Join Optum, a global leader dedicated to improving health outcomes through innovative technology and compassionate care. As part of our team, you'll connect individuals with essential healthcare resources, pharmacy benefits, and data to foster healthier lives. We cultivate an inclusive environment where talented professionals thrive with comprehensive benefits and abundant career development prospects. Contribute to advancing health optimization worldwide and experience the rewards of Caring. Connecting. Growing together.

Serve as the subject matter expert for your assigned process, staying current with all updates and changes. Participate in meetings and calibration sessions, meticulously reviewing audit feedback and conducting error analysis for process improvement and coaching. Perform internal account audits as needed, respond to inquiries from business partners, and maintain updated dashboards and trackers. Analyze training needs, provide educational support, and deliver quality talks with relevant updates. Document coaching sessions accurately, share payer issues and trends with management, and assist in creating training materials for new hires and refresher courses.

Act as the primary point of contact in your supervisor's absence, submitting rebuttals to failed audits and managing the team's inventory plan. Maintain strong collections skills by processing a minimum of 10 accounts weekly, with potential for adjustment based on inventory levels. Strictly adhere to company policies and guidelines, request necessary learning from the onshore training team, and provide real-time support to collectors. Comply with all employment contract terms, company policies, procedures, and directives, understanding that the company reserves the right to adapt these at its discretion.

A minimum of 2 years' experience in Hospital Revenue Cycle Management is required. A thorough understanding of insurance policies and procedures, along with working knowledge of medical terminology, is essential. Candidates must possess proven basic computer skills, including proficiency in Microsoft Excel, and demonstrate excellent written and verbal communication abilities. Successful completion of process training and ramp certification is a prerequisite.

Technical acumen is complemented by a high sense of responsibility and accountability, with a proactive approach to taking ownership and initiative. Exceptional communication capabilities, including persuasiveness, inclusivity, and encouragement, are vital, alongside the ability to listen effectively and elicit cooperation from diverse resources. Adaptability and flexibility are key to navigating ambiguity and shifting priorities. A professional demeanor, positive attitude, and strong customer service orientation are expected.

Candidates must exhibit decisiveness and assertiveness to achieve results swiftly. A demonstrated ability to learn, understand, and apply new technologies, methods, and processes is crucial. The capacity to recognize and communicate necessary changes in task priorities and resource allocation to leadership is important. Self-starters who can work independently to drive projects forward are highly valued. Collaboration with individuals at managerial and staff levels is a core aspect of this role. Possessing a personal presence characterized by honesty, integrity, and caring, with the ability to inspire and motivate others to uphold Optum's philosophy, mission, vision, goals, and values is paramount. A positive leadership shadow that shapes positive behaviors, builds integrity, influences values, and fosters a healthy, high-performance environment is essential.