Remote Medical Claims Processor Jobs in Crowley, LA

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, youwill 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

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:

• 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.