Business Office Customer Service Representative Kelsey Seybold Admin Office

Improve the lives of others while Caring. Connecting. Growing together.

Job Description - Business Office Customer Service Representative Kelsey Seybold Admin Office (2389124)

Business Office Customer Service Representative Kelsey Seybold Admin Office - 2389124

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.

Position in this function is under the supervision of Customer Service Supervisor, employee answers all patient telephone inquiries regarding patient accounts in reference to Clinic billing, insurance information, collection accounts, and general patient concerns. Must maintain effective communication with all customers both internal and external including co-workers. Provides clear and grammatically correct written responses to patient communications as required. Employee works closely with the team leads and supervisor to address issues and identify problems.

Employee must have the ability to plan and organize their own work to ensure timely responses, correctly document findings and communication in the patient’s account while meeting department standards for quality and productivity. Ability to work independently and as a part of a team is required. Employee’s goal is to answer patient inquires in one call whenever possible.

Primary Responsibilities:

• Respond to all patient inquiries regarding Clinic patient accounts received thru the Customer Service Phone Queue, Electronic Medical Record, and written correspondence, regarding Clinic billing with goal to resolve inquiries on first call. All responses, oral and written, must be grammatically correct
• Follow up on all accounts not resolved during first contact and provide resolution to patient in a timely manner
• Meet department minimum quality standard of 90%
• Employee must be able to perform an equal amount of work as compared to peers in the same position
• Assist with other duties as assigned

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
• 3+ years of experience in a health care Call Center or medical insurance environment
• Knowledge of insurance billing and KSC contracted health plans’ rules, regulations and medical policies
• Basic knowledge of medical terminology, ICD
  10 and CPT coding
• Proven ability to navigate and use a variety of software applications and on line resources
• Proven analytical skills to rapidly evaluate simple patient billing questions and resolve on the first call, or to route complex problems to the appropriate party for follow-up action and
  resolution
• Proven excellent communication and telephone etiquette, problem solving and active listening skills
• Proven clear and grammatically correct written communications

Preferred Qualifications:

• Associates Degree or Billing and Coding Certificate
• Computer skills to include basic
• MS Word & Excel
• Epic Resolute
• Spanish speaker

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…