Director Patient Financial Service – Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

This function is responsible for leading our Revenue Cycle Collection team and partnering with the external client assigned. You will be expected to manage impactful KPI’s and metrics pertaining to this book of business. You will collaborate externally and internally to provide input to policies, systems, methods, and procedures for the effective management and collection activities. In this role, you will educate customers and partner with internal department regarding issues or concerns in achieving the goals and metrics. This role with be responsible for managing the preparation of reporting to internal partners and external clients on performance updates and actions taken to either maintain or improve performance. 

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. 

Primary Responsibilities:

• Provides leadership for RCM Collection efforts
• Help drive process improvements resulting in performance improvement within RCM
• Develop and Implement strategic plans to achieve goals and performance measures through cross function teams(including external client and internal partners)
• Effectively communicate with external client leadership as well as internal SLT
• Build & maintain deep relationships/partnerships with clients to ensure continuous improvement and growth

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:

• 9+  years of work experience in revenue cycle within a healthcare system, or related organization to include 5+ years of management experience
• 5+ years of work experience in Denials Management and Accounts Receivable Management
• 5+ years of experience in Revenue Cycle backend operations
• 5+ years of management / leadership experience including managing people and fiscal budgets
• 5+ years in review of account’s receivables reporting, identifying operational opportunities and strategic planning.
• 5+ years of experience supporting a health system (acute / ambulatory)
• Demonstrated experience in navigating and working across multiple departments to develop, communicate, and support a company’s short-term and long-term business objectives.
• Ability to travel up to 50% of the time

Preferred Qualifications:

• Experience working with matrixed leadership
• Experience with practice management systems (i.e. MS4, Invision, EPIC, STAR, eFR)
• Proven to possess personal qualities of integrity, credibility, and commitment to Optum’s Vision and Values
• Prvoven skilled in Denials Management 
• Proven ability to work with large data sets, extremely comfortable with Excel and its functions (basic and advanced)

Skills:

• Knowledge of health care management, registration, billing and collection process for a solid revenue cycle
• Understanding of payer policies, procedures, NCD’s and LCD.s.
• Proven to possesses the skills related to Denials Management, including but not limited to: payor authorizations/pre-certification and medical necessity justification
• Demonstrated skills to effectively manage denials tracking, monitoring, trending and overturning denials to improve revenue cycle performance for both institutional and professional claims
• Proven audits, monitors and trends denials and recoveries identifying performance and areas of opportunity including system, chargemaster, coding and manual input
• Proven collaborate with key stakeholders identifying denial trends and process improvement opportunities, developing and applying process improvement methodologies in evaluating and improving appeal outcomes
• Demonstrates ability to communicate with all levels of Hospital personnel and external clients
• Demonstrates effective listening skills when working with individuals and/or group settings
• Seeks opportunities to initiate and build relationship the team members and customers
• Demonstrates leadership skills that influence others, fosters teamwork, creates a motivating environment, and coaches and develops staff
• Proven excellent organizational skills with the ability to manage staff and projects in a fast paced environment
• Demonstrates the ability to identify and articulate problems and suggest possible solutions
• Possesses excellent tactical execution skills, proficiency in prioritizing and managing multiple tasks
• Partner with enterprise operations leaders, recommend and implement changes to processes, tools and/or methodology to ensure continuous improvement in operational efficiency and quality of services being delivered while achieving operational budgets

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable. 

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug – free workplace. Candidates are required to pass a drug test before beginning employment.