Collections Representative - Kelsey Seybold Clinic - Pearland

Collections Representative

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:

• The Collections Representative is responsible for answering inbound calls and screening patients for financial clearance, collecting outstanding balances, reducing bad debt and arranging payment plans
• This position 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 & procedure
• Must be able to meet Central Business Office standards for established production and quality standards

Required Qualifications:

• 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

Preferred Qualifications:

• 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

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). The hourly pay for this role will range from $18.00 to $32.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

United Health Group