Account Manager - Optum360 - Providence, RI

Great sales are the result of strong purpose, conviction and pride - pride in your ability and your product. UnitedHealth Group offers a portfolio of products that are greatly improving the life of others. Bring along your passion and do your life's best work.
 
The Account Manager is the liaison between the Practice/Client and the Optum360 Revenue Cycle Department. S/he works with the Practice Managers and Senior Leadership to optimize the practice?s revenue through analysis of practice statistics. They will perform analysis on denial trends and work with the billing staff and/or practice staff to reduce denials. They are a super user in the Optum PM and Physician EMR and ensures that practice staff are utilizing the system's functionality to gain maximum efficiency and optimize revenue. The Account Manager will also provide practice staff training in system release changes ensuring that the staff understands and is ready to use the revised functionality.

The Account Manager is responsible for the creation and distribution of weekly and monthly reports to the practice/client and for completing a scheduled weekly call with each practice/client to review the Accounts Receivable status. Call agenda items for discussion typically include average days in AR, % of AR over 90 days, payer specific AR issues, specific claims processing and payment issues and specialty coding and provider credentialing topics as necessary. Preparation for these calls will include an in-depth analysis of the reports and metrics for the practice/client.

They will work with the Billing Manager and focus on client satisfaction and continuous improvement. S/he will work with the Billing Manager in evaluating processes with the intent of improving productivity, quality and results for all practices/clients. They will work with the practice to investigate issues and provide education on best practices as needed. The Account Manager works independently and is responsible for timely follow-up of all practice/client issues or concerns pertaining to Revenue Cycle Management. Company compliance guidelines and policies are followed and enforced through the Account Manager?s oversight of defined billing and medical coding practices.

The Account Manager works collaboratively with other departments to ensure optimal practice/client service. They meet deadlines from Finance for invoicing preparation and timely responds to inquiries.

OFFICE FOR THIS POSITION WILL BE LOCATED IN PROVIDENCE, RI

-High School Diploma or G.E.D is required. AS or BA degree a plus.

-Medical Billing Certificate Program or practical experience with medical terminology is required.

-CPC, Certified Professional Coder preferred.

-Minimum 3-5 years medical billing experience.

-Working knowledge of medical practice operations.

-Working knowledge of physician reimbursement, medical terminology, ICD- 9, ICD-10, CPT and HCPCS coding required.

-Proficient with Excel.

-Experience with Caretracker or other similar software is a plus.

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, national origin, protected veteran status, or disability status.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.