Insurance Follow - UP REP III - Kelsey Seybold Clinic - Pearland Business Office

Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together.

Primary Responsibilities:

Under the supervision of the Business Office Supervisor or Business Office Manage, ensures the efficient operation and effective reimbursement of third party account receivables by researching accounts, refilling or appealing claims, submitting additional medical documentation and tracking account status by monitoring and analyzing assigned unresolved third-party accounts. These representatives are responsible for an aged trail balance representing over a million dollars in insurance receivables. They will initiate contacts and negotiate appropriate resolution (internal and external) as well as receive and resolve inquiries and correspondence from third parties and patients. The ability to analyze, audit and reconcile an account is critical to this position. Conducts duties in accordance with industry federal and state billing and contractual obligations and in compliance with department policies and procedures. Must demonstrate dependability and an ability to work independently. Must be able to retain composure, meet deadlines, and appropriately analyze, research, and resolve problems in a stressful environment with constant work-related interruptions. Must be able to analyze and resolve aged accounts and provide feedback to the supervisor for auditing and training of junior follow-up representatives. Professionalism and courtesy when communicating with patients and other external contacts, primarily by telephone, displaying an attitude of proven, committed customer service as well.

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• 4+ years of experience in a health care billing and collection environment or relevant health care setting using an accounting/health care computer system
• 1+ years of related experience
• Medical Terminology, CPT & ICD coding experience
• Experience Interpreting Explanation of Benefits (EOB's), physician billing system
• Basic PC Literacy
• Alpha/Num Forms Entry
• Detailed knowledge of healthcare insurance

Preferred Qualifications:

• Successful completion of Coding and Billing class
• 6+ years of experience in a health care billing and collection environment or relative health care setting using an accounting/health care computer system in area of specialty
• IDX or Epic Professional Billing experience and understanding of a diversity of insurance plans
• Lead Analyst or Coordinator experience.
• Appeals experience (claims denials), Epic Professional Billing
• Good analytical and mathematical ability

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.38 to $36.44 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

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.

OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.