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ASR III - The Woodlands

UnitedHealth Group

Shenandoah, TexasEntry$20 – $36/hr
Sign in to applyVerified 1h ago
Location
Shenandoah, Texas
Work model
On-Site
Level
Entry
Salary
$20 – $36/hr

About this role

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.

Primary Responsibilities

20% Financial Reviewer: Performs detailed financial review including; Reviewing patient notes. Determining payment source. Determining insurance eligibility and documenting information received by touch-tone and everification eligibility, fax and /or personal contact with insurance company. Reviewing outstanding balances, analyzing the reason for balance and communicating their findings, as needed, to the patient. Reporting discrepancies to the Patient Account Department or Central Business Office for correction. Utilizing good interpersonal skills when financially counseling patients regarding balances. Reviewing account notes. Documenting accounts to be collected at the time of service in EPIC, including outstanding balances, deductible status, and co-insurance/co-pay amounts to be collected. Documents corporate billing information in EPIC. Support the clinical practice by focusing on billing and managed care functions (including charge entries, billing edits (work queues), charge reconciliations, responding to billing inquires, corresponding with insurance carriers, investigating billing discrepancies, etc.) May also support the clinic with front-end customer service, patient registration, insurance/coverage verification, patient check in/check out processes 20% Ambulatory Service Representative: Provides assistance to patients so that the patient can be processed quickly and efficiently and to ensure that accurate information is obtained and conveyed to the patient including: Relaying information regarding wait time to patients. Answering questions and provides assistance to patients either directly or by referring them to the appropriate person/department. Assisting with filling out forms and paperwork required by the clinic. Updating patient demographics and insurance information in Epic. Obtaining necessary corporate accounts/Worker's Compensation information and ensure proper billing and reporting, including printout of account information and employer instructions. Processes check-in and checkout in Epic system allowing for immediate charge entry into the accounts receivable system. Requires knowledge of all POS functions. Collects appropriate fees, co-pays, deductibles and con-insurance amounts as determined and documented by the financial review personnel. Issues receipts for all monies received. Performs cash control procedures for daily accounting of opening cash and balancing of ending cash. Performs reconciliation procedures on POS system within 48 hours of date of service, ensuring that accurate charge capture and all revenue generating patient encounters have been closed. Processes registration of new patients including name search, pseudo number conversion and account set up with insurance, demographic information and scans insurance card into Epic 15% PBX Operator: Answers, screens and directs incoming calls according to PBX standards and procedures. Provides assistance to patients so that patient inquiries can be processed quickly and efficiently to ensure that accurate information is obtained and conveyed to the patient including: referring patients to appropriate departments, relaying information regarding phone wait times, answering questions and providing assistance either directly or by referring them to the appropriate person/department. Reports internal and external

ASR III - The Woodlands at UnitedHealth Group, Shenandoah, Texas | Yoinka