Business Office Customer Service Representative Kelsey Seybold Admin Office

UnitedHealth Group•Pearland, TX

7h•$16 - $29•Onsite

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 supervision of Customer Service Supervisor, employee answers all patient telephone inquiries regarding patient accounts in reference to Clinic billing, insurance information, collection accounts, and general patient concerns. Must maintain effective communication with all customers both internal and external including co-workers. Provides clear and grammatically correct written responses to patient communications as required. Employee works closely with the team leads and supervisor to address issues and identify problems. Employee must have the ability to plan and organize their own work to ensure timely responses, correctly document findings and communication in the patient’s account while meeting department standards for quality and productivity. Ability to work independently and as a part of a team is required. Employee’s goal is to answer patient inquires in one call whenever possible.

Requirements

High School diploma or GED
3+ years of experience in a health care Call Center or medical insurance environment
Knowledge of insurance billing and KSC contracted health plans’ rules, regulations and medical policies
Basic knowledge of medical terminology, ICD10 and CPT coding
Proven ability to navigate and use a variety of software applications and on line resources
Proven analytical skills to rapidly evaluate simple patient billing questions and resolve on the first call, or to route complex problems to the appropriate party for follow-up action and resolution
Proven excellent communication and telephone etiquette, problem solving and active listening skills
Proven clear and grammatically correct written communications

Nice To Haves

Associates Degree or Billing and Coding Certificate
Computer skills to include basic MS Word & Excel
Epic Resolute
Spanish speaker

Responsibilities

Respond to all patient inquiries regarding Clinic patient accounts received thru the Customer Service Phone Queue, Electronic Medical Record, and written correspondence, regarding Clinic billing with goal to resolve inquiries on first call. All responses, oral and written, must be grammatically correct
Follow up on all accounts not resolved during first contact and provide resolution to patient in a timely manner
Meet department minimum quality standard of 90%
Employee must be able to perform an equal amount of work as compared to peers in the same position
Assist with other duties as assigned