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Supervisor, Collections Medical Billing Coding

Company: UnitedHealth Group
Location: Torrance
Posted on: March 11, 2023

Job Description:

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. -Position in this function is responsible for the coordination of the data entry, collection, quality control and occupational medicine sections of the Business Office department. Monitors productivity, prioritizes duties, hires, trains and evaluates department staff.Primary Responsibilities:

  • Consistently exhibits behavior and communication skills that demonstrate HealthCare Partners' (HCP) commitment to superior customer service, including quality, care and concern with each and every internal and external customer
  • Data Entry:
    • Supervises pre-registration, charge entry, payment entry, adjustments, invoice corrections, charge corrections and maintains specific IDX dictionary.
    • Balances and reconciles cash receipts
    • Completes required Business Office forms
    • Collection:
      • Supervises third-party and/or patient collection efforts
      • Minimizes days in Accounts Receivable
      • Maximizes collection rate
      • Negotiates payment plans
      • Corrects errors affecting accuracy of demographics and balances
      • Makes referrals to collection agencies
      • Manages appeals of denials/low allowances
      • Quality Control:
        • Supervises billers, coders and filing clerks
        • Oversees the receipt and review of all encounter data (inpatient and outpatient) to ensure the accuracy of all coding and insurance information. -Codes when appropriate
        • Tracks encounter form problems, errors and omissions. -Reports to sites and regions
        • Receives, logs and distributes monies to be data entered
        • Monitors daily billing edit reports
        • Processes paper claims
        • Files and retrieves system reports
        • Occupational Medicine:
          • Coordinates the billing and collections of occupational medicine activities
          • Coordinates with operations to ensure accurate coding and receipt of accurate demographic and encounter data
          • Supervises staff responsible for data entry, payment and adjustment entry and collections
          • Trains all staff including Data Entry Clerks, Collectors, Medical Assistants and providers
          • Audits fee tickets and reports for accuracy
          • Discusses cases with providers and reinforces level of service to be charged
          • Audits employer physical protocols
          • Provides providers with feedback in the use of code modifiers
          • Stays abreast of occupational medicine industry changes and disseminates information to staff
          • Develops and maintains protocols
          • Maintains guarantor dictionary
          • Assists in the development of front and back-end processes in STOLAS
          • Maintains work-in-progress reports for each of the Business Office functions
          • Generates management reports
          • Uses, protects, and discloses HCP patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
          • Performs additional duties as assigned 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:
            • High school diploma, G.E.D. or equivalent
            • 3+ years and up to and including 5+ years of experience
            • 2+ years supervisory experience
            • Third-party billing (MCR, MCL, PPO, WC)Preferred Qualifications:
              • Associate's degree in Business Management/Administration -
              • Medical Billing or Coding Certificate
              • 4+ years of medical billing experience
              • IDX BAR experience
              • ICD-10 and CPT coding experienceKnowledge, Skills, Abilities:
                • Computer literate
                • Knowledge of medical billing software
                • Extensive knowledge of workers' compensation billing, guidelines and laws
                • Extensive knowledge of occupational medicine Industrial Fee Schedule
                • 10-key by touch
                • Interviewing and interpersonal skills
                • Bilingual in English and Spanish - -Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time. We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility. Work with diverse, engaged and high-performing teams to help solve important challenges.California Residents Only: The salary range for California residents is $46,700 to $91,300. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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 -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.

Keywords: UnitedHealth Group, Torrance , Supervisor, Collections Medical Billing Coding, Healthcare , Torrance, California

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