Insurance Billing Professional

Insurance Follow-Up 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. Under the supervision of the Business Office Supervisor, the Insurance Follow-Up Representative is responsible for physician billing and collecting of third-party account receivables using their knowledge of medical software, the EHR, and multiple payors' insurance websites to research accounts, refile or appeal claims, submit additional medical documentation and track account status by monitoring and analyzing assigned unresolved third-party accounts
The Representative is responsible for an inventory of over a $1M in insurance receivables
The ability to analyze, audit, problem solve and reconcile an account is critical to this position
This position conducts duties in accordance with industry federal and state billing guidelines and contractual obligations and in compliance with department policies and procedures
Professionalism and courtesy are expected when communicating with external contacts and patients to explain patient financial liability, advises of non-coverage, process payments and payment plans, clarify Explanation of Benefits and statement of physician services
Exhibits exceptional customer skills to provide the patient with a positive service experience
High School diploma or GED from an accredited program

• 3+ years of current experience in a health care billing and collection environment or relevant health care setting using an accounting/health care computer system or two years of related experience with preferred education
• Medical Terminology, CPT & ICD coding application
• Excellent interpersonal communications skills and ability to communicate effectively both orally and in writing with patients, physicians, management, and third-party representatives
• Working knowledge of major third-party payers and their websites

Successful completion of Coding and Billing Certificate Program

• 5+ 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
• Understanding of a diversity of insurance plans
• Epic Professional Billing
• 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.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. 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. 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.