Optum ยท 1 day ago
Insurance Follow Up Rep II - Business Office - Kelsey Seybold Clinic: Pearland Administrative Office
Pearland, TX
Full-time
Onsite
Mid Level
$17.74/hr - $31.63/hr
3+ years expKelsey-Seybold Clinic, part of the Optum family of businesses, is a leading health care organization offering coordinated care across multiple specialties. The Insurance Follow-Up Representative will manage physician billing and collections, working with third-party payers to resolve account issues and ensure compliance with billing guidelines.
EducationHealth CareMedicalPharmaceutical
Responsibilities
Research accounts, refile or appeal claims, submit additional medical documentation and track account status by monitoring and analyzing assigned unresolved third-party accounts
Initiate contacts and negotiate appropriate resolution (internal and external)
Receive and resolve inquiries and correspondence from third parties and patients
Analyze, audit, problem solve and reconcile an account
Conduct duties in accordance with industry federal and state billing guidelines and contractual obligations and in compliance with department policies and procedures
Demonstrate dependability and an ability to work independently
Retain composure, meet deadlines, and appropriately analyze, research, and resolve problems in a fast-paced environment with constant work-related interruptions
Communicate with external contacts and patients to explain patient financial liability, advise of non-coverage, process payments and payment plans, clarify Explanation of Benefits and statement of physician services
Exhibit exceptional customer skills to provide the patient with a positive service experience
Qualification
Required
High School diploma or GED from an accredited program
3+ years of current experience in a health care billing and collection environment or relevant health care setting using an accounting/health care computer system or 2+ years of related experience with preferred education
Working knowledge of major third-party payers and their websites
Basic PC and Internet literacy
Medical Terminology, CPT & ICD coding application
Interpreting Explanation of Benefits (EOB's), physician billing statements
Proven good analytical and mathematical ability
Proven excellent interpersonal communications skills and ability to communicate effectively both orally and in writing with patients, physicians, management, and third-party representatives
Proven ability to handle a variety of tasks with speed, attention to detail and accuracy
Preferred
Associate's degree in business administration or related field; or successful completion of Coding and Billing Certificate Program
5+ years of experience in a health care billing and collection environment or relative health care setting using an accounting/health care computer system in area of specialty
Understanding of a diversity of insurance plans
Epic Professional Billing
Ability to access and retrieve information from the EHR
Benefits
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