893 Healthcare Collections jobs in the Philippines

Company Description

At Optum, we are committed to evolving health care so that everyone has the opportunity to live their healthiest life. We prioritize your unique needs, making health and well-being easy and affordable to manage. Our services are designed to deliver the right care at the right time, provide support for healthier choices, and simplify prescription services while saving you money. Optum, as part of UnitedHealth Group (NYSE: UNH), is dedicated to making health care better for everyone.

Role Description

This role is for a full-time Healthcare Collections Associate located on-site in Taguig/Alabang/Quezon City. The Healthcare Collections Associate will handle day-to-day tasks such as managing accounts receivable, contacting patients and insurance companies regarding unpaid balances, and resolving billing and payment discrepancies. This role also involves maintaining accurate records of collection activities and ensuring timely follow-ups.

Qualifications

• Completed at least 2
  nd
  year in college or 2 years Associate graduate
• At least 1 year experience of handling US healthcare account – accounts receivable
• Knowledge with the use of UB04 forms and/or CMS 1500
• Experience in accounts receivable and billing processes
• Strong communication skills for contacting patients and insurance companies
• Attention to detail and accuracy in maintaining records
• Problem-solving skills to resolve billing and payment discrepancies
• Ability to work efficiently in a fast-paced environment
• Familiarity with healthcare billing and collections
• Basic knowledge of MS Office applications
• High school diploma or equivalent; an associate or bachelor's degree in a relevant field is a plus

Transparent BPO is a global leader in contact center and business process outsourcing (BPO) services. We partner with top brands to deliver world-class customer support, collections, and healthcare solutions across multiple channels. Powered by our people, proven processes, and advanced technology, we integrate seamlessly with our clients' culture to provide exceptional customer experiences.

We are looking for talented, goal-driven professionals to join our growing team as Healthcare/Collections Representatives. If you're passionate about customer service, skilled in communication, and eager to build a rewarding career in the BPO industry, this is your opportunity.

• Manage inbound and outbound customer calls and emails with professionalism and empathy.
• Address and resolve customer concerns, needs, and inquiries promptly.
• Document all interactions accurately in the company's platforms and systems.
• Provide value-based solutions using program and product knowledge.
• Identify, escalate, and resolve issues to maintain service excellence.
• Perform additional tasks as required to support the team.

Education:

• High school diploma (required); college education (preferred).

Experience & Skills:

• Strong English communication skills (written and verbal).
• Proficiency in Microsoft Office (Word, Excel) or similar applications.
• Excellent listening, critical thinking, and conflict resolution skills.
• Strong typing and data entry proficiency.

Competencies:

• Outstanding interpersonal skills and ability to collaborate across levels.
• Ability to multi-task in a fast-paced environment while maintaining confidentiality.
• Excellent call resolution and organizational skills.
• Highly driven, proactive, and goal-oriented.

• Comprehensive Health, Dental, and Life Insurance coverage.
• Competitive allowances.
• Generous bonus programs and incentives.
• Paid Time Off (PTO).
• Shift differential pay.
• Annual compensation increases through Transparent BPO University courses.

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:

• Perform research on various computer systems and document customer information regarding current status, payment expectations, notes of conversations and other relevant information
• Use mail, email and phones to contact customers to discuss, negotiate payment and resolve outstanding medical bill accounts and balances
• Obtain agreement on potential balance payoff and/or payment terms within stated level of authority and guideline limits
• Prepare and submits reports to internal management on status of outstanding medical bills and proposed/planned payment settlement details
• 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 regard 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

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:

• Completed at least 2 years of college
• 12+ months experience in Healthcare Account Receivable/Collections in a BPO setting
• Experience in medical billing/AR collections
• Experience in a BPO Healthcare Account
• Moderate work experience within own function
• Familiarity with UB Claims and UB04 forms
• Background in calling insurance (Payer) for claim status and payment disputes
• Familiar with EPIC SYSTEM
• Willing to work on-site

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 Optum Global Solutions (Philippines) Inc. All rights reserved.

Connext Global Solutions is a team of business process outsourcing experts and innovators, trusted by world-class companies across industries such as Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.

We are currently hiring a Healthcare Collections Specialist to join our growing team and support one of our U.S.-based healthcare clients.

• Competitive Compensation
• Perfect Attendance Bonus
• Life Insurance & HMO Coverage
• 25% Night Differential
• Annual Merit Increase
• Company-Provided Equipment
• Great Company Culture that values growth and collaboration

The Healthcare Collections Specialist is responsible for engaging with patients to resolve open medical invoices in a professional, empathetic, and service-oriented manner. The role combines patient outreach, financial counseling, payment processing, and administrative support.

• Reach out to patients regarding open invoices, explain balances, and provide payment options.
• Offer financial assistance programs or resolution options when appropriate.
• Handle patient calls regarding billing questions and process payments.
• Document all outreach efforts accurately and efficiently.
• Collaborate with internal teams to resolve outstanding balances, including payment arrangements or write-offs.
• Maintain confidentiality and compliance with healthcare regulations.
• Cross-train on billing tasks to support team flexibility.
• Perform other administrative and collection-related duties as assigned.

