Cancer Services Customer Service Representative - Kelsey Seybold - Cancer Services

UnitedHealth Group•Houston, TX

1d•$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. Under the supervision of Cancer Services Business Office Manager, employee answers all patient telephone inquiries regarding patient accounts in reference to Cancer center billing, insurance information, collection accounts, and general patient concerns. Employee works closely with the Admin Supervisor and PAA Representatives to address patient financial concerns and must maintain effective communication with all customers both internal and external. 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. Employee will assist with financial assistance application and reimbursement process. 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.

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.
Ability to navigate and use a variety of software applications and online 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 ability to work independently and as a part of a team is required
Proven excellent communication and telephone etiquette, problem solving and active listening skills
Proven clear and grammatically correct written communications

Nice To Haves

Billing and Coding Certificate
Experience with Authorizations and Referrals
Computer skills to include basic MS Word & Excel Epic Resolute
Spanish Speaker

Responsibilities

Answers all patient telephone inquiries regarding patient accounts in reference to Cancer center billing, insurance information, collection accounts, and general patient concerns.
Works closely with the Admin Supervisor and PAA Representatives to address patient financial concerns.
Maintains effective communication with all customers both internal and external.
Plans and organizes own work to ensure timely responses.
Correctly documents findings and communication in the patient’s account while meeting department standards for quality and productivity.
Assists with financial assistance application and reimbursement process.