Job Details2024-05-20T13:50:10+00:00

Business Office Customer Service Representative

Requisition Number: 2303005
Job Category: Customer Services
Primary Location: Pearland, TX

Careers at UnitedHealth Group

We’re creating opportunities in every corner of the health care marketplace to improve lives while we’re building careers. At UnitedHealth Group, we support you with the latest tools, advanced training and the combined strength of high caliber co-workers who share your passion, your energy and your commitment to quality. Join us and start doing your life’s best work.SM

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Compassion. It’s the starting point for health care providers like you and it’s what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you’re also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing your life’s best work.SM

Our teams are helping people from around the world. We can bring out your best as you put your listening, analytical and problem solving skills to work in a setting that is geared to helping improve lives and enhance health care for millions. Here, you’ll discover a wealth of pathways for professional growth within Customer Service, Billing, Claims, Enrollment & Eligibility and across our global economy. Join us and find out why this is the place to do your life’s best work.SM

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.  

This position follows a hybrid schedule with three in-office days per week

Under the supervision of Customer Service Supervisor, the Business Office Customer Service Representative will answer 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.

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 from an accredited program
  • 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, ICD10 and CPT coding
  • Ability to navigate and use a variety of software applications and online resources
  • 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
  • Excellent communication and telephone etiquette, problem solving and active listening skills
  • Clear and grammatically correct written communications

Preferred Qualifications:

  • Billing and Coding Certificate
  • Computer skills to include basic MS Word & Excel, Epic Resolute
  • Bilingual Spanish

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 $16.00 to $27.69 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.

Additional Job Detail Information

Requisition Number 2303005

Business Segment Optum Care Delivery

Employee Status Regular

Job Level Individual Contributor

Travel No

Country: US

Overtime Status Non-exempt

Schedule Full-time

Shift Day Job

Telecommuter Position No

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