Revenue Cycle Associate / Senior Analyst - Payer Connectivity - Philadelphia, PA

Revenue Cycle Associate / Senior Analyst serve as industry experts while they implement best practices in Optum360 client/partner locations.  Associate / Senior Analyst combine their leadership, experience and understanding of Optum360 solutions to bring world class results in Revenue Cycle Projects and end-to-end partnerships.  Typical projects include, but are not limited to

• Revenue cycle assessments for: hospitals, health systems, diagnostic laboratories
• Revenue cycle process improvement
• Alignment and implementation of client/partner processes and Optum360 technology
• Revenue cycle improvement / redesign
• Reimbursement and managed care
• Interim management (as applicable)

Primary Responsibilities:

• Provide revenue cycle services to client/partners in all areas of revenue cycle which includes:
  • Patient access (scheduling, preregistration, insurance verification/financial counseling)
  • Registration/Admission (ED, inpatient, outpatient, ambulatory, diagnostic laboratories)
  • Health Information Management (transcription, coding, clinical documentation improvement)
  • Patient financial services (charge capture, pre-billing, billing, follow-up, cash posting, account resolution)
  • Decision support and analytics
  • Productivity and quality management
• Identify client/partner accomplishments barriers in achieving operational excellence
• Evaluate and analyze client/partner data to understand trends in all areas of the operation
• Development of options and recommendations for client/partner improvement
• Understand and represent Optum360 technology and services and how they will improve client/partner operations
• Cross-coordination of components of the implementation
• Meeting coordination
• Project plan maintenance and status reporting
• Risk identification and management/tracking
• Cross functional liaison between different Optum360 and client teams
• Gathering and management of payer contract materials
• Coordinate Q&A activities related to contract interpretation
• Development of Test Strategy
• Collaborate with client/partner revenue cycle team and other departments in order to facilitate resolution of process issues and implement world-class solutions
• Provide informed feedback to Optum360 and client/partner executives including assessments of processes, standards, suggestions and improvements
• 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
• Perform other duties as assigned by management

Required Qualifications

• 2+ years of experience in revenue cycle management
• Project management skills
• Expert in MS Word and Excel and Visio
• Experience and comfort working at all levels of a health care organization. 
• Ability to probe, analyze, synthesize and articulate complex subject matter so it can be easily understood
• A high degree of self-motivation, versatility and flexibility
• Knowledge of the complete healthcare revenue cycle
• Proficient personal computer skills, including Microsoft Office
• Knowledge of laboratory and hospital based IT systems
• Excellent interpersonal, written, and oral communication skills
• Ability to maintain the highest level of confidentiality
• Ability to adapt to a flexible schedule
• Ability to travel 70-80%

Preferred Qualifications:

• Bachelor's Degree
• Expert in Outlook and PowerPoint

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

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.

Job Keywords: revenue cycle management , project management, Eden Prairie, MN