Insurance Follow-Up Representative III - Kelsey Seybold Clinic - Pearland - Hybrid

UnitedHealth Group•Pearland, TX

2d•$20 - $36•Hybrid

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. If you are located in Pearland, TX, you will follow a hybrid schedule with three in-office days per week.

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
Basic PC literacy
Alpha/num forms entry experience
Medical Terminology, CPT & ICD coding experience
Experience interpreting Explanation of Benefits (EOB’s), physician billing system
Proven 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
Proven understanding of a diversity of insurance plans
Lead analyst or coordinator experience
Appeals experience (claims denials), Epic Professional Billing experience
Proven good analytical and mathematical ability skills

Responsibilities

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
Responsible for an aged trail balance representing over a million dollars in insurance receivables
Initiate contacts and negotiate appropriate resolution (internal and external) as well as receive and resolve inquiries and correspondence from third parties and patients
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
Demonstrate dependability and an ability to work independently
Able to retain composure, meet deadlines, and appropriately analyze, research, and resolve problems in a stressful environment with constant work-related interruptions
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