VP Revenue Cycle - Secaucus, NJ

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 is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)

If you are located between the tri-cities, you will have the flexibility to telecommute* as you take on some tough challenges.

Primary Responsibilities:

• Directly oversee multi-specialty physician revenue cycle(s)
• Resolve complex issues and interface directly with high-level operations and stakeholders
• Develop, plan, organize, and implement current and future strategies to increase and improve cash flow, and manage the overall health of the client’s receivables
• Provide leadership and direction for day-to-day operations within revenue cycle management to ensure all services are billed and collected accurately and efficiently
• Reviews, designs, and implements processes surrounding billing, third party payer relationships, compliance, collections, and other financial analyses to ensure that revenue cycle is effectively and properly utilized
• Implement best practices to continue to improve while reducing third party rejections and denials
• Monitors effectiveness of collection efforts and maintains insurance billings are current within the established time frame specified in the policy
• Tracks metrics related to the revenue cycle performance to develop sound revenue analysis and reporting
• Leads and manages staff performance and facilitates appropriate staff training, feedback, performance reviews for resources, including outsourced staffing
• Place high emphasis on developing a consistent and coordinated billing model that can sustain or improve financial performance within an evolving landscape
• Ability to provide recommendations to improve overall collections through multiple billing software/platforms
• Enhances and standardizes work-flow processes throughout the revenue cycle to assist in achieving consistency in maintaining the critical success factors
• Solid leadership skills and demonstrates capability to inspire staff to pursue excellence in goals and productivity, capable of coaching and improving staff in need of professional development. Places high priority on overall team performance
• Demonstrates excellent oral and written communication skills as well as solid interpersonal skills to create positive relationships internally and externally
• Promote and demonstrate collaboration and relationships with the clinal operations team

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:

• Bachelor’s degree or equivalent experience
• 10+ years of progressive billing experience including experience in across specialties in a multi-payer setting
• 5+ years of management experience in leading large claim volume physician revenue cycle
• 5+ years of experience building / managing a team
• Understanding of compliance programs associated with Revenue Cycle department
• Thorough understanding of relevant Medicare / Medicaid billing and reimbursement requirements, utilization management, and managed care principles
• Intermediate proficiency within Excel (e.g. ability to create pivot tables& formulas)
• Up to 25% travel
• Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

Preferred Qualification:

• Master’s degree

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to 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.

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