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Optum Global Solutions

BPO Healthcare Claims Processor

Optum Global Solutions
Makati City, Metro Manila / NCR
1-4 Years
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Job Description

ROLE AND RESPONSIBILITIES

  • Responsible in triaging assigned client claims and make determinations on opening cases for medical record review, in addition, the team also does a thorough review of medical records/documentation and claim history to identify aberrant patterns or trends and exercise independent decision making to determine appropriate follow-up.
  • Once the claim information is organized this will go to the clinical and coding teams for review of medical records.

More Info

Job Type:
Permanent Job
Industry:
Hospital
Role:
Other Health Care/Hospitals
Function:
Health Care
Employment Type:
Full time

About Company

Optum Global Solutions

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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

Job ID: 134496887

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Last Updated: 05-12-2025 07:38:57 AM
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