Insurance Verification Team Lead- Business Office-Kelsey Seybold Clinic

Team Lead

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.

The Team Lead, under the supervision of the Business Services Supervisor, oversees the day-to-day planning of department operations including reviewing and assigning work and projects as needed. The Team Lead is essential in problem-solving and serves as first level supervision with team members to resolve verification, estimate, and EDI issues. Reports to management on department issues and identifies workflow improvement opportunities. This position continually examines team performance, provides feedback to management, makes recommendations for training and audits to individual team members to ensure the accuracy of the verification / estimate process.

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 :

• 4+ years of experience in a medical business office working with verifications and estimates
• Experience using Microsoft Excel, Microsoft Word, and a variety of software applications
• Epic (Resolute) Practice Management System knowledge or experience
• Current working knowledge of health insurance plans including Medicare plans, Fee for Service plans and HMOs
• Demonstrated knowledge of CMS Regulations and Texas Department of Insurance Regulations as pertains to medical claims, appeals, and refund processes
• Demonstrated ability to utilize reports to make data driven decisions and monitor staff performance
• Demonstrated ability to work independently and develop creative solutions to ongoing issues
• Demonstrated excellent interpersonal, written, oral and presentation skills

Preferred Qualifications :

Pay 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.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.