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Job description
Requisition number:
nJob category: Healthcare Delivery, Patient Services
nExplore 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.
nPosition in this function is under the general direction of the Clinic Administrator, the Department Support Specialist II performs varied clerical and typing duties for Managing Physician, Department Chief or Associate Department Chief and management staff. This individual also analyzes eligibility media, utilizes various system applications for reporting purposes, interprets multiple medical plan benefits to maximize accurate collections, endorses mutual respect amongst all members of the healthcare team, practices positive guest/peer relationships and works with others to promote an efficient and effective team, and demonstrates a positive attitude and understands how this relates to creating a caring environment and a favorable impression regarding KSC commitment to the welfare of our patients. This position generally supports greater than physicians including department chief/managing physicians.
nPrimary Responsibilities:
nnnTimely preparation of hospital billing documents, per established guidelines, to include new patient charts/accounts for hospital patients and maintaining hospital list and inpatient status for hospital rounding physicians. Audits batches for department billing
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nnSchedules patients for procedures, surgeries and/or hospital admissions. Contact third party carriers to verify insurance coverage, benefits, and eligibility and referral authorizations
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nnInterface with patients to discuss account information and implement / monitor payment plans, when necessary. Collects any amounts due for professional services rendered prior to surgery/procedure when feasible
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nnMaintains Managing Physician, Department Chief or Associate Department Chief's timesheets, departmental calendars and any professional documentation. Conducts all weekly and monthly physician productivity reports, per established timeframes and quality guidelines. Assists with physician credentialing
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nnProvides secretarial support for site management and physicians to include: Assisting with telephone inquiries for physicians. Maintaining physician business/meeting calendar. Completing all related copying, faxing and filing. Prepares complex and detailed reports, letters and correspondence. Attends all staff and departmental meetings as well as assigned education classes
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nnInvoice Inquiry, i.e., review accounts on request and report back that all charges have been entered and/or payments collected. Conducts reconciliation process to ensure that all in- and outpatient procedures performed have been billed, per established guidelines
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nnPerforms other duties as assigned by the site management staff
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n nYou'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.
nRequired Qualifications:
nnnHigh School diploma or GED from an accredited program
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nnSuccessful completion of the EPIC PM Front Desk Class and Hospital Charge Capture
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nn3+ years general administrative experience and 2+ years medical insurance verification experience or experience scheduling operative procedures OR 1+ years of KSC experience in a position similar, but not limited to, DSS I, ASRs, Contact Center or Member Services reps, MAs/CMAs or Schedulers
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nnPC experience
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nnWorking knowledge of Microsoft Office
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nnTyping skills 40 WPM with 10 or fewer errors
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nnBasic math ability
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nnAlpha/Numeric Forms Entry
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nnIM Bills lead for department
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n nPreferred Qualifications:
nnnAssociate or Bachelor's degree
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nnAbility to speak/understand Spanish
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nnCPT/ICD coding
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nnTyping skills 55 WPM with 5 or fewer errors. 10 key by touch
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n nPay 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 $20 - $36 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
nAt 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.
nOptumCare 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.
nOptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Worksite address
humble, TX, 77396, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.