Account Receivable Specialist - Lafayette, LA

Optum, through Home Office and LHC Group, provides post-acute care support and healthcare services. The Accounts Receivables Specialist prepares and processes medical insurance claims, researches claim issues, follows up on delinquent accounts, and resolves outstanding balances while coordinating with payors, agencies, service locations, and internal teams.

What you'll do:

• 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

What they're looking for:

• • Demonstrated solid computer skills with Microsoft Office knowledge and experience
• • Proven excellent customer service and written/verbal communication skills
• • 1+ years of medical billing and collections experience
• • Revenue cycle experience
• • Demonstrated ability to work in a fast-paced, continuously changing environment

Benefits:

• You'll enjoy the flexibility to work remotely from anywhere within the U.S.
• A comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution