Collections Representative - Kelsey Seybold

UnitedHealth Group•Pearland, TX

2d•$18 - $32

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. Primary Responsibilities: Responsible for answering inbound calls and screening patients for financial clearance, collecting outstanding balances, reducing bad debt and arranging payment plans 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 & procedures 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 experience (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.
Demonstrated 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)
Proven knowledge of healthcare insurance to include diversified understanding of rules and regulations of Commercial Insurance with appeals experience (claims denials)
Demonstrated 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
Ability to work independently and display teamwork qualities among peers and other department personnel.

Nice To Haves

1-year college, successful completion of Medical Billing & Coding class
Certified/Licensed Medical Billing
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

Responsible for answering inbound calls and screening patients for financial clearance, collecting outstanding balances, reducing bad debt and arranging payment plans
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 & procedures
Must be able to meet Central Business Office standards for established production and quality standards