Collections Representative - Kelsey Seybold - Pearland

UnitedHealth Group•Pearland, TX

2d•$18 - $32•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. The Collections Representative is responsible for answering inbound calls and screening patients for financial clearance, collecting outstanding balances, reducing bad debt and arranging payment plans. This position assists in notifying patients who have previous balances of their financial responsibility and helping them understand their payment options. Other duties include performing financial collection functions, (e.g., account analysis, extended payment arrangements).Maintains effective communication and professional interaction with patients and fellow co-workers. Conducts duties in accordance with industry standards and in compliance with department policy & procedure. Must be able to meet Central Business Office standards for established production and quality standards. 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
3+ years of healthcare collections (both self-pay and insurance) with guarantor account follow-up, successful appeals outcomes and the ability to interpret plan benefits/payment methodology by primary and secondary health plans.
Basic PC Literacy. Alpha/Num Forms Entry.
Medical Terminology, CPT & ICD coding experience.
Use of physician billing systems and interpretation of Explanation of Benefits (EOB’s)
Detailed knowledge of healthcare insurance to include diversified understanding of rules and regulations of Commercial Insurance with appeals experience (claims denials)
Proven analytical skills to include interpretation of guarantor account balances with problem resolution.
Excellent telephone etiquette with demonstrated capability to meet with patients one-on-one and explain payment methodology by the insurance carrier
Proven ability to work independently and display teamwork qualities among peers and other department personnell

Nice To Haves

Certified/Licensed Medical Billing
1-year college, successful completion of Medical Billing & Coding class
1+ years of KSC Epic practice management system experience
Proficiency in Microsoft Word and Excel
Ability to handle a variety of tasks with speed and attention to detail

Responsibilities

Answering inbound calls and screening patients for financial clearance
Collecting outstanding balances
Reducing bad debt
Arranging payment plans
Notifying patients who have previous balances of their financial responsibility and helping them understand their payment options
Performing financial collection functions, (e.g., account analysis, extended payment arrangements)
Maintaining effective communication and professional interaction with patients and fellow co-workers
Conducting duties in accordance with industry standards and in compliance with department policy & procedure
Meeting Central Business Office standards for established production and quality standards