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Revenue Cycle Associate / Senior Analyst - Payer Connectivity - Philadelphia, PA

UnitedHealth Group

Philadelphia, PA
Job Code:
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Job Details

Revenue Cycle Associate / Senior Analyst - Payer Connectivity - Philadelphia, PA(Job Number:703718)

Revenue Cycle Associate / Senior Analyst serve as industry experts while they implement best practices in Optum360 client/partner locations.  Associate / Senior Analyst combine their leadership, experience and understanding of Optum360 solutions to bring world class results in Revenue Cycle Projects and end-to-end partnerships.  Typical projects include, but are not limited to

  • Revenue cycle assessments for: hospitals, health systems, diagnostic laboratories
  • Revenue cycle process improvement
  • Alignment and implementation of client/partner processes and Optum360 technology
  • Revenue cycle improvement / redesign
  • Reimbursement and managed care
  • Interim management (as applicable)

Primary Responsibilities:

  • Provide revenue cycle services to client/partners in all areas of revenue cycle which includes:
    • Patient access (scheduling, preregistration, insurance verification/financial counseling)
    • Registration/Admission (ED, inpatient, outpatient, ambulatory, diagnostic laboratories)
    • Health Information Management (transcription, coding, clinical documentation improvement)
    • Patient financial services (charge capture, pre-billing, billing, follow-up, cash posting, account resolution)
    • Decision support and analytics
    • Productivity and quality management
  • Identify client/partner accomplishments barriers in achieving operational excellence
  • Evaluate and analyze client/partner data to understand trends in all areas of the operation
  • Development of options and recommendations for client/partner improvement
  • Understand and represent Optum360 technology and services and how they will improve client/partner operations
  • Cross-coordination of components of the implementation
  • Meeting coordination
  • Project plan maintenance and status reporting
  • Risk identification and management/tracking
  • Cross functional liaison between different Optum360 and client teams
  • Gathering and management of payer contract materials
  • Coordinate Q&A activities related to contract interpretation
  • Development of Test Strategy
  • Collaborate with client/partner revenue cycle team and other departments in order to facilitate resolution of process issues and implement world-class solutions
  • Provide informed feedback to Optum360 and client/partner executives including assessments of processes, standards, suggestions and improvements
  • Provide interim staffing services as required
  • Must meet minimum performance standards
  • Willingness to learn new skills and desire to advance upward in the consulting organization
  • Accountable for all decisions, actions, and directives with respect to job responsibilities
  • Perform other duties as assigned by management

Job Business Analysis
Primary Location US-PA-Philadelphia
Other Location US-NJ-New Brunswick, US-PA-Pittsburgh, US-DC-Washington, US-DE-Wilmington, US-GA-Atlanta, US-MN-Minneapolis, US-NC-Raleigh, US-MA-Boston, US-TN-Nashville, US-NY-New York, US-OH-Cleveland
Organization O360 Client Relationships
Schedule Full-time
Number of Openings 1
Apply on the Company Site

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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