Hospital Billing Manager - Optum360 - Bakersfield, CA

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)
 
The Government Manager will manage all billing and the Government Team who bills and collects on Medicare, Medi-Cal and government sponsored HMO account receivables.
 
Primary Responsibilities: 

Ensures a high percentage of clean claims, and monies are collected expediently, in the correct amounts, and within the contracted reimbursement rates
Requires in depth knowledge of regulatory billing compliance
Familiarity with Government audit processes such as MAC & RAC

Required Qualifications:   


High School Diploma/GED 

Minimum of five (5) years of experience providing leadership related to the hospital claims billing and collection of government accounts   

Advanced knowledge of hospital accounts receivable, with focus on Medicare and Medi-Cal billing and coverage   

Microsoft Office experience (Word, Excel, PowerPoint, Outlook)   
  
Preferred Qualifications:   


Undergraduate degree or equivalent experience   

Experience with Managed Care is a plus.

Excellent experience in Accounting systems in a multi-facility environment, including familiarity with Meditech/MS4  
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:  Manager, Medical Clinical Operations, Manager Government, Government Manager, regulatory billing, billing compliance, clean claims, HMO, account receivables, Medicare, Medi-Cal, government audit, Bakersfield, CA, California