Member Enrollment and Billing Coordinator – Kelsey Seybold Clinic – Kelseycare Ops – Pearland Admin Office jobs in United States
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Kelsey-Seybold Clinic · 1 day ago

Member Enrollment and Billing Coordinator – Kelsey Seybold Clinic – Kelseycare Ops – Pearland Admin Office

Kelsey-Seybold Clinic is part of the Optum family of businesses, recognized for delivering coordinated and accountable care. The Member Enrollment and Billing Coordinator will be responsible for managing the billing cycle, collaborating with vendors, conducting quality checks, and supporting enrollment-related tasks.

Medical
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H1B Sponsor Likelynote

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

Health Insurance OperationsMedicare Advantage PlanBilling ProcessingEpic TapestryTriZetto EAMData AnalysisCustomer ServiceMicrosoft ExcelMicrosoft AccessTechnical Report Interpretation

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

Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution

Company

Kelsey-Seybold Clinic

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The Kelsey-Seybold Clinic is a large multi-specialty clinic system located in Greater Houston

H1B Sponsorship

Kelsey-Seybold Clinic 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 (1)
2024 (3)
2023 (3)
2022 (4)
2021 (2)

Funding

Current Stage
Late Stage
Total Funding
unknown
Key Investors
TPG
2022-04-04Acquired
2019-10-23Private Equity

Leadership Team

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Martin Littmann
Chief Technology & Information Security Officer (CTO & CISO)
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K
Kenneth Janis
Chief Operating Officer
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Company data provided by crunchbase