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.

 

Primary Responsibilities:

Oversee daily operations of multiple levels of staff and multiple functions across one or more business units Manage day to day site operations, supervisor leadership (internal and external to organization), and accountability for financial and non-financial results (budgets and actuals) Provide expertise or general RCM support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims  Conduct data entry and re-work; analyzes and identifies trends and provides reports as necessary Lead project management and implement initiatives Accurate and timely documentation of claims data Ensure accurate and timely delivery of data to Team Liaison  Ensure that performance metrics are achieved and Building and maintaining an effective Team environment within the Network Intelligence group Build and maintain effective relationships with internal customers (i.e. Team Liaison, US Team Leads/Supervisors, Managers and Directors etc.) Coordinate with the Team to identify process improvement opportunities Monitor, measure and report Team performance metrics and implement Team incentive programs Deliver/facilitate training (both new and ongoing) Partner with leadership to promote department revenue and business objectives Provide feedback to management on individual and group training results Review and update training materials as needed Routinely analyze quality results to report error trends Identify root causes of errors and opportunities for defect reduction Analyze and develop overall improvement plans (department and individual) Administrative responsibilities as assigned Responsible for daily TAT and quality as per SLA To ensure smooth Month end closing and reconciliation of batches. To ensure client satisfaction by the delivery of quality services and quality products To review the MIS reports and take corrective steps to strengthen the productivity / people To appraise the performance of the team members at the regular intervals Recommend the rewards / incentives to the employees in token of the appreciation / recognition based on the performance To appraise the performance of the team members at the regular intervals To allocate shifts, sanction compensatory off and weekly off's to the subordinates Interacting with the onshore team to understand and capture all requirements of the process Maintenance of the Standard Operating procedures for all the processes Responsible to prepare and review the weekly and monthly Quality Dashboards with onshore and offshore stakeholders Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

Required Qualifications:

Graduate - Any stream Actively associated in current role as manager or corresponding Proven good Analytical and comprehension skills Sound knowledge of RCM backend operations - AR/Cash posting/Charge Entry (Billing) 12+ years in of experience in total with 7+ supervisory/managerial experience 5+ years managing relationships with clients and/or vendors 5+ years of relevant experience RCM. Demonstrated ability to prove computer proficiency:  solid data entry, utilizing Microsoft Office including Microsoft Word, Microsoft Excel, Microsoft Outlook

 

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.