Collections Representative - Kelsey Seybold Clinic - Pearland

Optum; Pearland (TX); On-site; USD 25,000 - 44,000; Full time

Benefits offered by this job

Benefits package

401k contribution

Job summary

Kelsey-Seybold Clinic in Pearland, TX, part of the Optum family, is seeking a Collections Representative to manage inbound calls, screen patients for financial clearance, and arrange payment plans.

The role requires healthcare collections experience, strong communication, and familiarity with medical billing systems to analyze balances, explain options, and support a team focused on reducing bad debt while maintaining patient relations.

Qualifications

• 3+ years of healthcare collections experience (self-pay and insurance)
• Ability to interpret plan benefits/payment methodologies by primary and secondary health plans
• Experience with physician billing systems and EOB interpretation

Responsibilities

• Answer inbound calls and screen patients for financial clearance
• Collect outstanding balances and arrange payment plans
• Notify patients with previous balances about their financial responsibility and options
• Perform financial collection functions and account analysis
• Maintain professional communication with patients and coworkers
• Meet production and quality standards set by the Central Business Office

Skills

Healthcare collections

Customer communication

Payment plan negotiation

EOB interpretation

Independent work

Education

High school diploma or GED

Tools

Epic

MS Word

MS Excel

Job description

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

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 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). 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 $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. 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.