Manager, Revenue Cycle Collections - Patient Financial Services - Remote

Optum; Phoenix (AZ); Remote; USD 92.000 - 164.000; Vollzeit

Benefits dieser Stelle

Remote work flexibility

Zusammenfassung

Optum Insight is seeking a Revenue Cycle Collections Manager to lead government and commercial hospital accounts from a remote U.S. location. In-office four days weekly may apply in Minneapolis or Washington, D.C. areas.

You will direct staffing, payer follow-up, account resolution, and cash recovery while ensuring compliance and performance. Strong leadership and 5+ years in hospital revenue cycle are required.

Qualifikationen

• 5+ years in hospital or medical revenue cycle.
• 2+ years of management or people-leadership experience.
• 2+ years with government and commercial collection practices.
• 2+ years of revenue cycle process flows (registration to reconciliation).
• 2+ years of experience with MS Excel and common MS Office apps.

Aufgaben

• Set team direction and adapt plans to address demand and delivery commitments.
• Manage supervisors, ensure timely communication and performance expectations.
• Monitor AR days, aging, cash, quality, and service levels; drive remediation.
• Oversee payer accounts, denials, appeals, underpayments, and follow-up.
• Analyze trends and reporting to forecast needs and improvements.
• Lead recruitment, onboarding, coaching, and development activities.
• Coordinate with departments, payers, and partners to resolve barriers.
• Ensure compliance with policies, controls, and regulatory requirements.

Kenntnisse

Revenue cycle mgmt

Leadership

Government & commercial collections

Process optimization

Data analysis

Tools

Microsoft Excel

Microsoft Word

Outlook

Jobbeschreibung

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together. The Revenue Cycle Collections Manager leads collection operations for government and commercial hospital accounts and is accountable for supervisors, professional employees, and/or their teams. This role translates departmental priorities into operating plans; directs staffing, workload, payer follow-up, account resolution, cash recovery, and performance improvement; and coordinates with clients, payers, hospital departments, and organizational partners. The manager monitors accounts receivable days, aging, quality, productivity, service levels, contractual commitments, and cash goals; provides leadership, coaching, and performance management; and ensures billing and collection activities comply with applicable policies, procedures, payer requirements, regulations, and business expectations.

You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Primary Responsibilities

• Set team direction and adapt departmental plans, staffing, priorities, and work assignments to address business demand, operational challenges, and service-delivery commitments
• Manage and hold supervisors and team leaders accountable for timely communication, workload oversight, accurate account follow-up, employee coaching, documentation, and achievement of established performance expectations
• Monitor accounts receivable days, aging, cash, quality, productivity, inventory, attendance, overtime, service levels, client commitments, and performance guarantees; identify deterioration and lead corrective action or remediation
• Ensure government and commercial payer accounts are worked accurately and through resolution, including denials, appeals, underpayments, reimbursement variances, billing corrections, escalations, and responsible-party follow-up
• Analyze payer behavior, explanation-of-benefits and remittance information, billing and collection trends, and operational reports to identify barriers, forecast needs, and recommend sustainable improvements
• Oversee preparation and reconciliation of billing, collection, cash, productivity, and performance reporting for teams, clients, and senior leadership
• Influence forecasting and planning activities and develop bottom-up strategies to improve operational performance, cash recovery, customer service, and use of resources
• Coordinate with hospital departments, revenue cycle functions, onshore and offshore partners, payers, independent practice associations, clients, and internal stakeholders to resolve account and workflow barriers
• Establish and maintain effective internal and external relationships; participate in client and payer meetings, communicate performance results, negotiate solutions within authority, and lead remediation of client dissatisfaction
• Manage client satisfaction and support improvement in applicable customer-experience measures, including Net Promoter System and Net Promoter Score results
• Lead recruiting, interviewing, selection, onboarding, training, succession planning, and development activities to maintain qualified staffing and leadership capability
• Ensure employees have documented goals aligned with business deliverables and that supervisors conduct regular one-on-one meetings, huddles, performance discussions, recognition, coaching, and development planning
• Ensure performance management is timely, fair, consistently documented, and completed in accordance with applicable company and Human Resources policies, including development plans, corrective action, and termination recommendations
• Partner with Human Resources and other appropriate functions on employee concerns, attendance, punctuality, timekeeping, overtime validation, workplace investigations, dispute-resolution matters, and other employee-relations issues
• Use regular team, leader, skip-level, focus-group, and new-hire interactions to promote two-way communication and connect individual performance to organizational strategy and customer outcomes
• Review employee-engagement results, communicate findings, establish meaningful action plans, and monitor progress throughout the year
• Promote a collaborative, respectful, inclusive, and high-performing environment and model company culture, values, allyship, inclusive leadership, and customer orientation
• Ensure accurate account documentation, compliance with state and federal collection requirements, information privacy, secure handling of company-sensitive information, and adherence to applicable policies and controls
• Identify recurring payer issues, workflow gaps, system limitations, and process risks; sponsor or implement practical improvements and escalated significant risks appropriately

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications

• 5+ years of hospital or medical revenue cycle experience, including billing and/or collections.
• 2+ years of management or people-leadership experience
• 2+ years of experience working with government and commercial collection practices, billing forms, contracts, payer requirements, reimbursement, explanations of benefits, remittance information, and applicable state and federal regulations
• 2+ years of experience with revenue cycle process flows, including registration, charge entry, billing, collections, denials, payment, reimbursement calculation, and account reconciliation
• 2+ years of experience with Microsoft Excel, including formulas and PivotTables, and working knowledge of Microsoft Word, Outlook, and standard business applications
• 2+ years of experience leading through supervisors, set priorities, delegate assignments, manage time and resources, analyze performance, resolve problems, and follow through on commitments

Preferred Qualifications

• 2+ years of experience managing supervisors and multi-team or multi-site collection operations
• 2+ years of experience with payer escalations, denials, appeals, underpayments, contract interpretation, client performance guarantees, forecasting, and service-level remediation
• 2+ years of experience with practice-management or patient-accounting systems such as MS4, Invision, Epic, STAR, eFR, or comparable platforms
• 2+ years of experience supporting both onshore and offshore delivery partners
• All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.