ASC - Manager Claims Business Processor - Kelsey - Seybold, Pearland.

Requisition Number: 2367522
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:

• Plan, direct and coordinate activities of the ASC Business Office to include claims processing, self-pay and insurance accounts receivable, registration and benefit verification, payor contract oversight, and statistical analysis and reporting
• Coordinate directly with the Central Business Office Director to achieve the goals of the organization's multiple ambulatory surgery centers with case volume exceeding 20,000 per year
• Establish and maintain an effective team environment and give administrative direction to assigned staff
• Develop and implement departmental standards, policies and procedures. Optimize organizational profitability through effective revenue cycle management
• Maintain open, effective communications within the management team, staff, physicians and patients
• Responsible for providing insightful analysis and reports to administration on an as needed basis, but at least monthly
• Exhibit good interpersonal and communication skills
• Maturity to withstand pressure that may arise in relation to the public, physician or administration while displaying flexibility and adapting to changing conditions

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:

• 5+ years of experience in medical billing with 3+ years of supervisory experience in designated field
• 4+ years of supervisory/management/ Administrative experience
• Extensive physician or facility billing experience
• Knowledge of ICD-9/10, CPT coding and third-party payer requirements
• Working knowledge of state and federal regulations as they relate to compliance and reimbursement
• Solid data analysis skills with at least intermediate-level Excel experience. Ability to perform profitability analyses
• Solid organizational and interpersonal skills
• Ability to communicate orally and in writing
• Direct management of 10+ staff

Preferred Qualifications:

• Certified coder
• 8+ years of experience in designated supervision field with 5+ years of supervision responsibilities
• Experience with facility billing and coding
• Epic Resolute billing software experience
• Ambulatory Surgery Center operations background
• Direct management of 15+ employees/staff

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 $72,800 to $130,000 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.