Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.** It takes a special person to be effective in stressful situations. In fact, it takes a gifted, diplomatic and persistent person who can see past the challenge to a successful outcome. If that's you, get with us because this role at UnitedHealth Group is all about special. You'll consult directly with our customers who have outstanding medical bills to identify reasons for late payments and set up payment plans that are mutually agreeable. It's an important role and it will take all of your skills. Join us and discover the exceptional training, support and opportunities to grow that you'd expect from a Fortune 5 leader. **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 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 clients pay as billed. + Prepare invoices and reconcile billing with accounts receivables. + 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. Your role is critical in providing confidence in the exceptional care we offer to our members, families, facilities, and health professionals. This is an everyday opportunity to do your life's best work. This is a challenging role that requires providing best in class service to our customers during their times of difficulty. It's a fast paced environment that requires focus and ability to multi-task throughout the day. This is a 40 hour, full time role working flexible shifts, sometimes including evenings or Saturdays. We require our employees to be flexible enough to work any shift, any day of the week during those hours. **Required Qualifications:** + An education level of at least a high school diploma or GED OR equivalent years of working experience + Solid computer skills, including working knowledge of MS Windows and navigation, mouse and keyboarding skills **Preferred Qualification:** + 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.** + Experience in a BPO Healthcare Account is required. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone - of every race, gender, sexuality, age, location and income - deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _Optum is a drug-free workplace. © 2025 Optum Global Solutions (Philippines) Inc. All rights reserved._