Patient Access Transformation Manager - Telecommute - Full-time / Part-time

Optum360, an industry leader in healthcare operations management, implementation, transformation and consulting services, is adding additional talent to our Transformation team. This is a full time leadership positions offering career growth while taking on challenging engagements around the United States. National travel is required as necessary to ensure success of assigned projects and assist in growth opportunities.

Patient Access Transformation Managers serve as industry experts while they implement best practices in Optum client locations. Transformation Managers combine their leadership, experience and understanding of Optum360 solutions to drive results coordinating with Optum360 Transformation teams, Optum360 Technology teams, Optum360 Project Management Office and Optum360 Consulting Services. Typical projects for Back End Patient Financial Services include, but are not limited to

• Business Office Process and Performance Assessments


• Business Office Centralization


• Business Office Structure and Alignment Optimization


• Efficiency and Productivity Improvement programs


• Workflow Technology Modification and Optimization


• Billing Editor and Billing Tool Modification and Optimization


• Billing, Claim Follow Up and Cash Posting Methodology Implementation and Improvement


• Policy, Procedure, Job Description and Staff Training Optimization


• Alignment of client processes and Optum technology


• Interim management

Primary Responsibilities:

• Provide direction, coordination and leadership to clients in all areas of the healthcare Back End Revenue Cycle may include:
  
  
  
  • Patient, Government and Commercial Payer Billing
  
  
  • Claim Follow Up and Collections
  
  
  • Cash Posting, Credit Balance and Underpayment Review
  
  
  • Patient  / Customer Service
  
  
  • Decision support and analytics
  
  
  • Managed care contracting


• Utilize internal Optum360 resources to properly accomplish and deliver measurable results in the Back End Revenue Cycle and Patient Financial Services
  
  
  
  • Transformation Staff and Analytics Team
  
  
  • Optum360 Consulting
  
  
  • Optum360 Technology implementation teams
  
  
  • Optum360 Project Management Office
  
  
  • Optum360 Human Capital, Compliance and Legal


• Evaluate and utilize external vendors where internal Optum360 solutions gaps are present


• Identify client accomplishments barriers in achieving operational excellence


• Understand client business metrics and results


• Evaluate and analyze client data to understand trends in all areas of the operation


• Development of options and recommendations for client improvement


• Understand and represent Optum technology and services and how they will improve client operations


• Collaborate with client revenue cycle team and other departments in order to facilitate resolution of process issues and implement world-class solutions


• Provide informed feedback to Optum and client executives including assessments of processes, standards, suggestions and improvements


• Assist in Optum360 growth process as requested


• Develop work plans, project tasks and manage projects in accordance with budget


• Provide interim staffing services as required


• Must meet minimum performance standards


• Willingness to learn new skills and desire to advance upward in the consulting organization


• Accountable for all decisions, actions, and directives with respect to job responsibilities


• Provide feedback to management concerning possible problems or areas of improvement


• Perform other duties as assigned by management

Required Qualifications:

• Bachelor's Degree


• Experience working in hospital revenue cycle department as a director or supervisor (patient access, patient financial services) -- OR -- 5+ years of experience in the healthcare revenue cycle


• Proficient in MS Word, Excel, PowerPoint and Visio


• Experience and comfort working at all levels of a health care organization


• Solid understanding of revenue cycle workflow in the hospital and ambulatory environment (registration, scheduling, coding, billing, contracting)


• Revenue cycle consulting experience, such as revenue cycle outsourcing, interim management or performance improvement


• Ability to lead, motivate, influence, probe, analyze, synthesize and articulate complex subject matter so it can be easily understood


• A high degree of self-motivation, versatility and flexibility


• In-depth knowledge of the complete healthcare revenue cycle


• Working knowledge of hospital based IT systems


• Excellent interpersonal, written, and oral communication skills


• Excellent presentation skills


• Ability to adapt to a flexible schedule


• Ability to travel 50% or more as necessary to accomplish assign tasks and goals

Preferred Qualifications:

• Master's Degree in Business Administration or related field

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.(sm)

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

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

Job Keywords: revenue cycle, healthcare, patient access, telecommute, telecommuting