Job Description

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life's best work.(sm)

The Billing and Coding Manager is responsible for the success of the non-patient facing revenue cycle processes and controls relating to coding, claim submissions, collections and reimbursement. They will provide day to day supervision & management operational coding and vendor management of post claim submissions revenue cycle & collections processes

Primary Responsibilities:

* Manage and oversee the day-to-day duties of the operational coding team and 3rd party vendor to ensure successful non-patient facing revenue cycle performance
* Serve as subject matter expert on all matters related to revenue cycle including reimbursement methodologies, coding, reporting, CPT/HCPCS, charge capture and billing processes
* Develop, monitor and analyze accounts receivable to ensure maximum net revenue realization, stable cash collections, avoidance of denials and measured reduction to bad debt
* Monitor aged accounts and verifies appropriate collections procedures are being followed
* Review and manage staff and vendor performance and productivity, through ongoing process and performance development and provide feedback to staff and leadership

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 in accounting, finance, healthcare administration or business administration or equivalent work experience
* 3+ years of revenue cycle management experience
* 3+ years coding CPT / HCPS & charge capture management experience / knowledge
* Demonstrated leadership skills
* Experience with automated billing and collections systems, accounts receivable management and reporting
* Significant experience with reporting revenue cycle key performance indicators
* Significant experience with billing and collections systems
* Proficiency with Microsoft Excel, Outlook and Word
* Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained

Preferred Qualifications:

* Certified Professional Coder (CPS) Certification
* A collaborative, team-oriented working style
* Excellent Communication skills (verbal and written - collegiate level)
* Ability to review, analyze and interpret managed care contracts, billing guidelines, and state / federal regulations
* Excellent organizational, project management and time management skills
* Strategic thinker who is up-to-date in all areas of the revenue cycle industry
* Solid quantitative, analytic, and problem-solving skills to evaluate all aspects of a problem or opportunity and draw valid conclusions to make or facilitate appropriate and timely decisions

Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 380,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity 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.

Job Keywords: Billing and Coding Manager, Irving, TX, Texas