Medical Billing & Insurance Follow-Up Specialist

UnitedHealth Group; Pearland (TX); Vor Ort; USD 25.000 - 44.000; Vollzeit

Zusammenfassung

UnitedHealth Group partners with Kelsey-Seybold Clinic to hire an Insurance Follow-Up Representative responsible for physician billing and third-party receivables. The role requires researching payor portals, filing appeals, and negotiating resolutions while meeting deadlines and policies.

You will handle patient and payor inquiries, document actions in the EHR, and contribute to timely, accurate collection of over $1M in receivables in a fast-paced healthcare setting.

Qualifikationen

• High School diploma or GED from an accredited program.
• 3+ years in health care billing and collection using a health care computer system; 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 Explanation of Benefits (EOBs) and physician billing statements.
• Proven analytical and mathematical ability.
• Proven excellent interpersonal communications skills and ability to communicate effectively both orally and in writing.
• Proven ability to handle a variety of tasks with speed, attention to detail and accuracy.

Aufgaben

• Works assigned queues, including web-based work files, within filing and appeal deadlines.
• Adjudicates rejected and unpaid claims; researches denied claims to obtain information and appeals appropriately.
• Meets established production and quality standards.
• Identifies payor reimbursement patterns and alerts management as needed.
• Provides routine workflow training to new employees; supports Level I staff in denials and appeals.
• Stays abreast of payor guidelines and shares information with management.
• Communicates with patients to explain financial liability and support payment plans.
• Other duties as assigned.

Kenntnisse

Interpersonal communication

Analytical ability

Attention to detail

Medical terminology

EOB interpretation

Ausbildung

High School diploma or GED

Associate degree in Business Administration or related field

Tools

Epic Professional

Jobbeschreibung

UnitedHealth Group partners with Kelsey-Seybold Clinic to hire an Insurance Follow-Up Representative responsible for physician billing and third-party receivables. The role requires researching payor portals, filing appeals, and negotiating resolutions while meeting deadlines and policies.

You will handle patient and payor inquiries, document actions in the EHR, and contribute to timely, accurate collection of over $1M in receivables in a fast-paced healthcare setting.