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Associate Business Analyst - Cape Cod, MA
UnitedHealth Group Inc. | Hyannis, Massachusetts
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Job Description

The Associate Business Analyst is the liaison between the Practice Manager and the Billing Department. Work with the Practice Managers and Senior Leadership to establish best practices for front desk operations for demographic collection, referral and authorization management, co-pay collection and reconciliation, and eligibility checking and follow-up. Ensures that all billing related operations staff are utilizing the billing system's functionality to gain maximum efficiency. The Associate Business Analyst will also be responsible for software's functionality with a focus in trending, analytics and client communications. The Associate Business Analyst will also provide staff training as needed in billing operations and denial prevention as identified through trending and analytics. Perform analysis on denial trends and develop the necessary steps to reduce denials.

The Associate Business Analyst will work with the local Billing Manager and Senior Business Analyst and focus on client satisfaction and continuous improvement. The Associate Business Analyst will work with the local Billing Manager and Senior Business Analyst in evaluating processes with the intent of improving productivity, quality and results.

Primary Responsibilities:

* Front Desk staff policy development, implementation and training. Ensures compliance with Optum360 and payer policies and procedures
* Working collaboratively with the billing team to implement best practices for Optum 360 service delivery. Provide oversight of billing and claims items related to the operations of the practices. Analyze the practice efficiencies and provide feedback for improvements in operations
* Building a cohesive team that is focused on meeting the metrics for charge entry
* Oversee and streamline revenue cycle management processes
* Provide denial/write off trend analysis and denial/write off reduction work plans
* Plan and implement quality assurance for all processes
* Understanding and educating staff on payer specific medical policy
* Oversee initial and ongoing training of employees as it relates to workflow, system functionality, compliance, specialty knowledge, insurance carriers, etc.

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:

* Undergraduate Degree or related experience
* 1 year medical billing experience
* Working knowledge of physician reimbursement, medical terminology, ICD- 9, ICD-10, CPT and HCPCS coding

Preferred Qualifications:

* CPC - Certified Physician Coder
* Demonstrated ability to manage multiple responsibilities in complex environment
* Proven track record for improving process efficiencies and solving problems
* Strong leadership skills with an ability to motivate indirect reports
* Detail oriented with a medical billing background
* Excellent communication skills both written and verbal
* Excellent analytical and problem solving skills
* Ability to manage multiple projects concurrently

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)

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: Associate Business Analyst, Cape Cod, Hyannis, MA, Massachusetts,

About UnitedHealth Group Inc.

UnitedHealth Group Incorporated (UnitedHealthcare) is a diversified health and well-being company. The Company operates in four segments: Health Care Services, OptumHealth, Ingenix and Prescription Solutions. The Health Care Services segment consists of UnitedHealthcare, Ovations and AmeriChoice businesses. OptumHealth serves approximately 60 million individuals with its diversified offering of health, financial and ancillary benefit services and products that assist consumers in navigating the healthcare system and accessing services. Ingenix offers database and data management services, software products, publications, consulting and actuarial services and business process outsourcing services. Prescription Solutions offers a suite of integrated pharmacy benefit management services to approximately 10 million people, through approximately 60,000 retail network pharmacies and two mail service facilities as of December 31, 2008. On May 30, 2008, it acquired Unison Health Plans. (Source: 10-K)

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