Healthcare Billing & Collections Specialist

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

Benefits offered by this job

Comprehensive benefits

Incentive programs

401k contribution

Employee stock purchase plan

Job summary

Kelsey-Seybold Clinic, part of the Optum family, is seeking an Insurance Follow-Up Representative to join the Business Office. You will research accounts, refile or appeal claims, and track status across multiple payors and the EHR, handling a sizeable receivables portfolio with accuracy and professionalism.

Working under the Insurance Follow-Up team you will communicate with payors and patients, resolve denials, and ensure timely payment while complying with billing guidelines.

Qualifications

• High School diploma or GED from an accredited program.
• 3+ years in healthcare billing and collection environment or 2+ years with preferred education.
• Working knowledge of major third party payers and their websites.
• Basic PC and Internet literacy.
• Medical Terminology, CPT & ICD coding application.
• Interpreting EOBs and physician billing statements.
• Proven analytical and mathematical ability.
• Excellent interpersonal communications skills, written and spoken.
• Ability to handle multiple tasks with speed, attention to detail and accuracy.

Responsibilities

• Process assigned work queues and meet deadlines for filings and appeals.
• Adjudicate denied or unpaid claims and research necessary information to appeal.
• Meet production and quality standards.
• Identify payor reimbursement patterns and notify management as needed.
• Provide workflow training to new employees and assist Level I staff.
• Stay updated on payor guidelines and policies and share with management.
• Communicate with patients about financial liability, non-coverage, payments, and payment plans.
• Maintain a professional, courteous patient experience.
• Other duties as assigned.

Skills

Analytical ability

Interpersonal skills

Attention to detail

Mathematical ability

Time management

Education

High School diploma or GED

Associates degree or coding/billing certificate

Tools

Epic Professional

Billing software

Job description

Kelsey-Seybold Clinic, part of the Optum family, is seeking an Insurance Follow-Up Representative to join the Business Office. You will research accounts, refile or appeal claims, and track status across multiple payors and the EHR, handling a sizeable receivables portfolio with accuracy and professionalism.

Working under the Insurance Follow-Up team you will communicate with payors and patients, resolve denials, and ensure timely payment while complying with billing guidelines.