INSURANCE FOLLOW - UP REP III - Kelsey Seybold Clinic - Pearland Business Office
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. 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
- 4+ years of experience in a health care billing and collection environment or relevant health care setting using an accounting/health care computer system
- 1+ years of related experience
- Medical Terminology, CPT & ICD coding experience
- Experience Interpreting Explanation of Benefits (EOB’s), physician billing system
- Basic PC Literacy
- Alpha/Num Forms Entry
- Detailed knowledge of healthcare insurance
Nice To Haves
- Successful completion of Coding and Billing class
- 6+ years of experience in a health care billing and collection environment or relative health care setting using an accounting/health care computer system in area of specialty
- IDX or Epic Professional Billing experience and understanding of a diversity of insurance plans
- Lead Analyst or Coordinator experience.
- Appeals experience (claims denials), Epic Professional Billing
- Good analytical and mathematical ability
Responsibilities
- Under the supervision of the Business Office Supervisor or Business Office Manage, ensures the efficient operation and effective reimbursement of third party account receivables by researching accounts, refilling or appealing claims, submitting additional medical documentation and tracking account status by monitoring and analyzing assigned unresolved third-party accounts.
- These representatives are responsible for an aged trail balance representing over a million dollars in insurance receivables.
- They will initiate contacts and negotiate appropriate resolution (internal and external) as well as receive and resolve inquiries and correspondence from third parties and patients.
- The ability to analyze, audit and reconcile an account is critical to this position.
- Conducts duties in accordance with industry federal and state billing and contractual obligations and in compliance with department policies and procedures.
- Must demonstrate dependability and an ability to work independently.
- Must be able to retain composure, meet deadlines, and appropriately analyze, research, and resolve problems in a stressful environment with constant work-related interruptions.
- Must be able to analyze and resolve aged accounts and provide feedback to the supervisor for auditing and training of junior follow-up representatives.
- Professionalism and courtesy when communicating with patients and other external contacts, primarily by telephone, displaying an attitude of proven, committed customer service as well.
Benefits
- a comprehensive benefits package
- incentive and recognition programs
- equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements)
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
