What are the responsibilities and job description for the Financial Reviewer II position at Kelsey-Seybold Clinic?
Responsibilities
Under the supervision of the Administrative Supervisor/Clinic Administrator, the Guarantor Account Analyst researches assigned guarantor accounts and resolves billing issues by contacting patients/insurance carriers regarding outstanding balances (patient contact includes phone and face-to-face interaction). The ability to audit and reconcile an account is critical to this position, with aged guarantor balances representing over one million dollars in outstanding revenue annually. Interprets plan benefits in relationship to area of responsibility for Specialty Care Services (i.e. OBGYN, Orthopedics) and uses strong interpersonal/persuasive abilities in order to secure accurate and timely account resolution. Maintains effective communication and professional interaction with patients, physicians and fellow co-workers. Conducts duties in accordance with industry standards and in compliance with department policy & procedure. Must be able to meet Operations standards for established production and quality standards. Must also demonstrate understanding of correct adjudication relative to assigned Specialty Care services (i.e. OBGYN, Orthopedics) and have a proven track record of additional reimbursement from insurance carrier as well as from guarantor.
Job Title: Finaancial Reviewer II
Location: Main Campus
Department: Operations
Job Type: Full-Time
Salary Range: $44,765.76 – $55,298.88 (Pay is based on several factors including but not limited to education, work experience, certifications, etc.)
Qualifications
Education
Required: Associates Degree or 2 years experience equivalence.
Preferred: 1 year college,successful completion of Medical Billing & Coding class.
Experience
Required: Five – seven years medical office collections (both self-pay and insurance) with guarantor account follow-up, successful appeals outcomes and the ability to interpret plan benefits/payment methodology by primary and secondary health plans. OR two years similar experience with an Associate or higher degree.
Preferred: 1 year KSC Epic practice management system experience.
License(s)
Required: N/A
Preferred: Certified/Licensed Medical Billing
Special Skills:
Required: Basic PC Literacy. Alpha/Num Forms Entry. Medical Terminology, CPT & ICD coding experience. Use of physician billing systems and interpretation of Explanation of Benefits (EOB’s). Detailed knowledge of healthcare insurance to include diversified understanding of rules and regulations of Commercial Insurance with appeals experience (claims denials). Analytical skills to include interpretation of guarantor account balances with problem resolution. Excellent telephone etiquette with demonstrated capability to meet with patients one-on-one and explain payment methodology by the insurance carrier. Ability to work independently and display teamwork qualities among peers and other department personnel. Ability to train front desk staff on interpreting guarantor account activity.
Preferred: Proficiency in Microsoft Word and Excel.
Other:
Required: Excellent interpersonal communications skills and strong written and verbal communication skills for staff and patient interaction. Must be able to work independently and be self directed/able to absorb new material quickly. Able to utilize Microsoft products (Excel and Word).
Preferred: Ability to handle a variety of tasks with speed and attention to detail.
WORKING ENVIRONMENT: Office Setting
About Us
Start your career journey and become a part of a community of renowned Healthcare professionals.
Kelsey-Seybold Clinic is Houston’s fastest growing, multispecialty organization with more than 40 premier locations and over 65 specialties. Our clinics are comprised of more than 600 physicians and as we continue to grow, our focus is providing quality patient care by adding to our team of clinical and non-clinical professionals that work together in a convenient, coordinated, and collaborative manner. Enjoy the rewards of a successful career while maintaining a work/life balance by joining our team today and changing the way health cares.
Why Kelsey-Seybold Clinic?
- Medical, Vision, and Dental
- Tuition Reimbursement
- Company Matching 401K
- Employee Reward and Recognition Program
- Paid time off for vacation, sick, and holidays
- Employee Assistance Program
- Continuing Medical Education allowance
Apply Here
Salary : $44,766 - $55,299
