Healthcare Claims Representative
UnitedHealth Group
Cebu, Cebu City
3d ago

Welcome to one of the toughest and most fulfilling ways to help people, including you. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement.

Join us and start doing your life's best work.(sm)

Primary Responsibilities :

  • Interact with customers gathering support data to ensure invoice accuracy and also work through specific billing discrepancies
  • Provide input to policies, systems, methods, and procedures for the effective management and control of the premium billing function
  • Educate customers regarding the availability of receiving invoices and remitting payments through online applications
  • Monitor outstanding balances and take appropriate actions to ensure clients pay as billed
  • Manage the preparation of invoices and complete reconciliation of billing with accounts receivables
  • Quality assurance and audit of billing activities
  • Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and / or re-assignment to different work locations, change in teams and / or work shifts, policies in regards to flexibility of work benefits and / or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment).
  • The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

    Required Qualifications :

  • Completed at least 2nd year in college
  • At least 6 months of Healthcare BPO experience handling Claims, Benefits, and Eligibility
  • Prior stable work experience
  • Moderate proficiency with Windows PC applications, which includes the ability to learn new and complex computer system applications
  • Ability to navigate a computer while on the phone
  • Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product
  • Ability to remain focused and productive each day though tasks may be repetitive
  • Available to work 40 hours per week anytime within the operating hours of the site
  • Preferred Qualifications :

  • Preferably with working internet connection of at least 15 mbps in case of working from home. The following options are also available :
  • Corporate internet subsidy for those within available and valid serviceable locations, subject to Company Policy

    Onsite work for those who are amenable to drive or commute to our office locations

    Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone.

    So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve.

    Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential.

    For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

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