Managed Care Coordinator - West Hills, CA - Full-time / Part-time

Position Description:

Healthcare isn’t just changing.
It’s growing more complex every day. ICD-10 Coding replaces ICD-9. Affordable
Care adds new challenges and financial constraints. Where does it all lead?
Hospitals and Healthcare organizations continue to adapt, and we are vital part
of their evolution. And that’s what fueled these exciting new opportunities. 

 

Who are we? Optum360.
We’re 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 our compassion, our talent, our
resources and experience to bring financial clarity and a full suite of Revenue
Management services to Healthcare Providers, nationwide. 

If you’re looking for a better place to use your
passion, your ideas and your desire to drive change, this is the place to be.
It’s an opportunity to do your life’s best work.As a Managed Care Coordinator in West Hills, CA with Optum360, you will work with your team members to help identify and resolve issues and serve as a resource for day-to-day operations. Your primary role will be to review billing/claims information/reporting, creating, and managing reports. While ensuring that payment is received for these bills is important, you will also need to provide assistance and billing support to individuals, and internal teams on a daily basis.Primary Responsibilities:Assist the Managed Care team in short term and long term projectsPerform daily, weekly and monthly process that ensures smooth billingWork with IT to develop system enhancements relative to billingPerform weekly audits of Master FilesAbility to communicate with all levels of staffReview all signed local payer contracts and implement new carriers in Quest Billing SystemProvide technical support and training to local billing operationsActively participate in sending Disputes to top carriers contributing to bad debtActively participate in QBS conversions and integrationsQC team members on regular basis Performs other related duties upon requestVerifies data to ensure information is accurate and has been keyed into the correct accountWorks on projects independently. Prepares and maintains billing records for status reportsAbility to communicate effectively both oral and writtenAbility to handle multiple tasks & meet deadlines within standardsWorks well with all levels of associates and managementAbility to work within a team environment as well as unsupervisedAbility to set priorities

Required Qualifications:High School Diploma or GED3+ years of healthcare billing experienceCustomer relationship management experienceExperience using Microsoft Excel (creating/format spreadsheets) and Word (create/update documents)Preferred Qualifications:Bachelor’s Degree or higherPayor Management experienceExperience using Microsoft Access (writing SQL queries)There are several steps in our hiring process it's a thorough process because we want to ensure the best job and culture fit for you and for us. In today's ultra-competitive job market, the importance of putting your best foot forward is more important than ever. And you can start by completing all required sections of your application. (i.e. profile, history, certifications and application/job questions). Once you submit your resume, you'll receive an email with next steps. This may include a link for an on-line pre-screening test that we ask you to complete as part of our selection process. You may also be asked to complete a digital video interview, but we will offer full instructions and tips to help you. After you have completed all of these steps, you can check on the status of your application at any time, but you will also be notified via e-mail.Careers
with OptumInsight. Information and technology
have amazing power to transform the Healthcare industry and improve people's
lives. This is where it's happening. This is where you'll help solve the
problems that have never been solved. We're freeing information so it can be
used safely and securely wherever it's needed. We're creating the very best
ideas that can most easily be put into action to help our clients improve the
quality of care and lower costs for millions. This is where the best and the
brightest work together to make positive change a reality. This is the place to
do your life’s best work.Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and 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.Keywords: Medical collections representative, customer service, collections representative, customer service representative, optum360