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Onsite Revenue Cycle Manager - Irvine, CA
| Hours | Full-time, Part-time |
|---|---|
| Location | Irvine, CA Irvine, California |
About this job
The Revenue Cycle Manager, is the liaison between the Practice and the Billing Department. S/he works with the Practice Managers and Senior Leadership to establish best practices for front desk operations for demographic collection, referral and authorization management, co-pay collection and reconciliation, and eligibility checking and follow-up. S/he is a super user in the Optum PM and Physician EMR and ensures that all billing related operations staff are utilizing the billing system's functionality to gain maximum efficiency. S/he will also be responsible for scheduling and monitoring new employee training on all of the software's functionality. The Revenue Cycle Manager, will also provide staff training as needed in billing operations and denial prevention. S/he will perform analysis on denial trends and develop the necessary steps to reduce denials.
You will work with the local Billing Manager and focus on client satisfaction and continuous improvement. You will work with the local Billing Manager in evaluating processes with the intent of improving productivity, quality and results.
Primary Responsibilities:
- Front Desk staff policy development, implementation and training.
- Ensures compliance with Optum360 and payer policies and procedures.
- Building a cohesive team that is focused on meeting the metrics for charge entry.
- Oversee and streamline revenue cycle management processes
- Provide denial trend analysis and denial reduction work plans
- Plan and implement quality assurance for all processes
- Understanding and educating staff on payer specific medical policy
- Oversee initial and ongoing training of employees as it relates to workflow, Optum PM and Physician EMR functionality, compliance, specialty knowledge, insurance carriers, etc.
- Manages and is accountable for professional employees and/or supervisors.
- Impact of work is most often at the local level.
Requirements
Requirements:
Bachelor's Degree or Substituted experience; Undergraduate degree in Health Care or Business Administration or Finance or Minimum of 7 years Medical Billing Experience required
7+ years Working knowledge of physician reimbursement, medical terminology, ICD- 9, CPT and HCPCS coding required
1+ year of Onsite Client and/or Vendor experience managing multiple responsibilities in complex and frequently changing environment required
3+ years of Critical Proven track record for critical problem solving, root cause analysis and process improvement required
3+ years of Previous management experience required
3+ years of Operations planning and priority setting for a billing department required
Strong leadership skills with an ability to motivate direct reports
Detail oriented with a medical billing background
Excellent communication skills both written and verbal
Ability to manage multiple projects concurrently
Assets:
Six Sigma experience
CPC-Certified Physician Coder experience
Health care isn't just changing. It's growing more complex every day. ICD10 replaces ICD9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and health care organizations continue to adapt, and we are a vital part of their evolution. And that's what fueled these exciting new opportunities.
Optum360 is a dynamic new partnership formed by Dignity Health and Optum to combine our unique expertise. As part of the growing family of UnitedHealth Group, we'll leverage all our resources to bring financial clarity and a full suite of revenue management services to health care providers nationwide.
If you're looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
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