-site in Quezon City, Makati, or Alabang .
- Experience in a BPO Healthcare Account is required.
Primary Responsibilities:
- Read contracts for payment disputes.
- Work on the provider side.
- Verify claim status and collect unpaid claims from insurance.
- Process claims payments, manage denials, and track claim statuses.
- Manage collections for healthcare unpaid claims.
- Interact with customers to ensure invoice ac...
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