Director, RCM Central Business Operations - Remote

Lensa; Minneapolis (MN); Remote; USD 124,000 - 240,000; Full time

Job summary

An established industry player is seeking a Director for Central Business Operations to oversee back-end revenue cycle functions. This role offers the flexibility to work remotely while tackling significant challenges in healthcare management. You will lead initiatives to enhance billing processes, ensure compliance with regulations, and foster interdepartmental collaboration. Join a team committed to health equity and innovation, where your contributions will directly impact communities and improve health outcomes. If you have a strong background in revenue cycle management and a passion for healthcare, this opportunity is perfect for you.

Benefits

Comprehensive Benefits Package

Incentives

Stock Purchase Options

401k Contributions

Qualifications

• 10+ years in hospital billing and revenue cycle management.
• 5+ years of management experience in healthcare.

Responsibilities

• Collaborate with revenue cycle departments to improve processes.
• Monitor vendor performance and ensure compliance.

Skills

Hospital Billing

Collections

Contract Negotiation

Revenue Cycle Management

Strong Communication Skills

Tools

Epic System

Job description

Director, RCM Central Business Operations - Remote

Lensa is the leading career site for job seekers at every stage of their career. Our client, UnitedHealth Group, is seeking professionals. Apply via Lensa today!

Optum, a global organization, delivers care aided by technology to help millions live healthier lives. Your work will directly improve health outcomes by connecting people with necessary care, pharmacy benefits, data, and resources. We foster a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Join us to make an impact on communities and advance health equity globally. Come start Caring. Connecting. Growing together.

This position supports Allina Health in back-end revenue cycle functions: AR collection for hospital and physician services, claims submission, follow-up, payment posting, customer service, and denial management. Reporting to the VP of Revenue Cycle, the Central Business Operations Director will collaborate with Patient Access Services, Revenue Integrity, clinical departments, and Health Information Management to enhance quality, customer service, and financial sustainability.

You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you tackle significant challenges.

Primary Responsibilities

1. Interdepartmental relationships: Collaborate with revenue cycle departments to improve processes and collections. Work with clinical departments to address billing inefficiencies.
2. Vendor Management: Monitor vendor performance and compliance; address underperformance.
3. Process Improvement: Identify opportunities for accurate and compliant claims, research denial root causes, and implement improvements including automation and software enhancements.
4. Human Resource Management: Ensure team members are trained, mentored, and clear on expectations. Supervise department leaders, support coaching, performance appraisals, and disciplinary actions.
5. Regulatory and Contractual Compliance: Ensure billing and collection efforts comply with government and state regulations and adhere to managed care contracts.

You’ll be rewarded in an environment that challenges you, provides clear success metrics, and offers development opportunities.

Required Qualifications

• 10+ years in hospital billing, collections, contract negotiation, and revenue cycle management
• 5+ years of management experience
• Ability to present AR data effectively to leadership
• Thorough knowledge of healthcare-related financial regulations
• Proven ability to work independently remotely, escalating issues as needed
• Strong communication skills tailored to diverse stakeholders

Preferred Qualifications

• Experience presenting data to varied audiences
• Delegating responsibilities within Revenue Cycle
• Epic system experience (PB and HB modules)
• Experience with denials avoidance and process improvement
• Adherence to UnitedHealth Group’s Telecommuter Policy for remote employees

The salary range is $124,500 to $239,400 annually, based on factors like location, education, experience, and certifications. Benefits include comprehensive packages, incentives, stock purchase options, and 401k contributions. Benefits are subject to eligibility.

Application Deadline: Minimum of 2 business days or until sufficient candidates are found. The posting may end early due to volume.

At UnitedHealth Group, our mission is to help people live healthier lives and improve the healthcare system for all. We are committed to health equity, environmental responsibility, and equitable care, especially for marginalized groups. We are an Equal Employment Opportunity employer and a drug-free workplace, requiring a drug test prior to employment.