• Experience using computer systems and office software.
• Strong organizational skills and attention to detail.
• Effective communicator—both verbal and written.
• Professional, empathetic, and patient-focused approach.
• Ability to remain calm and solution-oriented in challenging situations.
• Comfortable with repetitive tasks and payment processing.
• Strong problem-solving and critical thinking skills.
• Knowledge of healthcare billing or collections is a plus.

ROLE AND RESPONSIBILITIES

• Review and analyze patient accounts to identify and resolve credit balances.
• Process refunds and adjustments in accordance with company policies and payer guidelines.
• Collaborate with internal departments to ensure accurate posting of payments and collections.
• Investigate and resolve discrepancies related to overpayments or duplicate payments.
• Maintain documentation of all actions taken on accounts for audit and compliance purposes.
• Ensure timely resolution of credit balances to support revenue cycle efficiency.
• Respond to inquiries from patients, payers, and internal stakeholders professionally and promptly.
• Adhere to HIPAA and other regulatory requirements in handling sensitive financial and patient information.

JOB QUALIFICATIONS

• Graduate of any 4 Year Course
• With a minimum of 1 year experience in handling Payment or Collections in a BPO Healthcare setting or environment
• Note: Experience in a BPO Healthcare Account is required
• Must be willing to report onsite in Makati or Quezon City
• Willing to work during night shift hours
• Must have customer service, communication & computer skills

WHAT WE OFFER

• Market Competitive Pay Levels
• Retirement Plan
• Medical Plan (HMO) from Day 1 of employment
• Dental, Medical, and Optical Reimbursements
• Life and Disability Insurance
• Paid Time-Off Benefits
• Sick Leave Conversion
• Tuition Fee Reimbursement
• Employee Assistance Program (EAP)
• Annual Performance Based Merit Increases
• Employee Recognition
• Training and Staff Development
• Employee Referral Program
• Employee Volunteerism Opportunity
• All Mandatory Statutory Benefits

WHO WE ARE

• Optumis the health care technology and innovation company of the UnitedHealth Group enterprise along with UnitedHealthcare.
• UnitedHealth Groupis a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone.
• We're a leading health solution and care delivery organization. Our work is complex, but our mission is simple: create a healthier world, with you at the center.
• As part of a Fortune 5 enterprise, we are improving the health care experience of over 125 million people around the world.
• We're a diverse team with operations across North America, South America, Europe, Asia Pacific and the Middle East. This includes our over 25,000 employees in the Philippines.
• Elevate your career with a leading health care company while improving lives.

Join us in evolving health care so everyone can have the opportunity to live their healthiest life. This is your opportunity to be part of a team that's dedicated to Caring. Connecting. Growing together

ROLE AND RESPONSIBILITIES

• Review and analyze patient accounts to identify and resolve credit balances.
• Process refunds and adjustments in accordance with company policies and payer guidelines.
• Collaborate with internal departments to ensure accurate posting of payments and collections.
• Investigate and resolve discrepancies related to overpayments or duplicate payments.
• Maintain documentation of all actions taken on accounts for audit and compliance purposes.
• Ensure timely resolution of credit balances to support revenue cycle efficiency.
• Respond to inquiries from patients, payers, and internal stakeholders professionally and promptly.
• Adhere to HIPAA and other regulatory requirements in handling sensitive financial and patient information.

JOB QUALIFICATIONS

• Graduate of any 4 Year Course
• With a minimum of 1 year experience in handling Healthcare Payment or Collections in a BPO setting or environment
• Note: Experience in a BPO Healthcare Account Required
• Must be willing to report onsite in Makati or Quezon City
• Willing to work during night shift hours
• Must have customer service, communication & computer skills

WHAT WE OFFER

• Market Competitive Pay Levels
• Retirement Plan
• Medical Plan (HMO) from Day 1 of employment
• Dental, Medical, and Optical Reimbursements
• Life and Disability Insurance
• Paid Time-Off Benefits
• Sick Leave Conversion
• Tuition Fee Reimbursement
• Employee Assistance Program (EAP)
• Annual Performance Based Merit Increases
• Employee Recognition
• Training and Staff Development
• Employee Referral Program
• Employee Volunteerism Opportunity
• All Mandatory Statutory Benefits

WHO WE ARE

• Optumis the health care technology and innovation company of the UnitedHealth Group enterprise along with UnitedHealthcare.
• UnitedHealth Groupis a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for everyone.
• We're a leading health solution and care delivery organization. Our work is complex, but our mission is simple: create a healthier world, with you at the center.
• As part of a Fortune 5 enterprise, we are improving the health care experience of over 125 million people around the world.
• We're a diverse team with operations across North America, South America, Europe, Asia Pacific and the Middle East. This includes our over 25,000 employees in the Philippines.
• Elevate your career with a leading health care company while improving lives.

Join us in evolving health care so everyone can have the opportunity to live their healthiest life. This is your opportunity to be part of a team that's dedicated to Caring. Connecting. Growing together