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Clinical Operations Manager - Collections - San Bernardino, CA

UnitedHealth Group

San Bernardino, CA
Job Code:
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Job Details

735302 Clinical Operations Manager Collections San Bernardino CA

Clinical Operations Manager - Collections - San Bernardino, CA (735302)

Position Description

Optum360 is a dynamic 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 Healthcare Providers, nationwide.
If you want to achieve more in your mission of healthcare, you have to be really smart about the business of healthcare. Challenge yourself, your peers, and our industry by shaping what healthcare looks like and doing your life's best work.(sm)

The Collections Manager will be responsible for the overall AR management and aging. Responsible for the Posting Unit and Cashier Office, ensuring the accurate posting of accounts receivables both electronically and hard copy. The position will require solid analytical skills, account management & excellent technical knowledge of systems, understanding of both California & Federal claim laws, and thorough understanding of Managed Care contract language and application; include Division of Financial Responsibilities (DOFR). Must have strong appeal experience in denial management.
This position will be located onsite at St. Bernadine Medical Center
Monday-Friday, days.
Primary Responsibilities:
  • The position will review, assign & monitor accounts for appropriate work efforts and will maintain needed documentation and follow-up procedures to a foster a good working relationship with staffing. Must be willing to coach, counsel and mentor staffing to success
  • The position will require the ability to foster a positive collaborative relationship with peers within the Department and throughout the facility
  • The position will also participate in audits and compile data in time frame as requested and ensure accurate data is provided, substantiates changes and provides back-up
  • Monitor staff productively by routinely reviewing staff's daily stats and conduction QA of completed work
  • Monitor timeliness and completeness of tasks
  • Foster positive outcomes specific to Dignity Health Employee Engagement
  • Position in this function includes those responsible for management and administration of multiple Medical & Clinical Operations Functions, or managing general operations which are not specific to one of the functions in the Medical & Clinical Operations job family
  • Manages and is accountable for professional employees and/or supervisors
  • Impact of work is most often at the local level
Required Qualifications:
  • Bachelor’s Degree OR High School Diploma/GED with 10 + years in relevant Hospital/Management experience
  • 5+ years of Hospital AR management
  • 5+ years UB04 claims experience
  • 5+ years Medicare, Medi-cal claims and PPO/HMO claims adjudication
  • Microsoft Office (Word, Excel & Outlook)
  • Knowledge of Federal, State and local billing/accounting regulations
 Preferred Qualifications:
  • Knowledge of UNION laws/regulations for employee management
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.

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.



Job Keywords: Collections Manager, Collections Supervisor, A/R Collections, Hospital Collections, St. Bernadine Medical Center, San Bernardino, CA, California

Job Details

  • Contest Number735302
  • Job TitleClinical Operations Manager - Collections - San Bernardino, CA
  • Job FamilyMedical and Clinical Operations
  • Business SegmentOptumInsight

Job Location Information

  • San Bernardino, CA
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelManager
  • 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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