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in Eden Prairie, MN
Revenue Cycle Optimization - Payer Connectivity Consultant - Eden Prairie, MN
Hours | Full-time, Part-time |
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Location | Eden Prairie, MN Eden Prairie, Minnesota |
About this job
Revenue Cycle Consultants serve as industry experts while they implement best practices in Optum360 client / partner locations. Consultants 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 and diagnostic laboratories
Revenue cycle process improvement
Alignment of client / partner processes and Optum360 technology
Revenue cycle improvement / redesign
Reimbursement and managed care
Interim management (as applicable)
Primary Responsibilities:
Provide revenue cycle management 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)
Revenue Cycle accounts receivables and denials management
Decision support and analytics
Productivity and quality management
Identify client / partner accomplishments barriers in achieving operational excellence
Understand client / partner business metrics and results
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
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
Assist in the sales 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
Minimum of 3 years of experience in acute care and/or laboratory revenue cycle management
- Project management experience
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
Basic knowledge of at least one practice management system and/or EMR system. Experience with one or several of these vendors is a plus: Siemens, GEHC, Allscripts, SMS, Cerner, McKesson, Epic, Meditech or other similar HIS/LIS/EMR systems
A high degree of self-motivation, versatility and flexibility
In-depth knowledge of the complete healthcare revenue cycle
Proficient personal computer skills, including Microsoft Office
Working knowledge of laboratory and hospital based IT systems
Excellent interpersonal, written, and oral communication skills
Excellent presentation skills
Ability to maintain the highest level of confidentiality
Ability to adapt to a flexible schedule
Preferred Qualifications:
Expert in MS Word and Excel and Visio required, expert in Outlook and PowerPoint
Familiarity with payer to provider or patient to provider transaction sets (such as 270/271, 837/835, 276/277)
Work Environment:
Office environment
- Ability to travel 70-80%
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.