UnitedHealth Group Coordination of Benefits Representative - Quezon City, NCR in Quezon City, Philippines
Welcome to one of the toughest and most fulfilling ways to help people, including yourself.
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) Positions in this function are responsible for investigating, recovering and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities.
Responsibilities may also include initiating telephone calls to members, providers and other insurance companies to gather coordination of benefits data, investigate and pursue recoveries and payables on subrogation claims and file management, process recovery on claims, ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance, conduct contestable investigations to review medical history, and monitor large claims including transplant cases. Primary Responsibilities: Open, sort, date stamp, count, scan and document in case management system the receipt of file correspondence, including revenue checks Distribute correspondence to staff accordingly Answer incoming phone calls in a polite and professional manner Facilitate the handling of callers' request for information Route calls to other staff members; take and deliver accurate and complete messages as appropriate Screen calls and initiate resolution of questions/issues without consultation with others Assist staff and/or the management team with case investigation, research or development as needed File Maintenance/Archiving Other Administrative duties as assigned by manager Some work is completed without established procedures Basic tasks are completed without review by others Supervision/guidance is required for higher level tasks Required Qualifications: At least 6 months of experience within an operations support role (i.e.
previous administrative background involved with performing administrative duties on a day-to-day basis) At least 6 months background in healthcare industry with expertise in claims processing Proficiency with MS Word and Excel (Word documentation purposes; Excel data entry for reporting purposes) Moderate work experience within own function Excellent Communication Skills and experience with client interactions Good Analytical Skills and Strong Background in Coordination of Benefits Strong analytical skills on driving dollar recovery and throughput Ability to on achieving quota for productivity Preferred Qualifications: Excellent organizational skills 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 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.
© 2017 Optum Global Solutions (Philippines) Inc.
All rights reserved. Job Keywords: Coordination of Benefits Representative, BPO Healthcare Claims, Healthcare Claims, BPO, Healthcare, Claims, Operations Support, Quezon City, NCR 83bd36cf-555e-4c4d-a86b-1430009c95e7
Coordination of Benefits Representative - Quezon City, NCR Philippines-Quezon City 730797