Patient Access Supervisor

This position is Onsite. Our office is located at 333 Mercy Ave, Merced, CA 95340.

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.

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. 

For those who want to invent the future of health care, here’s your opportunity. We’re going beyond basic care to health programs integrated across the entire continuum of care.

This position is responsible for assisting the Patient Access Leadership in managing daily operations within the assigned client Facility or within the Patient Access Contact Center operations. Supplements staff training, coaching and support; issue identification, assessment, and resolution; and technical support within the assigned work environment in order to achieve desired outcomes and compliance with Optum360 and client policies/procedures and standards.  Provides input in hiring/firing decisions, as well as performance appraisals. May perform quality reviews and analysis to support internal controls, monitor employee performance and assist in staff development, retention, and selection. Serves as relief support and a “super user” for new programs, processes, and technologies. Works on-call schedule, as required if coverage is needed.  

This position is full-time (40 hours/week) Monday – Friday. Employees are required to have flexibility to work mid-shift or nightshift, any of our 8-hour shift schedules during our normal business hours of 8:00 am – 5:00 pm with weekend rotation. It may be necessary, given the business need, to work occasional overtime. 

We offer 4-6 weeks of on-the-job training. The hours of the training will be aligned with your schedule.   

       

Primary Responsibilities: 

• Knows, understands, incorporates, and demonstrates the Optum360 and client Mission, Vision, and Values in behaviors, practices, and decisions.
• Provides operational guidance and support to assigned staff under the direction of the Patient Access Manager, disseminates policy/procedure updates, and supports coverage of other departmental divisions, as required.  Serves as technical advisor and resource to staff and the Manager.
• Responsible for the development of associate work schedules and assignments to ensure cost effective staffing providing optimal workflow needs that meets performance requirements.
• Performs job-specific accountabilities of relief staff (80%+ of work time devoted to “online staff support”) or other job functions as assigned by the Manager, or as required to meet expectations. Thorough knowledge of all aspects of Patient Access services and skills to successfully fill in any position and/or work at multiple sites within a Facility or within multiple Facilities, fully meeting performance expectations and standards.  Works varying hours and/or on-call schedule, as required.
• In coordination with the Manager may participate in the redesign of Patient Access processes and systems to improve service, data integrity, and staff productivity/quality to achieve departmental goals and process outcomes.
• Develops effective decision-making, communications, and interpersonal relations to ensure a positive image of Optum360 and the client, and to ensure customer satisfaction, supporting and portraying strong customer service philosophies in all encounters:
• Provides timely and professional follow-up to customer complaints and issues
• Ensures problem resolution and corrective action for long-term solution, coordinating such effort across intra and inter-departmental channels.
• Provides function-specific training, including staff orientation / onboarding and continuing education, in coordination with the Optum360 Training and Quality
• Assurance Program.  Cross-trains and supports the functions of all centralized patient access functions.
• Maintains work site in full operational order:
• Orders supplies and other materials in compliance with budgetary constraints
• Maintains a neat, orderly work environment that denotes professionalism and efficiency
• Develops job aides to assist the staff in performing work assignments.    

Responsible for the following activities:

• Selection of employees based on potential contributions, departmental culture/needs and personnel policies.  Recommend allocation of resources based on scope of goals and priorities
• Reviews employees’ work regularly, discusses problem areas, and maintains periodic documentation, as needed. Makes recommendations regarding personnel actions and follows-up, as warranted.  Mentors and coaches associate to ensure positive outcomes
• Completes the work schedule, ensuring adequate and appropriate coverage and performance.  Serves as on-call scheduling contact and assists with coordination of staff to meet the need.  Manages to the department budget, minimizing Overtime, when possible. 
• Provides and documents employee disciplinary / corrective actions, up to and including verbal warning, referring all actions and activities to the Manager for follow-up
• Provides input documentation to employees’ performance during orientation and annual reviews 
• Maintains fiscal accountability for assigned area of responsibility by identifying new operational, capital and program needs, monitoring staff allocation in alignment with customer service goals, and by meeting budget parameters 
• Analyzes and displays data in meaningful formats; develops and communicates policies/procedures and other business documentation; conducts special studies and prepares management reports, including key performance Indicators as they relate to the division (waiting/service times, staff productivity, accuracy, patient satisfaction, customer feedback, incident reporting, etc.)
• Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Optum’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
• Other duties as needed and assigned by the Manager.  

       

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions 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 equivalent work experience 
• Must be 18 years of age OR older.
• 3+ years of experience in Patient Registration, physician’s office, health insurance company, or revenue cycle vendor 
• 6+ months of supervisory experience  
• Experience with Patient Access technologies.   
• Knowledge of ICD-10 and CPT terminology   
• Working knowledge of medical terminology  
• Proficiency with Microsoft Office Word
• Proficiency with Microsoft Excel
• Proficiency with Microsoft PowerPoint
• Ability to work full-time (40 hours/week) Monday – Friday. Employees are required to have flexibility to work mid-shift or nightshift, any of our 8-hour shift schedules during our normal business hours of 8:00 am – 5:00 pm with weekend rotation. It may be necessary, given the business need, to work occasional overtime. 

       

Preferred Qualifications:

• HFMA (Healthcare Financial Mgmt. Assoc.) or NAHAM (National Assoc. Healthcare Access Mgmt.) certification  
• Ability to independently set and organize own work priorities for self and for the assigned team and successfully adapt to new priorities as part of a changing environment.  

        

Soft Skills:

• Operational knowledge of Federal and State regulations pertaining to patient admissions, as well as standards from regulatory agencies and accrediting organizations (DHS, HCFA, OSHA, TJC).
• Ability to multi-task and work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles.  
• Ability to communicate and work with patients, physicians, associates, Optum / client leadership, multiple direct patient care providers and others in order to expedite the Patient Access process  
• Strong communication skills (verbal and written) in dealing with trainees, associates, and internal/external customers.  
• Effective critical thinking, problem solving and decision-making skills. Strong quantitative and analytical abilities to process and display data.  
• Ability to handle heavy workloads and short deadlines in a positive manner, with ability to quickly adapt to changing conditions, assimilating new processes into job functions and taking ownership.  
• Ability to comply with Optum360 and client policies and procedures, such as dress codes, etc. 
• Demonstrated knowledge of process improvement techniques are essential to success, as is the ability to be a self-starter and work independently to move projects successfully forward.   
• Ability to work with a variety of individuals in executive, managerial and staff level positions.   
• Comfortable operating in a collaborative, shared leadership environment that encourages change engagement and participation, and open dialogue.   
• Ability to maintain knowledge of Patient Access processes, systems, regulatory and 3rd party payer issues/requirements. 

      

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  $58,800 – $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

         

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.

       

      

OptumCare 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.

        

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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