Collections Representative - Kelsey Seybold Clinic - Pearland
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.
Requirements
- High school diploma or GED
- 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)
- 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
- 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
- Answering inbound calls and screening patients for financial clearance, collecting outstanding balances, reducing bad debt and arranging payment plans
- Assisting in 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
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
