Refund Analyst

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.

The Refund Analyst will be primarily responsible for the daily processing of third party and patient refund utilizing a credit balance report, correspondence, or incoming calls.  

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.   

Primary Responsibilities:

• The analyst will be required to research patient accounts on the Business Office System (Epic) with an understanding of payment, allowance, and write-off transactions  
• The incumbent will need to be able to interpret EOB’s and R/A’s and comprehend coordination of benefits  
• The analyst will also be responsible for maintaining documentation, reconciling, and resolving unapplied cash balances in a timely manner  
• Basic financial and analytical skills are required to insure accurate revenue reporting for Kelsey-Seybold Clinic.  This position required a candidate who demonstrates a positive demeanor, good verbal and written communication skills, and who is professional in both appearance and approach.  All Kelsey- Seybold Clinic Business Office staff are expected to comply with company policy and procedures.

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:

• 4+ years of experience in a health care billing and collection environment or relevant health care setting using an accounting/health care computer system.  2+years of related experience with preferred degree
• Understanding of payment/adjustment/write-off/applications & HMO Benefits to ensure credit balances are resolved and not inappropriately refunded
• Knowledge of healthcare business office patient accounting system, coordination of benefits, EOB/RA interpretations

Preferred Qualifications:

• Associates degree in Business Administration or related field OR 6 years of related experience 
• Successful completion of Coding and Billing class
• 6+ years of experience in a health care billing and collection environment or relative health care setting using an accounting/health care computer system in area of specialty. Epic Professional
• Billing experience a definite plus as is an understanding of a diversity of insurance plans
• Epic practice management software experience
• MS Word, Excel, Access

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

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 $17.74 to $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.