Optum
Director of Revenue Cycle Management - Pre Bill - Kelsey - Seybold Clinic
Be an Early Applicant
Lead and manage pre-bill revenue cycle operations for a large multispecialty clinic network, overseeing 100+ staff. Drive process improvements, ensure revenue integrity, partner with clinical and operational leaders, deliver KPI reporting, and maintain patient financial experience and compliance.
Requisition Number: 2366560
Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together.
Primary Responsibilities:
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:
Preferred Qualifications:
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, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $112,700 to $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together.
Primary Responsibilities:
- Reports directly to the Senior Director of Revenue Cycle Management to support the strategic goals and objectives of a 1,100+ provider, multispecialty organization across 50+ clinic locations
- Leads, plans, develops and directly coordinates the activities of more than 100 employees responsible for pre-bill revenue cycle functions, including insurance and benefit verification, prior authorizations, claim submission, revenue cycle integrity, revenue cycle coding & billing, and the overall end-to-end patient financial experience
- Has indirect oversight and strategic influence across additional revenue cycle functions, including credentialing, scheduling, front desk operations, and charge entry
- Serves as a trusted revenue cycle consultant to the Vice President of Operations, as well as clinical and business leaders, to drive optimal operational performance and enhance the patient experience
- Collaborates closely with revenue cycle and administrative leadership to ensure strong patient access processes and maintain revenue cycle integrity
- Fosters a high-performing team environment by providing leadership and direction to management and staff, while developing and implementing organizational policies, procedures, and standards
- Actively seeks out, identifies and implements process improvements to drive efficiency, reduce cost to collect, and enhance organizational profitability
- Maintains open and effective communication with leadership, staff, physicians, and patients. Responsible for delivering insightful analysis and reporting on key performance indicators
- Demonstrates strong interpersonal and communication skills, with the professionalism and resilience to navigate complex situations involving patients, physicians, and leadership
- Adapts effectively to changing priorities and organizational needs while maintaining a focus on excellence
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:
- 7+ years of revenue cycle supervisory/management experience or 4+ years of revenue cycle experience with proven key performance indicator results
- 4+ years of supervisory/management experience
- Proficient in Excel, PowerPoint, Word. Solid working knowledge of Epic Professional
- Billing front and back-office practice management system
- Solid analytical, leadership, written and interpersonal communication skills
- Solid process improvement and organizational skills
- Ability to effectively manage projects
- Advanced computer skills such as Microsoft Power Point, Visio, Excel
- Proven track record for consistently meeting or exceeding financial and/or other quantitative targets and qualitative goals
- Ability to work under pressure to meet key timelines and objectives
Preferred Qualifications:
- HFMA/ MGMA Certification
- Epic certified
- Large physician-group practice experience
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, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $112,700 to $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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