Insurance Collections Specialist II

UnitedHealth Group; Pearland (TX); On-site; Confidential; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive programs

Equity stock purchase

401k contribution

Job summary

Kelsey-Seybold Clinic is seeking an Insurance Follow-Up Representative to handle physician billing and third-party receivables. You will research accounts via EHR and payor portals, refile or appeal claims, and monitor status to ensure timely resolutions.

Responsibilities include negotiating resolutions with internal and external parties, maintaining accuracy under deadlines, and ensuring compliance with billing guidelines in a fast-paced environment.

Qualifications

• High school diploma or GED required.
• 3+ years in health care billing/collection or related setting; or 2 years with preferred education.
• Basic PC and Internet literacy essential.
• Medical terminology, CPT & ICD coding experience.
• Interpreting EOBs and physician billing statements.
• Strong analytical, math, and communication skills.
• Familiarity with major third-party payers and their websites.

Responsibilities

• Research accounts using medical software, EHR, and payor portals.
• Refile or appeal claims and track status for unresolved accounts.
• Manage inventory of over $1M in insurance receivables.
• Communicate with patients and third parties to resolve issues and negotiate resolutions.
• Analyze, audit, and reconcile accounts to meet deadlines.
• Maintain compliance with billing guidelines and department policies.

Skills

Interpersonal communication

Analytical ability

Medical terminology

EOB interpretation

Payer websites knowledge

PC literacy

Detail oriented

Education

High School diploma or GED

Tools

Epic Professional Billing

Job description

Kelsey-Seybold Clinic is seeking an Insurance Follow-Up Representative to handle physician billing and third-party receivables. You will research accounts via EHR and payor portals, refile or appeal claims, and monitor status to ensure timely resolutions.

Responsibilities include negotiating resolutions with internal and external parties, maintaining accuracy under deadlines, and ensuring compliance with billing guidelines in a fast-paced environment.