Insurance Follow-Up Specialist II — Hybrid/Remote

Optum; Pearland (TX); Híbrido; USD 25.000 - 44.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Benefits package

401k contribution

Equity stock purchase plan

Descripción de la vacante

Kelsey-Seybold Clinic, part of Optum, seeks an Insurance Follow-Up Representative to manage physician billing, appeal claims, and coordinate with third-party payers and patients. The role oversees an inventory of over $1M in receivables and requires strong analytical and communication skills.

Local Houston area candidates are preferred for a blend of in-office and remote work; HS diploma and healthcare billing experience are required. $18–$32 hourly pay; benefits and 401k eligibility apply.

Formación

• High School diploma or GED required.
• 3+ years in healthcare billing/collections or 2+ years with related education.
• Basic PC and Internet literacy.
• Medical Terminology, CPT & ICD coding knowledge.
• Experience with major third‑party payers and their websites.
• Ability to interpret EOBs and billing statements.
• Strong analytical and mathematical abilities.
• Excellent interpersonal and written communication skills.

Responsabilidades

• Research accounts, refile or appeal claims, and submit additional documentation.
• Track status of unresolved third‑party accounts and manage ~$1M in receivables.
• Negotiate resolutions with internal and external contacts and patients.
• Maintain accountability and meet deadlines in a fast-paced environment.

Conocimientos

Interpersonal skills

Analytical ability

Mathematical ability

Communication skills

Research and problem solving

Educación

High School diploma or GED

Herramientas

Epic Professional Billing

Descripción del empleo

Kelsey-Seybold Clinic, part of Optum, seeks an Insurance Follow-Up Representative to manage physician billing, appeal claims, and coordinate with third-party payers and patients. The role oversees an inventory of over $1M in receivables and requires strong analytical and communication skills.

Local Houston area candidates are preferred for a blend of in-office and remote work; HS diploma and healthcare billing experience are required. $18–$32 hourly pay; benefits and 401k eligibility apply.