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Revenue Cycle Optimization - Payer Connectivity Consultant - Eden Prairie, MN

UnitedHealth Group

Eden Prairie, MN
Job Code:
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Job Details

Revenue Cycle Optimization - Payer Connectivity Consultant - Eden Prairie, MN(Job Number:703568)

Revenue Cycle 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 of client / partner processes and Optum360 technology

  • Revenue cycle improvement / redesign

  • Reimbursement and managed care

  • Interim management (as applicable)


Primary 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 (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

  • 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

  • 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-MN-Eden Prairie
Other Location 
Organization O360 Client Relationships
Schedule Full-time
Number of Openings 1
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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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