Position Description;Healthcare isn't just changing.It's growing more complex every day. ICD-10 Coding replaces ICD-9. AffordableCare adds new challenges and financial constraints. Where does it all lead?Hospitals and Healthcare organizations continue to adapt, and we are vital partof their evolution. And that's what fueled these exciting newopportunities. Who are we? Optum360.We're a dynamic new partnership formed by Dignity Health and Optum to combineour unique expertise. As part of the growing family of UnitedHealth Group, we'll leverage our compassion, our talent, ourresources and experience to bring financial clarity and a full suite of RevenueManagement services to Healthcare Providers, nationwide. If you're looking for a better place to use yourpassion, 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.Use your Sharp Analytical Skills to help us support, compile and report key information! Create, enhance, and maintain budget or financial planning models, surveys, benchmarks. Evaluate, interpret and analyze data and business process and analyze / monitor new, routine and ad hoc reports. Provide support when compiling and reporting information and assume responsibility for data integrity among various internal groups and / or between internal and external sources. Support short term operational activities.The Associate Business Billing Analyst is the liaison between the Practice Manager and the Billing Department. S / he works with the Practice Managers and Senior Leadership to establish best practices for front desk operations for demographic collection, referral and authorization management, co-pay collection and reconciliation, and eligibility checking and follow-up. S / he ensures that all billing related operations staff are utilizing the billing system's functionality to gain maximum efficiency. S / he will also be responsible for software functionality with a focus in trending, analytics and client communications. The Analyst will also provide staff training as needed in billing operations and denial prevention as identified through trending and analytics. S / he will perform analysis on denial trends and develop the necessary steps to reduce denials.S / he will work with the local Billing Manager and Senior Business Analyst and focus on client satisfaction and continuous improvement. S / he will work with the local Billing Manager and Senior Business Analyst in evaluating processes with the intent of improving productivity, quality and results.Primary Responsibilities: Front Desk staff policy development, implementation and training Ensures compliance with Optum360 and payer policies and procedures Working collaboratively with the billing team to implement best practices for Optum 360 service delivery Provide oversight of billing and claims items related to the operations of the practices Analyze the practice efficiencies and provide feedback for improvements in operations Building a cohesive team that is focused on meeting the metrics for charge entry Oversee and streamline revenue cycle management processes Provide denial / write off trend analysis and denial / write off reduction work plans Plan and implement quality assurance for all processes Understanding and educating staff on payer specific medical policy Oversee initial and ongoing training of employees as it relates to workflow, system functionality, compliance, specialty knowledge, insurance carriers, etc Demonstrated ability to manage multiple responsibilities in complex environment Proven track record for improving process efficiencies and solving problems Strong leadership skills with an ability to motivate indirect reports Detail oriented with a medical billing background Excellent communication skills both written and verbal Excellent analytical and problem solving skills Ability to manage multiple projects concurrently Intermediate level of proficiency with PC based software programs and automated database management systems Demonstrated process improvement, workflow, benchmarking and / or evaluation of business processes Excellent time / project management, problem solving, organizational, and analytical skills
Required Qualifications: High School Diploma / GED (or higher) 1+ years of medical billing experience 1+ years of experience in business / finance analysis--collecting, analyzing, and presenting data and recommendations to management Working knowledge of physician reimbursement, medical terminology, ICD- 9, ICD-10 Experience with Microsoft Word (ability to create documents) and Microsoft Excel (ability to create data sheets, sort, filter, and pivot tables)Preferred Qualifications: CPC Certified Physician Coder Working knowledge of relational databases, database structures Public Speaking experience Experience with Microsoft PowerPoint (ability to create presentations)Careerswith OptumInsight. Information and technologyhave amazing power to transform the Healthcare industry and improve people'slives. This is where it's happening. This is where you'll help solve theproblems that have never been solved. We're freeing information so it can beused safely and securely wherever it's needed. We're creating the very bestideas that can most easily be put into action to help our clients improve thequality of care and lower costs for millions. This is where the best and thebrightest work together to make positive change a reality. This is the place todo 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: CPC, billing, coding, medical billing, business analysis, excel, access, relational database, Providence, RI, Johnston, RI, Rhode Island
Internal Number: 755266
About UnitedHealth Group
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.