Insurance Verification Specialist I - Kelsey Seybold Clinic - Pearland - Hybrid

Insurance Verification 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 general direction of the Supervisor, the Insurance Verification Specialist is primarily responsible for verifying insurance eligibility and benefits, determining insurance filing order, and preparing patient pre-treatment cost-share estimates based on the service schedule, contracted plan reimbursement allowances, benefits, and out of pocket thresholds.

Primary Responsibilities:

• Responsible for accurately entering or updating patient demographics, insurance coverage, effective and termination dates, and filing order in the Practice Management System
• Communicates with patients by phone or electronically to explain coverage and benefits, pre-treatment cost estimates and patient financial liability, advises of non-coverage, takes payments, and sets up payment plans for services following department policies
• Exhibits exceptional customer skills to provide the patient with a positive experience

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 from an accredited program
• One year in similar field involving insurance verification, patient accounts or medical office functions; OR 6 months similar experience with an Associate or higher degree or completion of Medical Billing & Coding Course; OR 6 months registration, scheduling, or front desk experience at Kelsey-Seybold Clinic
• MS Office, Computer skills, Internet. Must demonstrate fast and accurate computer and typing skills
• Alpha/Num Forms Entry
• Basic knowledge of health insurance
• Ability to add and subtract 4-digit numbers and apply percentages and discounts

Preferred Qualifications:

• 2+ years of experience in medical office environment handling insurance verification with knowledge of wide range of products
• Knowledge of insurance concepts and theory
• Kelsey-Seybold experience
• Epic Experience
• High PC proficiency
• Good customer service verbal and writing skills
• Excellent communication skills

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 $16.15 to $28.80 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 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.