Accounts Receivable Specialist

UnitedHealth Group•Lafayette, LA

1d•Onsite

About The Position

Explore opportunities with Home Office, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Accounts Receivables Specialist, you will prepare and process medical insurance claims and is responsible for the resolution of any balances that remain for outstanding medical claims. This is accomplished by follow up via phone, website, or written correspondence with both internal and external stakeholders.

Requirements

Demonstrated solid computer skills with Microsoft Office knowledge and experience
Proven excellent customer service and written/verbal communication skills

Nice To Haves

1+ years of medical billing and collections experience
Revenue cycle experience
Demonstrated ability to work in a fast-paced, continuously changing environment

Responsibilities

Reviews medical insurance claims to ensure that revenue recognition is accurate
Creates and processes claims submission for various payers in a timely manner per payer guidelines
Promptly reviews accounts receivable, daily, and performs follow -up on delinquent accounts according to established policies and procedures Recommends departmental/agency corrective action as required
Conducts analysis of denials and partial payments to determine trends that may need to be addressed either in revenue cycle management, operationally, or with the payer
Conducts thorough research of claim status to identify issues, documents action taken on the claim and implements corrective measures to obtain payment and ensure accuracy of future claim submissions
Receives, investigates, and responds to inquiries from payors and/or agencies concerning accounts receivable activity according to established policies and procedures on a regular basis
Maintains and develops accounts receivable issues and resolution tracking for ease of reporting
Works in coordination with service locations to obtain information needed for clean claim submission and additional follow up documentation as needed
Communicates effectively with leadership, teammates, operations and customers
Expediently resolves all customer requests, inquiries, and concerns
Ability to work collaboratively in a continuously changing environment with a spirit of cooperation and professionalism
Problem solves independently before referring issues to the Supervisor/Manager for resolution
Meets work schedule and attendance expectations
Performs similar, comparable, or related duties as may be required or assigned
Completes special projects and other assignments, as deemed necessary