Customer Service Specialist

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. Under the supervision of Cancer Services Business Office Manager, employee answers all patient telephone inquiries regarding patient accounts in reference to Cancer center billing, insurance information, collection accounts, and general patient concerns. Employee works closely with the Admin Supervisor and PAA Representatives to address patient financial concerns and must maintain effective communication with all customers both internal and external. Employee must have the ability to plan and organize their own work to ensure timely responses, correctly document findings and communication in the patient's account while meeting department standards for quality and productivity. Employee will assist with financial assistance application and reimbursement process. 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. Required Qualifications: High School Diploma or GED 3+ years of experience in a health care Call Center or medical insurance environment Knowledge of insurance billing and KSC contracted health plans' rules, regulations, and medical policies Basic knowledge of medical terminology, ICD10 and CPT coding. Ability to navigate and use a variety of software applications and online resources Proven analytical skills to rapidly evaluate simple patient billing questions and resolve on the first call, or to route complex problems to the appropriate party for follow-up action and resolution Proven ability to work independently and as a part of a team is required Proven excellent communication and telephone etiquette, problem solving and active listening skills Proven clear and grammatically correct written communications Preferred Qualifications: Billing and Coding Certificate Experience with Authorizations and Referrals Computer skills to include basic MS Word & Excel Epic Resolute Spanish Speaker Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $29.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone—of every race, gender, sexuality, age, location and income—deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. #J-18808-Ljbffr