Ambulatory Service Representative III - Kelsey - Seybold Clinic North Channel

UnitedHealth Group•Houston, TX

2d•$20 - $36

About The Position

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. Position in this function is under the general direction of the Clinic Administrator, the Department Support Specialist II performs varied clerical and typing duties for Managing Physician, Department Chief or Associate Department Chief and management staff. This individual also analyzes eligibility media, utilizes various system applications for reporting purposes, interprets multiple medical plan benefits to maximize accurate collections, endorses mutual respect amongst all members of the healthcare team, practices positive guest/peer relationships and works with others to promote an efficient and effective team, and demonstrates a positive attitude and understands how this relates to creating a caring environment and a favorable impression regarding KSC commitment to the welfare of our patients. This position generally supports greater than physicians including department chief/managing physicians.

Requirements

High School diploma or GED from an accredited program
3+ years of general administrative experience and 2+ years of medical insurance verification experience or experience scheduling operative procedures OR 1+ years of KSC experience in a position similar, but not limited to, DSS I, ASRs, Contact Center or Member Services reps, MAs/CMAs or Schedulers.
PC experience
Working knowledge of Microsoft Office
Proven typing skills 40 WPM with 10 or fewer errors
Proven basic math ability
Proven Alpha/Numeric Forms Entry
Proven successful completion of the EPIC PM Front Desk Class and Hospital Charge Capture. IM Bills lead for department.

Nice To Haves

Associate or Bachelor’s degree
Ability to speak/understand Spanish
CPT/ICD coding
Typing skills 55 WPM with 5 or fewer errors. 10 key by touch

Responsibilities

Timely preparation of hospital billing documents, per established guidelines, to include new patient charts/accounts for hospital patients and maintaining hospital list and inpatient status for hospital rounding physicians. Audits batches for department billing
Schedules patients for procedures, surgeries and/or hospital admissions. Contact third party carriers to verify insurance coverage, benefits, and eligibility and referral authorizations
Interface with patients to discuss account information and implement / monitor payment plans, when necessary. Collects any amounts due for professional services rendered prior to surgery/procedure when feasible
Maintains Managing Physician, Department Chief or Associate Department Chief’s timesheets, departmental calendars and any professional documentation. Conducts all weekly and monthly physician productivity reports, per established timeframes and quality guidelines. Assists with physician credentialing
Provides secretarial support for site management and physicians to include: Assisting with telephone inquiries for physicians. Maintaining physician business/meeting calendar. Completing all related copying, faxing and filing. Prepares complex and detailed reports, letters and correspondence. Attends all staff and departmental meetings as well as assigned education classes
Invoice Inquiry, i.e., review accounts on request and report back that all charges have been entered and/or payments collected. Conducts reconciliation process to ensure that all in- and outpatient procedures performed have been billed, per established guidelines
Performs other duties as assigned by the site management staff