Mga Trabaho sa Optum Global Solutions sa Pilipinas

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 ...

Responsibilities · Read contracts to handle payment disputes. · Work on the provider (hospital) side to manage accounts receivable. · Verify claim status and follow up with insurance companies to collect unpaid claims. · Process claims payments, manage denials, and track claim st ...

ROLE AND RESPONSIBILITIES · Review and analyze patient accounts to identify and resolve credit balances. · Process refunds and adjustments in accordance with company policies and payer guidelines. · Collaborate with internal departments to ensure accurate posting of payments and ...

Job Responsibilities · Able to develop software that deploys ML models and algorithms into production. · Communicate and present complex analytics results and concepts to leadership and internal stakeholders. · Employ AI and/or ML that may include natural language processing (NLP ...

Key Responsibilities · Read and interpret contracts related to payment disputes. · Work on the provider (hospital) side for claim-related activities. · Contact insurance payers to verify claim status and follow up on unpaid claims. · Process claim payments and ensure accurate res ...

Key Responsibilities: · macOS Architecture & Infrastructure: · Architect and maintain scalable macOS infrastructure aligned with business objectives and security policies. · Design and implement device management strategies using Jamf Pro, Apple Business Manager, and related tech ...

Responsibilities: · Provides leadership to and is accountable for the performance of managers and/or senior level professional staff · Lead and implement high visibility initiatives such as new market launches, business development and other growth opportunities · Provide analysi ...

ROLE AND RESPONSIBILITIES: · Team Supervision & Support: · Assist in managing and mentoring coding staff, including training and performance feedback. · Help coordinate workload distribution and resolve operational issues. · Operational Management: · Monitor coding productivity a ...

ROLE AND RESPONSIBILITIES: · You will respond to customer service inquiries and issues by identifying the topic and type of assistance the customer needs. This may include, among others, inquiries or concerns on their benefits, eligibility and claims. · You will guide and educate ...

Responsibilities · Read contracts for payment disputes. · Work on the provider (hospital) side. · Verify claim status with insurance and collect unpaid claims. · Process claims payments. · Manage accounts receivable (AR) collections and follow-ups. · Ensure invoice accuracy and r ...

Role and Responsibilities: · Customer Service: Address customer inquiries and issues by identifying their needs, including questions about benefits, eligibility, and claims. · Guidance and Education: Educate customers on consumer-driven health care topics to help them manage thei ...

Explain, Present and Analyze the current client performance on various Metrics. investigates trends and issues and provides explanations and interpretations within the lines of business that they support · Provide Trends Analysis with supporting policies and procedures, solutions ...

Responsibilities: · Browser Lifecycle Management: · Oversee deployment, configuration, and update cycles for Edge and Chrome browsers. · Align browser release schedules with enterprise testing and compatibility requirements · Extension & Enterprise Mode Management: · Administer b ...

Responsibilities · Manage toll-free and DID numbers, including new orders, changes, and decommissioning. · Build and adjust inbound call flows to route calls to the correct queue, agent, or skill group. · Support IVR messages, voicemail scripting, and urgent recording updates usi ...

Job Responsibilities · Analyze and investigate operational data to provide insights and interpretations within defined expertise areas. · Perform historical analysis of performance metrics to identify trends, patterns, and root causes related to call volumes, intra-day behavior, ...

Responsibilities · Read and interpret contracts related to payment disputes. · Work on the provider side to support claims, billing, and collections processes. · Verify claim status with insurance payers and collect unpaid claims. · Process claims payments, manage denials, and tr ...

Job Responsibilities · Analyzes and investigates · Provides explanations and interpretations within area of expertise · Perform historical data analyses of performance data to identify trends/patterns, and make appropriate recommendations (e.g., call volumes, intra-day patterns, ...

Role and Responsibilities · Read contracts for payment disputes and review associated documentation. · Work on the provider side to verify claim status and collect unpaid claims from insurance. · Process claims payments, manage denials, and track claim statuses. · Manage collecti ...

Responsibilities · Review contracts for payment disputes. · Work on the Provider side (hospital side). · Verify claim status and collect unpaid claims from insurance (Payer). · Process claims payments and manage denials. · Interact with customers to ensure invoice accuracy and re ...

ROLE AND RESPONSIBILITIES · Responsible in triaging assigned client claims and make determinations on opening cases for medical record review, in addition, the team also does a thorough review of medical records/documentation and claim history to identify aberrant patterns or tre ...