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UnitedHealth Group Billing & Collections Supervisor - San Bernardino, CA in San Bernardino, California

Combine two of the fastest - growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life’s best work.SM

The Billing & Collections Supervisor is responsible for the supervision of the daily operations specific to their unit. The supervisor oversees and directs work team’s production and performance to insure proper utilization and effectiveness of assigned personnel. They are responsible for defining and delegating team member responsibilities to appropriate personnel in order to ensure a smooth, accurate workflow. The Supervisor works in tandem with the other department supervisors to manage the daily production of the team and assists in managing the overall operations of the department.

What we do defines who we are. Take a deeper look at how we're providing support during this global health crisis and search for a way you can get involved. View our Covid - 19 Resources Page at: https://info.uhg.com/

Primary Responsibilities:

  • Have a working knowledge of computer applications

  • Demonstrate Leadership and Analytical Thinking capability

  • Requires working knowledge of insurance including Commercial Contracts, Managed Care, and Government Programs including Federal, State and local agencies

  • Have knowledge of basic medical terminology

  • Organizes workflow to ensure accurate and timely team performance

  • Supervises the work schedule, ensuring adequate and appropriate coverage of all positions at all times

  • Selects, and delegates training and orientation of new staff

  • Assigns staff responsibilities, and evaluates performance

  • Counsels employees on problem areas and performance

  • Works with staff to develop personal development plans, identify areas for improvement, and improve performance

  • Performs interviews, performance appraisals, provides coaching and feedback to staff adhering to the policies and procedures of the admitting department

  • Provides input for, and ensures staff compliance with, established organizational policies, objectives, safety, environmental and infection control standards

  • Possesses knowledge and ability to leverage technology, optimize the utilization of internal resources and improve the quality of work and information flows

  • Participates in administrative staff meetings and attends other meetings as assigned

  • Attends, and sometimes lead departmental meetings and contributes with suggestions, ideas and methods to improve quality of department / hospital operations

  • Reviews operational reports, identifies opportunities and problems and makes recommendations for improving customer service, patient throughput and process flow

  • Ensure all claims are billed and received by the payers for proper adjudication. This includes timely processing of allocated volume of accounts, based on established production guidelines and time parameters provided for workflow

  • Work any edits and denials in allocated workflow to achieve proper adjudication to payment. This includes, but is not limited to: verify insurance is correct, update insurance demographics, rebill claims not received, document the status of work performed, follow - up on outstanding adjudication items according to departmental guidelines, and is also responsible for billing secondary / tertiary claims along with providing supporting documentation to payers for additional payment

  • Maintain assigned work lists and resolve high priority and aged inventory

  • Identify and communicate issues to leadership, including payer, system or escalated account issues for timely resolution

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 / GED (or higher)

  • 3+ years working in a hospital patient financial servicesdepartment, physician office setting, healthcare insurance company, revenue cycle vendor and / or other revenue cycle related roles

  • Working knowledge of medical terminology

  • UB - 04 Claims Experience

  • Detailed knowledge of coding, billing, payment posting, denial management, collections, payer contracts

  • Travel between two locations within San Bernardino. Main Location: Community Hospital of San Bernardino, 1805 Medical Center Drive, San Bernardino, CA (90%), Secondary Location: San Bernardino Medical Center, 2101 North Waterman Avenue, San Bernardino, CA (10%)

  • If you need toenter a work site for any reason, you will be required to screen for symptomsusing the ProtectWell mobile app, Interactive Voice Response (i.e., enteringyour symptoms via phone system) or a similar UnitedHealth Group - approvedsymptom screener. When in a UnitedHealth Group building, employees are requiredto wear a mask in common areas. In addition, employees must comply with anystate and local masking orders

Preferred Qualifications:

  • Bachelor's Degree (or higher)

  • 3+ years experience in a supervisory role working with Direct Reports

  • Proficiency in Microsoft Excel (Creating spreadsheets, working with pivot tables and creating queries)

  • Experience with Government payers and collections - understanding of DOFR’s (Division of Financial Responsibility)

Soft Skills:

  • Excellent written and verbal communication skills

UnitedHealth Group is an essential business. The health and safety of our team members is our highest priority, so we are taking a science driven approach to slowly welcome and transition some of our workforce back to the office with many safety protocols in place. We continue to monitor and assess before we confirm the return of each wave, paying specific attention to geography - specific trends. We have taken steps to ensure the safety of our 325,000 team members and their families, providing them with resources and support as they continue to serve the members, patients and customers who depend on us.

Some of the steps we’ve taken to ensure employee well - beinginclude:

  • Launchedour ProtectWell app and UnitedCARES program to help ease the burden and stressfor our UnitedHealth Group team members and their immediate family affected byCOVID - 19

  • Dailyupdates from our CEO Dave Wichmann to support and inspire team members duringthis challenging time

  • Onsitesocial distancing and increased sanitization measures for employees who havebeen welcomed back to our offices

  • Fullycover the COVID - 19 healthcare costs for our employees

  • Employeeswho self - identify as high risk or who live with someone who is high risk havebeen asked to remain working from home

You can learn more about all we are doing to fight COVID - 19 and support impacted communities at: https://www.unitedhealthgroup.com/newsroom/addressing-covid.html

Careers with OptumInsight . Information and technology have amazing power to transform the Healthcare industry and improve people's lives. This is where it's happening. This is where you'll help solve the problems that have never been solved. We're freeing information so it can be used safely and securely wherever it's needed. We're creating the very best ideas that can most easily be put into action to help our clients improve the quality of care and lower costs for millions. This is where the best and the brightest work together to make positive change a reality. This is the place to do your life’s best work.SM

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.

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