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Accounts Receivable Manager – Oncology – Las Vegas, NV

UnitedHealth Group

This is a Contract position in Las Vegas, NV posted May 10, 2021.

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that’s improving the lives of millions. Here, innovation isn’t about another gadget, it’s about making health care data available wherever and whenever people need it, safely and reliably. There’s no room for error. Join us and start doing your life’s best work.(sm)Reporting to the OptumCare Mountain West Regional Director of Revenue Cycle and Growth, the Manager of Revenue Cycle is responsible for collaborating with Operations Leadership, IT, oversight of Oncology Billing Team. This role is responsible for overseeing the billing staff and making day-to-day decisions; responsible for understanding and billing all procedures within regulatory mandates; oversees charge entry, AR follow up, denials, credit balances and appeals needed. This position is responsible for directing and coordinating the overall functions of the Oncology billing functions to ensure maximization of cash flow while improving patient, physician, and other customer relations. This position requires the ability to produce and present detailed billing activity reports.Primary Responsibilities: Oversees the operations of the Oncology billing team, encompassing charge entry, claim submission, accounts receivable follow up, and reimbursement management. Serves as the practice expert and go to person for all Oncology billing processes Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues Follow up on claims using various systems, i.e. practice management and clearinghouse Maintains contacts with other departments to obtain and analyze additional patient information to document and process billings Prepares and analyzes accounts receivable reports, and weekly and monthly financial reports i Audits current procedures to monitor and improve efficiency of billing and collections operations Ensures that the activities of the billing operations are conducted in a manner that is consistent with overall department protocol, and are in compliance with Federal, State, and payer regulations, guidelines, and requirements Reviews and interprets operational data to assess need for procedural revisions and enhancements; participates in the design and implementation of specific systems to enhance revenue and operating efficiency Analyzes trends impacting charges, coding, collection, and accounts receivable and take appropriate action to realign staff and revise policies and procedures Keep up to date with carrier rule changes and distribute the information within the practice Supervises billing office personnel, which includes work allocation, training, and being available for staff needs; motivates employees to achieve peak productivity and performance Manage productivity and performance & develop guidelines for prioritizing work activities, evaluating effectiveness and performance Manage and drive AR to meet dept goals and metrics Perform month end close duties as needed Develop & monitor performance indicators and quality control reports to manage success of team including charge entry and account follow up Monitor and work and KPI targets and identification of target shortfall root cause Evaluate, develop, and implement solutions for strategic growth including staff development and training Escalate, troubleshoot claim and reimbursement issues with local leadership and payers Develop performance indicators and quality control reports, including trends of noncompliance by payers. Analyze insurance payer agreements Collaborate with clinics, IT, finance as needed for issue resolution and process improvement initiatives  Report out to clinic and other counterparts including meetings, task forces, and work groups Work with Revenue Integrity on annual CPT code changes/modifications Work to develop and implement solutions to optimize revenue collections and reduction of bad debt Work with Finance and accounting in reconciliation of revenue and payer takebacks across business units including payment, deposits, and credits Participate in various revenue cycle improvement initiatives to maximize reimbursement and collections as applicable based on local needs Communicate effectively with all levels of employees within the organization and demonstrate oversight of its policies and procedures when dealing with staff, patients and clinics Other duties as applicable to support MW MSOYou’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: A combination of education and experience will be considered 5+ years of medical insurance/healthcare billing and collections experience in a medical practice or health system, with a deep understanding of medical billing rules and regulations 3+ years of supervisory experience Project Management or Consulting Experience Intermediate proficiency with Excel, PowerPoint, Word, Knowledge of CPT / HCPCS and ICD-10 Knowledge of compliant medical record documentation practices Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attainedPreferred Qualifications: Bachelor’s degree Oncology specialty experience Oncology research / studies research billing Careers with Optum. Here’s the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world’s large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do 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.Job Keywords: Accounts Receivable Manager, Oncology, Las Vegas, NV, Nevada