Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start **Caring. Connecting. Growing together.**

This position is responsible for AR collection for hospital and physician services, including claims submission and follow up, payment posting, customer service and denial management. Reporting to the VP of revenue cycle, the PFS manager 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 take on some tough challenges.

**Primary Responsibilities:**

+ Interdepartmental relationships: Collaborates with other revenue cycle departments to enhance processes and collections.Works with clinical departments as required to overcome billing inefficiencies caused by charging or documentation

+ Vendor Management:Monitors the performance and compliance of all vendors supporting the department.Recognizes when vendors are not performing at the highest level, and works to remediate the situation

+ Process Improvement: Proactively identifies opportunities for improvement that would lead to more accurate or compliant claims submission.Research denial root cause and suggests/implements mechanisms for avoidance.Implements automation, or billing software improvements wherever possible

+ Human resource management: Ensures that all team members are fully aware of expectations and properly trained and mentored to succeed.Directly supervises other leaders within the department and supports those leaders in supervising their teams. This includes coaching, mentoring, goal setting, performance appraisals and taking the appropriate disciplinary actions when required

+ Regulatory and contractual compliance: Ensures all billing and collection efforts remain complaint with government and state regulations and follows all terms in managed care contracts where applicable

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:**

+ 10+ years of experience in hospital billing and collections, third party contract negotiation and revenue cycle management

+ 5+ years of management level experience

+ Knowledge and skill to present AR data to leadership team in a meaningful manner

+ Thorough knowledge of federal, state and local regulations as related to financial operations within healthcare

+ Proven ability to work independently in an at home setting, escalating issues to the VP as needed

+ Proven ability to communicate to a wide range of stakeholders, adjusting the message to be appropriate to each group’s knowledge of and involvement in RCM

**Preferred Qualifications:**

+ Experience presenting data in various formats, and various forums to varied audiences

+ Experience assessing and delegating responsibilities throughout Revenue Cycle operations

+ Epic experience, PB and HB modules

+ Experience with Denials avoidance and process improvement

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

The salary range for this role is $106,800 to $194,200 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

**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 make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._

_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._