Revenue Cycle Management

Company Description Optum, part of UnitedHealth Group (NYSE: UNH), is dedicated to evolving health care so individuals can live their healthiest lives. The organization focuses on making health and well-being easier and more affordable by putting people's unique needs at the center of its services. Optum delivers care when and how it is needed, supports smarter health decisions, and simplifies prescription services while helping reduce costs. Team members contribute to building a health care system that is more coordinated, accessible, and patient-focused. Together, Optum works toward better health for communities worldwide.

Role Description This is a full-time, on-site Revenue Cycle Management role based in Quezon City. The role involves managing end-to-end revenue cycle processes, including patient billing, claims submission, payment posting, and collections to ensure accurate and timely reimbursement. Responsibilities include reviewing accounts for discrepancies, performing account reconciliation, analyzing financial data and trends, and coordinating with internal teams and external partners to resolve billing or claims issues. The individual will handle documentation, maintain compliance with relevant regulations and company policies, and use systems and tools to track performance and improve process efficiency. The role requires clear communication with stakeholders, contribution to continuous process improvement initiatives, and adherence to quality and productivity standards.

Qualifications

• Strong knowledge and practical experience in Revenue Cycle Management, including billing, claims, and collections processes.
• Solid Analytical Skills with the ability to interpret data, identify trends, and support data-driven decisions.
• Background in Finance to understand reimbursement models, financial reporting, and cost optimization.
• Competence in Accounting principles related to healthcare revenue, account reconciliation, and documentation accuracy.
• Effective Communication skills for collaborating with internal teams, payers, and other stakeholders, both verbally and in writing.
• Detail-oriented, organized, and able to manage multiple tasks in a fast-paced environment.
• Proficiency with relevant healthcare, billing, and office software systems.
• Experience in healthcare, insurance, or shared services environments is preferred.
• Post-secondary education in Business, Finance, Accounting, Healthcare Administration, or a related field is an advantage.