Optum ยท 2 months ago
Member Enrollment and Billing Coordinator - Kelsey Seybold Clinic - Kelseycare Ops - Pearland Admin Office
Pearland, TX
Full-time
Onsite
Entry, Mid Level
$20/hr - $35.72/hr
1+ years expOptum is part of the Kelsey-Seybold Clinic, a leading health care organization in the nation. The Member Enrollment and Billing Coordinator will be responsible for managing the billing cycle, collaborating with vendors and the finance department, and conducting quality checks on enrollment analysts' work.
EducationHealth CareMedicalPharmaceutical
Responsibilities
Creating data extracts for starting the billing cycle, preparing and sending out account holder statements, managing payment receipts and postings, applying adjustments, handling collections, reconciling accounts monthly, and making necessary changes to member eligibility
It also involves collaborating with the fulfillment vendor to ensure statements and notices are dispatched accurately and on time and working closely with the Finance Department to reconcile accounts
Additionally, this position conducts quality checks on the work of Enrollment Analysts concerning premium billing and provides feedback on their performance to management
The role is also tasked with conducting user acceptance testing for enrollment and premium billing systems and supports the Enrollment Reconciliation Analyst in processing data files and carrying out research and analysis on various enrollment-related tasks
Qualification
Required
Bachelor's degree in related field (e.g., Finance or Healthcare). Directly related work experience will be considered in lieu of degree on 1:1 basis
1+ years of experience billing processing in a related field
1+ years of experience working in a Medicare Advantage Plan
Knowledge of Health Insurance Operations including Ability to Interpret/Apply CMS Regulations regarding Enrollment and Premium Billing
Preferred
3+ years of experience in medical plan enrollment
Experience in Customer Service in Healthcare Industry
Working knowledge of Epic Tapestry system
Working knowledge of TriZetto Enrollment Administration Manager (EAM) application
Proven ability to read and interpret technical reports
Proven ability to analyze and interpret data using Microsoft Excel and Access and provide feedback to appropriate personnel
Benefits
A comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Company
Optum
Optum is a healthcare company that provides pharmacy services, health care operations, and population health management. It is a sub-organization of UnitedHealth Group.
10001+ employees
H1B Sponsorship
Optum has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (648)
2024 (559)
2023 (620)
2022 (851)
2021 (593)
2020 (438)
Funding
Current Stage
Late StageLeadership Team
Daniel Castillo
Chief Executive Officer, Optum Care Delivery
J
Jay Green
Chief Financial Officer
Recent News
2025-11-29
2025-11-19
2025-11-07
Company data provided by crunchbase