EDI Specialist HCHB

Explore opportunities with Lafayette 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 EDI Specialist, you will be responsible for managing Revenue Cycle's EDI setups, including web portal set up and maintenance, database maintenance, DDE Maintenance, liaison with vendor and working service now tickets.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Revenue Cycle EDI setups. These include web portal set up and maintenance, database maintenance, DDE Maintenance, liaison with vendor and working service now tickets
• Serve as the company expert for all web portals used by Revenue cycle
• Maintain payor portal spreadsheet and users
• Responds to all service now tickets in a timely (within 24 hours) and accurate manner maintaining customer satisfaction; resolves all customer requests, inquiries, and concerns in an expedient and respectful manner
• Maintains accurate payor files for all commercial and governmental portals
• Establish and maintain a strong professional rapport with our web portal payers and work with employees of all levels to support accurate, proper data exchange and problem-solving techniques
• Maintain working knowledge of workflow, systems, and tools used in the department
• Maintain daily lock box spreadsheets
• Acts as the point person for incoming paper checks (Lock box) and credit card transactions
• Maintain all of Revenue cycle email distribution listings
• Set up and completes troubleshooting for all new Medicaid program for all states
• Performs maintenance on a weekly basis for Waystar and eSolutions products
• Identifies issues needing immediate attention that would hinder operations with claims, posting, remits, portals and communicate to your manager
• Participates as requested in special projects
• Problem solves independently before referring issues to the manager for resolution
• Complies with department best practices

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:

• Knowledge of billing and payer claims requirements (commercial and government)
• Understanding of revenue cycle workflow
• Knowledge of governmental and commercial insurance billing requirements
• Ability to manage competing priorities with a sense of urgency
• Demonstrated ability to work independently, take initiative, and be self-motivated
• Solid verbal and written communication skills
• Proficiency in Microsoft Office (Excel, Word, PowerPoint)
• Ability to work in a fast-paced, deadline-driven environment
• Excellent organizational and follow-up skills with strong attention to detail

Preferred Qualification:

• 2+ years of relevant work experience or education in healthcare billing/coding

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

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 $17.74 to $31.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

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.