Job Detail

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.SM

If you want to achieve more in your mission of health care, you must be smart about the business of health care. Financial discipline and accountability count more today than ever. Which is why your performance and innovation will find a reception here like nowhere else as you help people live healthier lives while doing your life's best work.SM

This position is full-time (40 hours/week) Monday - Friday. Employees are required to work our normal business hours of 8:00 AM - 5:00 PM. It may be necessary, given the business need, to work occasional overtime or weekends. Our office is located at St. Bernardine Medical Center, 2101 North Waterman Ave, San Bernardino, CA 92404.

Primary Responsibilities:

• Responsible for planning, monitoring, and evaluation of the functions of the Accounts Receivable Department to meet performance goals. Provide training, direction, and support to staff.

• Proactively identify solutions, workflow, and processes for improved departmental performance.

• Create and follow SOPs to ensure compliance with governmental and organizational billing regulations and policies.

• Responsible for day to day operations of the Accounts Receivable/Payable Department including but not limited to interviewing, training, supervision, counseling, and evaluation of A/R staff, achieving departmental performance goals, and implementing processes for continued performance.

• Supervise the month end close process including preparation and analysis of month end revenue and A/R reports for senior management.

• Review and approve all departmental activities including but not limited to write-off and refund request, cash posting reports and correspondence logs.

• Audits, Identifies, and reports billing and collection trends and issues on a regular basis to senior management.

• Review outstanding A/R balances monthly and assist management with collection analysis.

• Monitor department adherence to federal, state and company billing compliance policies.

• Ensure that written policies and procedures are developed, updated, and reviewed annually.

• Work in coordination with offshore team

• Ensures job aids are available for account resolution that are in compliance with OPTUM360 and Government policy

• Establishes and maintains professional and effective relationships with peers, payers, patients, and other stakeholders; serves as liaison with various internal departments / staff / providers in coordinating and troubleshooting various revenue cycle-related issues

• Performs other activities and responsibilities as assigned

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma / GED (or higher)

• 2+ years of Medical Revenue Cycle Management experience

• Ability to work any 8-hour shift between the hours of 8:00 AM - 5:00 PM from Monday - Friday

• Full COVID-19 vaccination is an essential requirement of this role. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance.

Preferred Qualifications:

• 3+ years of healthcare accounts receivable experience

• Data analysis and trending experience

• Proficient with the Microsoft Office Suite including Microsoft Word, Microsoft Excel, Microsoft PowerPoint, and Microsoft Outlook (ability to create, edit, save, and send documents, spreadsheets, presentations and correspondence)

• 2+ years of supervisory experience in healthcare

UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status.

Military & Veterans find your next mission: We know your background and experience is different and we like that. UnitedHealth Group values the skills, experience and dedication that serving in the military demands. In fact, many of the values defined in the service mirror what the UnitedHealth Group culture holds true: Integrity, Compassion, Relationships, Innovation and Performance. Whether you are looking to transition from active duty to a civilian career, or are an experienced veteran or spouse, we want to help guide your career journey. Learn more at https://uhg.hr/transitioning-military

Learn how Teresa, a Senior Quality Analyst, works with military veterans and ensures they receive the best benefits and experience possible. https://uhg.hr/vet

Careers with Optum360. At Optum360, we're on the forefront of health care innovation. With health care costs and compliance pressures increasing every day, our employees are committed to making the financial side more efficient, transferable and sustainable for everyone. We're part of the Optum and UnitedHealth Group family of companies, making us part of a global effort to improve lives through better health care. In other words, it's a great time to be part of the Optum360 team. Take a closer look now and discover why a career here could be the start to doing 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.

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