Supervisor AR - Hospital Services

Hospital Third Party Payer Billing Manager

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 the management of activities relative to hospital third party payer billing. Ensures timely and accurate filing of claims, performs accounts receivable management, and follows up on denials and non-payment. He/she trains and mentors staff and assists in developing training materials.

Youll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Supervise AR Operations Direct and coordinate daily activities of the accounts receivable team to ensure timely and accurate billing, collections, and payment posting. Maintain workflow efficiency and resolve operational issues to support revenue cycle goals
• Monitor AR Performance Metrics - Analyze and report on key AR indicators including aging reports, days in AR, and collection effectiveness. Identify trends, recommend process improvements, and implement corrective actions to optimize cash flow and reduce outstanding balances
• Ensure Regulatory and Policy Compliance Maintain compliance with federal, state, and payer-specific billing regulations. Ensure accuracy and integrity of patient account data and resolve discrepancies in a timely manner
• Lead and Develop AR Staff Provide leadership, training, and performance evaluations for AR team members. Foster a culture of accountability and continuous improvement through coaching, mentoring, and professional development
• Collaborate Across Departments and with Payers Serve as a liaison between AR and other departments such as patient access, coding, and finance. Work with insurance companies and third-party payers to resolve claim denials, payment delays, and other reimbursement issues

Youll 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:

• High School Diploma/GED
• 5+ years of experience in a hospital setting in accounts receivable, medical billing, collections, and/or denials
• Previous experience in a supervisory or team lead role within a healthcare or medical setting
• Demonstrated solid understanding of the healthcare revenue cycle, including coding, billing, and collection essentials
• Knowledge of medical terminology and insurance claim terminology
• Demonstrated excellent verbal and written communication skills are needed for staff, payers and other stakeholders
• Proven ability to analyze data, identify trends, and resolve issues related to billing and collections
• Proficient in relevant software, including billing systems, Microsoft Office, especially Excel, and other software
• Proven ability to lead, motivate, and manage a team of AR professionals
• Understand relevant regulations, such as HIPAA and other state and federal laws
• Demonstrated solid interpersonal skills are needed to foster positive working relationships with team members and other departments

Preferred Qualifications:

• EPIC hospital billing experience

*All employees working remotely will be required to adhere to UnitedHealth Groups 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, youll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 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.