Insurance Verifier Business Office – Kelsey Seybold Clinic- Pearland Administrative Office

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.  

Under the general direction of the ASC Business Office Manager, the ASC Insurance Verifier verifies patients’ insurance eligibility, benefits, requirements specifically related to the service scheduled. Determines patient co-payments and calculates co-insurance and deductibles for both facility and professional services

Primary Responsibilities:

• Fully utilizes the practice management system’s eligibility media, payer on-line portals, telephone IVR, and person to person contact to most efficiently obtain pertinent information
• Communicating with the clinic and/or patient, any information that will be needed prior to or during the patients visit.  Meets productivity and quality standards

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:

• High school diploma, or GED
• 1+ years of  experience in a fast-paced medical office or facility setting with patient registration, appointment scheduling or medical billing experience
• 1+ years of experience with medical insurance verification
• Knowledge of managed care
• Familiarity using CPT, ICD-9 and HCPCS coding
• Basic PC literacy and ability to navigate the Internet.
• Proven good customer skills
• Demonstrated fast and accurate computer and data entry skills

Preferred Qualifications:

• 3+ years of experience in a fast-paced medical office or facility setting with patient registration, appointment scheduling or medical billing experience
• 3+ years of experience with medical insurance verification and authorizations
• Experience using Epic software system
• Comprehensive knowledge of managed care
• Familiarity using CPT, ICD-9 and HCPCS coding in a facility setting
• Proven excellent customer service skills

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.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes – an enterprise priority reflected in our mission.

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.