Supervisor of Administrative Denials - New Hyde Park, NY

Company: UnitedHealth Group ( Learn More )

General Information
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Job Description If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work.(sm)

The Administrative Denials Supervisor, Supervises and coordinates the staff and daily operations of the department, mentors and develops skills of direct reports, and participates in evaluating and implementing quality controls and performance improvement activities.

Primary Responsibilities:

  • Supervises daily operations and performs activities of Patient Accounts, including billing, follow-up, denial management, cash application, support services and collection referral
  • Acts as liaison with Patient Access Services, Medical Records, Care Coordination / Utilization Management, Patient Financial Services, Financial Counselors, Information Systems and Third Party Collection Agencies regarding issues affecting the proper and timely billing and payment of accounts
  • Proactively reviews payer aging reports and establishes achievable goals for AR reduction and / or cash acceleration.  Notifies Senior Leadership of potential systemic issues and high risk / high exposure situations
  • Recommends solutions for resolving aging receivables
  • Recommends changes to departmental procedures, i.e., job aides, training resources, and work flow, to promote process improvement
  • Supervises, hires, trains, disciplines and evaluates staff
  • Ensures performance appraisals are completed in a timely manner
  • Trains new employees on department policies, procedures, processes and applicable information systems
  • Informs staff of changes in policies, procedures, processes, systems and regulatory laws and requirements
  • Partners with Human Resources to deliver corrective action, as necessary
  • Mentors and develops skills of direct reports
  • Maintains attendance, payroll records and processing of time-off requests
  • Responds to concerns of patients, families, physicians and staff, as appropriate
  • Recommends procedural and system changes to improve operational quality and efficiency 
  • Actively participates in process improvement projects
  • Attends seminars and training classes, as directed
  • Performs related duties, as required

  • Required Qualifications
  • High School Diploma or equivalent
  • 1 or more years of Customer Service Experience (i.e. dealing with insurance companies and patients on a daily basis to resolve outstanding accounts)
  • 2 or more years of Supervisory Experience in the Healthcare Industry   
  • Healthcare Industry Knowledge
  • 2 or more years of progressively responsible experience to ensure familiarity with patient accounting and / or patient registration
  • Intermediate level proficiency in MS Excel, Word and Outlook
  • Preferred Qualifications:                                            

  • Undergraduate degree
  • Union Experience
  • Experience working for a Healthcare Payer or  Commercial Insurance Company
  • 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:  Supervisor of Administrative Denials, Insurance supervisor, Revenue Cycle supervisor, Union, Patient Access, Patient Financial Services, Healthcare Supervisor, Patient Accounting, Patient Registration, Healthcare Payer or Commercial Insurance Company, New Hyde Park, NY, New York

    Job Requirements