3 days old
2018-08-102018-09-08

Billing Manager – Minnetonka, MN or San Antonio, TX or US Telecommute

UnitedHealth Group
Minnetonka, MN
  • Job Code
    776933
776933 Billing Manager Minnetonka MN or San Antonio TX or US Telecommute

Billing Manager – Minnetonka, MN or San Antonio, TX or US Telecommute (776933)

Position Description

Establishes, plans, directs and leads Billing Cycle management of multi-site medical practices and associated programs in multiple markets. Key customers and partners will include local practice administrators, IT, Finance, and local providers for both TeamMD and UnitedHealthcare Neighborhood Clinics. Accountable for overall billing operations, encounter recording, receipt of funds, revenue cycle reporting and tracking and training local personal on the billing process.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities
  • Sets team direction, resolves problems and provides guidance to members of own team.

  • May oversee work activities of other supervisors.

  • Adapts departmental plans and priorities to address business and operational challenges

  • Influences or provides input to forecasting and planning activities

  • Product, service or process decisions are most likely to impact multiple groups of employees and/or customers (internal or external)

Operations and Oversight (35%)

  • Directs billing vendor or local billing team and oversees day to day billing operations of practice to include compliance, revenue cycle, and credentialing

  • When necessary assists/backfills billing vendor/local billing team in:

    • Researching all information needed to complete billing process including getting charge information from physicians

    • Processes all insurance provider’s correspondence, signature, and insurance forms

    • Prepares bank transactions
    • Processes and distributes copies of billings according to clinic policies

    • Maintains required billing records, reports, files
  • Develops and manage key billing metrics to measure the efficiency and accuracy of billing and collections process

  • Perform quality checks on data entries prior to submitting information to internal and/or external customers/payers/clients

  • Analyze reports against existing billing data and make appropriate changes to ensure billing accuracy

Process Development/Improvement (30%)
  • Identifies and leads performance improvement initiatives when necessary

  • Develops and manage physician practice local practice billing and collection process

  • Develops path of eliminating outsourced resource billing partners

  • Work with integration teams to set-up billing processes/tables/approach/training local staff when entering new markets

  • Implement policies and procedures across new markets

  • Conduct training with internal and/or external customers/payers (e.g., new account managers; new sales staff; pricing teams) on claims submission/payment receipt

Issue Resolution (25%)

  • Collaborate with internal partners (e.g., brokers, account managers) and/or external customers/payers to resolve customer issues

  • Create and/or distribute documentation to inform internal and/or external customers/payers of new processes, procedures, or general changes to billing operations

  • Manage coding resources and train them to determine appropriate medical codes from relevant resources (e.g., EMR; physician documentation) in order to generate claims for payment

  • Ensure accurate processing and completion of denied claims
  • Works with other staff to follow-up on accounts until zero balance

  • Utilize results from billing resolutions to identify potential corrections/enhancements to billing systems, tools, or processes

Other (10%)

  • Maintains key customers and business partners relationships which include: local practice administrators, IT, finance, and local practice providers and clinical support staff

  • Maintains  relationship with Practice Management and Claims Clearing vendors

  • Other duties as assigned

Required Qualifications
  • Bachelor’s Degree or 3 years of equivalent experience
  • 5+ years of experience in physician practice billing

  • Intermediate or higher level of knowledge of Practice Management Systems (Currently using ECW)

Preferred Qualifications  
  • Experience in physician practice management
  • Understanding of relevant terminology (e.g., financial; medical) for claims/billing

  • Understanding of relevant systems, tools, and/or software applications (e.g., Prime; ACIS; PeopleSoft; Great Plains; CPS Mainframe; UMR Web Portal; SharePoint; GPS; MS Office; Lotus Notes Databases; EMRs; Practice Management Systems)

  • Understanding of state and federal regulatory requirements as they to billing operations (e.g., health-care reform; state surcharges; CMS)

  • Ability to understand and comply with billing policies and procedures

As a Fortune 6 company with 260,000 people all pulling in the same direction, we're used to setting the pace for change. Challenge yourself, your peers and our industry by shaping what health care looks like. It is sure to be your life's best work.SM

Careers with UnitedHealthcare. Let's talk about opportunity. Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.SM


*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

 


Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

 

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

 

Job Keywords: Physician Practice Management, Billing, Manager, Billing Cycle, ECW, claims, billing operations, Minnetonka, San Antonio, Telecommute

Job Details

  • Contest Number776933
  • Job TitleBilling Manager – Minnetonka, MN or San Antonio, TX or US Telecommute
  • Job FamilyBusiness Operations
  • Business SegmentUnitedHealthcare Corporate

Job Location Information

  • Minnetonka, MN
    United States
    North America

Additional Job Detail Information

  • Employee StatusRegular
  • ScheduleFull-time
  • Job LevelIndividual Contributor
  • ShiftDay Job
  • TravelYes, 25 % of the Time
  • Telecommuter PositionYes
  • Overtime StatusExempt

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Billing Manager – Minnetonka, MN or San Antonio, TX or US Telecommute

UnitedHealth Group
Minnetonka, MN

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Minnetonka, MN

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