Revenue Cycle Management Specialist - Metro Manila / NCR - Optum Global Solutions

    Optum Global Solutions
    Optum Global Solutions Metro Manila / NCR

    1 araw ang nakalipas

    Buong oras
    Paglalarawan

    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 statuses.
    • Manage collections for healthcare unpaid claims.
    • Interact with customers to ensure invoice accuracy and resolve claims discrepancies.
    • Provide input on policies, systems, methods, and procedures for premium collection management.
    • Educate customers on online applications for claims and payments.
    • Monitor outstanding balances and ensure timely client payments.
    • Prepare invoices and reconcile billing with accounts receivable records.
    • Conduct quality assurance and audits of collection activities.
    • Handle documents, emails, and calls related to account processes.
    • Perform accounts receivable collections, follow-up, denial management, claims payment processing, tracking, and appeals for hospital processes.
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