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Optum, a UnitedHealth Group company logo

Healthcare Claims Representative - Quezon City, NCR

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Experience icon1 - 3 years
Education iconDiploma
Job type iconFull-time

Healthcare Claims Representative - Quezon City, NCR

Log into view salary
Location iconquezon-cityExperience icon1 - 3 years
Education iconDiplomaJob type iconFull-time
Posted on 28 January 2022

Job Description

Posted on 14 January 2022

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

Primary Responsibilities:

  • Provide expertise claims support by reviewing, researching, investigating, negotiating and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities
  • Analyze and identify trends and provides reports as necessary
  • Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance
  • 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

Requirements

Required Qualifications:

  • Completed at least 2nd year in college
  • At least 6 months of Healthcare BPO experience handling Claims, Benefits, and Eligibility
  • 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 Qualification:

  • 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 health care 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)

Diversity creates a healthier atmosphere: Optum is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

Optum is a drug-free workplace. © 2021 Optum Global Solutions (Philippines) Inc. All rights reserved.

Job Keywords: Healthcare Claims Representative, Claims, Benefits, Claims Representative, Eligibility, Healthcare, Quezon City, NCR

Skills / Software

OperationsEnglish languageLeadershipCustomer ServiceServicesRetailSchedulingProblem SolvingSales and MarketingTeam Player

Working Location

Quezon City, Philippines

Specialization

Job Description

minus

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)

Primary Responsibilities:

  • Provide expertise claims support by reviewing, researching, investigating, negotiating and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities
  • Analyze and identify trends and provides reports as necessary
  • Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance
  • 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

Job Requirements

Plus

Required Qualifications:

  • Completed at least 2nd year in college
  • At least 6 months of Healthcare BPO experience handling Claims, Benefits, and Eligibility
  • 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 Qualification:

  • 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 health care 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)

Diversity creates a healthier atmosphere: Optum is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

Optum is a drug-free workplace. © 2021 Optum Global Solutions (Philippines) Inc. All rights reserved.

Job Keywords: Healthcare Claims Representative, Claims, Benefits, Claims Representative, Eligibility, Healthcare, Quezon City, NCR

Skills / Software

Plus
OperationsEnglish languageLeadershipCustomer ServiceServicesRetailSchedulingProblem SolvingSales and MarketingTeam Player

Working Location

Plus
Quezon City, Philippines

Specialization

Plus

About the company

Company Profile:   Optum, part of UnitedHealth Group family of businesses, is a health services and innovation company dedicated to helping people live healthier lives and helping make the health system work better for everyone. With over 165,000 people collaborating worldwide, we’re working to improve the delivery, quality and efficiency of health care.   In the Philippines, we have offices in Al...

IndustriesHealthcare
Employees> 1000

Recruiter

Rebecca Deliso  
82% response rate, respond in more than a monthLast active 27/01/2022
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