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Associate Director of Revenue Cycle Management - Multiple Locations

UnitedHealth Group


Location:
RONKONKOMA-New York, NY
Date:
02/16/2018
2018-02-162018-03-17
Job Code:
753311
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Job Details

753311 Associate Director of Revenue Cycle Management Multiple Locations

Associate Director of Revenue Cycle Management - Multiple Locations (753311)

Position Description

National MedTrans is a transportation benefit management company, and a recent UHC acquisition.  We are seeking an individual for the role of Associate Director of Revenue Cycle Management is responsible for the success of revenue cycle operations across all markets. The Director reviews and enacts policies, procedures and processes related to revenue cycle functions and holds teams accountable to established key performance metrics. 

This individual works closely with the senior leaders of the organization as well as other operating divisions within National Medtrans including; Finance, Implementation, Credentialing, Provider Relations and Call Center Operations. The successful candidate will provide leadership to staff; communicate and model mission, vision, values and promises of National Medtrans. He/she will adhere to the National Medtrans Compliance Plan and privacy standards of the organization. 

The Director is responsible for analyzing performance against established benchmarks and providing advice and support to senior management regarding matters related to all aspects of revenue management. 

Primary Responsibilities:

  • Serves as the senior subject matter expert on all issues surrounding payer reimbursement, accurate claim processing, claim submission, collections and other general revenue cycle management
  • Provides management, guidance and training to staff and will perform duties of subordinate staff when necessary to maintain operations
  • Reviews daily, monthly and weekly A/R dashboards. Identifies opportunities for improvement and develops plan to implement necessary changes to meet performance expectations
  • Participates in annual budget development, and is accountable for departmental adherence to budget and/or other fiscal goals
  • Manage teams responsible for the accuracy and financial viability of the accounts receivable. Assigns/allocates resources as required ensuring company goals for aging and accounts receivable days are met.
  • Reviews accounts receivable Executive Management to ensure A/R is within established standards
  • Establish AR turnaround standards, works with Client Relations and subordinate staff to create action plans to address variances
  • Responsible for developing departmental policies and procedures, providing recommendations when appropriate and ensuring compliance
  • Responsible for staffing to include hiring, termination, culture, coaching and training
  • Provides on-going feedback to staff of performance throughout the year to subordinate staff
  • The successful candidate will also play a role in new system implementations currently underway, as well as planned in the near future

  • This may include, developing requirements, test case compilation and User Acceptance Testing execution

 

 

Required Qualifications:

  • Bachelor of Science/Business Administration degree from an accredited institution is preferred
  • 5+ years experience in managing ancillary revenue cycle. Thorough understanding of all payers, focused on Medicare Advantage and Medicaid Managed Care across multiple markets
  • Must have experience with claims submission process and clearing houses
  • Must possess a thorough understanding of systems for billing and accounts receivable, spreadsheet analysis, reporting applications, medical terminology, and coding procedures

 Preferred Qualifications:

 

  • Certified Professional Coder
  • Strong and effective results-oriented team leader with a minimum of seven years of experience managing large volume claims transactions and dollar values (in excess of $50 million)
  • Must be able to critically evaluate data and make recommendations for change based on solid research and evidence.
  • Solid knowledge of industry trends, regulations, payment models and demonstrated skill in managing in a complex reimbursement model across multiple provider specialties.
  • Successful history of adding value to organizations through proactive root cause analysis and resolution of bottlenecks that negatively affect reimbursement and accounts receivable
  • Demonstrates a record of significantly improving patient accounts receivable
  • Must comply with HIPAA rules and regulations
  • Strategic and tactical; able to help scale operations for explosive growth
  • Excellent communication skills, demonstrate the ability to work in a team environment and be able to effectively direct front and back-end work processes and personnel toward a common goal
  • A demonstrated ability to understand, appreciate and embody how to manage through organizational ambiguity to achieve agreed upon objectives
  • Must possess a relentless pursuit of efficiency and a drive to reduce redundancy and waste


Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is 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 Details

  • Contest Number753311
  • Job TitleAssociate Director of Revenue Cycle Management - Multiple Locations
  • Job FamilyClaims
  • Business SegmentEmployer and Individual

Job Location Information

  • RONKONKOMA-New York, NY
    United States
    North America
  • Other LocationsHartford, CT
    Columbia, MD
    SANDY-Utah, UT

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelDirector
  • ShiftDay Job
  • TravelNo
  • Telecommuter PositionNo
  • Overtime StatusExempt

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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