Explore Opportunities With Kelsey-Seybold Clinic
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 :
- 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
- 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
- Conducting quality checks on the work of Enrollment Analysts concerning premium billing and providing feedback on their performance to management
- Conducting user acceptance testing for enrollment and premium billing systems and supporting the Enrollment Reconciliation Analyst in processing data files and carrying out research and analysis on various enrollment-related tasks
You'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.
Required Qualifications :
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 basis1+ years of experience billing processing in a related field1+ years of experience working in a Medicare Advantage PlanKnowledge of Health Insurance Operations including Ability to Interpret / Apply CMS Regulations regarding Enrollment and Premium BillingPreferred Qualifications :
3+ years of experience in medical plan enrollmentExperience in Customer Service in Healthcare IndustryWorking knowledge of Epic Tapestry systemWorking knowledge of TriZetto Enrollment Administration Manager (EAM) applicationProven ability to read and interpret technical reportsProven ability to analyze and interpret data using Microsoft Excel and Access and provide feedback to appropriate personnelPay 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 $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable.