Accounts Receivable Specialist - Lafayette, LA Office

Optum; Lafayette (LA); On-site; USD 22,041 - 33,062; Full time

Job summary

UnitedHealth Group is seeking an Accounts Receivables Specialist in Lafayette, LA to prepare and process medical insurance claims and follow up on balances for outstanding claims. You will collaborate with payers and internal teams to ensure timely and accurate revenue recognition and resolution.

This role emphasizes accuracy, timely submissions, and customer-focused service. Strong Microsoft Office and communication skills are essential, with a background in medical billing or revenue cycle

Qualifications

• Demonstrated strong computer skills with Microsoft Office knowledge and experience.
• Excellent customer service and written/verbal communication skills.

Responsibilities

• Reviews medical insurance claims to ensure revenue recognition is accurate.
• Creates and processes claims submission for various payers per guidelines.
• Reviews accounts receivable daily and follows up on delinquent accounts.
• Analyzes denials and partial payments to identify trends and corrective actions.
• Researches claim status and documents actions to obtain payment.
• Responds to inquiries from payors and agencies about AR activity.
• Maintains AR tracking for easy reporting and accountability.
• Coordinates with locations to obtain info for clean claim submissions.
• Communicates effectively with leadership, teammates, operations, and customers.
• Resolves customer requests and concerns promptly.
• Contributes to a collaborative environment and professional service.
• Solves problems independently before escalation.
• Keeps to schedule and completes special projects as assigned.

Skills

Microsoft Office

Customer service

Job description

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.

Primary Responsibilities

• Efficiency
  • 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
• Quality
  • 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
• People
  • 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
• Service
  • 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

Required Qualifications

• Demonstrated strong computer skills with Microsoft Office knowledge and experience.
• Excellent customer service and written/verbal communication skills.

Preferred Qualifications

• 1-year medical billing and collections experience
• Revenue cycle experience
• Demonstrated ability to work in a fast-paced, continuously changing environment.

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 $16.00 to $23.90 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.

UnitedHealth Group 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.

UnitedHealth Group is a drug‑free workplace. Candidates are required to pass a drug test before beginning employment.