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Revenue Cycle Optimization Consultant - Multiple Locations

UnitedHealth Group

Philadelphia, PA
Job Code:
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Job Details

Revenue Cycle Optimization Consultant - Multiple Locations(Job Number:703049)

No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. And you'll do your life's best work.(sm)


Revenue Cycle Optimization Consultants serve as industry experts while they implement best practices in Optum360 client/partner locations.  Consultants 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, and 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)

Principal Responsibilities

  • Provide revenue cycle management 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 (electronic order data integrity, charge capture, pre-billing, billing, follow-up, cash posting, account resolution)
    • Revenue Cycle accounts receivables and denials management
    • Decision support and analytics
    • Productivity and quality management
  • Identify client/partner accomplishments barriers in achieving operational excellence
  • Understand client/partner business metrics and results
  • 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
  • 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
  • Assist in the sales process as requested
  • Develop work plans, project tasks and manage projects in accordance with budget
  • 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
  • Provide feedback to management concerning possible problems or areas of improvement
  • Perform other duties as assigned by management

Job Bus Advisory & Tech Cnsltng
Primary Location US-PA-Philadelphia
Other Location US-PA-Pittsburgh, US-DE-Wilmington, US-MA-Boston, US-OH-Cleveland, US-NJ-Basking Ridge, US-MD-Baltimore
Organization O360 Quest
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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