Archive for the ‘V. PLEASE’ tag
Facility Reimbursement Policy Clinical Consultant
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
Ingenix, a UnitedHealth Group company, is one of the largest health care information and research companies in the industry. No one competitor offers the same breadth of products and services as Ingenix. In fact, our competitors strive to copy what we have done. We offer the most comprehensive set of data, technology and analytic capabilities. The power of our products and services help customers leverage information assets, enhance clinical and financial insight, increase the quality of health care delivery and administration and improve cost management.
We need a knowledgeable, experienced professional to serve as the in-house industry expert on coding, billing and reimbursement policy for facility inpatient and outpatient content. This individual will also research and design written Edit Rationale Statements that support reimbursement policy standards. These Edit Rationale Statements will contribute to new software that edits UB-92 content. This is an exciting opportunity for an individual with the right skills to have an impact on a system that will benefit many Ingenix clients and the software development team by creating great value and efficiency. If you’ve ever wished you had a tool that would make it easier to edit facility bills, whether that editing is done as part of the hospital billing or the claims adjudication process, we encourage you to apply!
Primary responsibilities include:
Serving as the in-house industry expert on facility coding, billing, and reimbursement policy
Researching websites, industry sources and working with user groups to source information for the KnowledgeBase
Developing written Edit Rationale Statements to support editing software for facility claims
Collaborating with the product management team to create a new claims editing software tool that will facilitate correct coding, billing, and claims adjudication processes
Contributing to a robust pipeline of new product ideas
Applicants must demonstrate a working knowledge of hospital revenue cycle management as well as an understanding of claims adjudication processes in health plans. This knowledge must include both inpatient and outpatient experience. Candidates with a formal coding certification are strongly preferred. Demonstrated experience in auditing hospital claims from a coding perspective would be valuable.
UnitedHealth Group offers a full range of comprehensive benefits, including medical, dental and vision, as well as a matching 401k and an employee stock purchase plan.
If you are interested in growing professionally within an innovative, highly respected organization, we invite you to explore this excellent growth opportunity!
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V.
PLEASE APPLY USING THIS BUTTON ONLY
Facility Reimbursement Policy Clinical Consultant
Job ID 159626
Position Type Full-Time Employee
Company Name UnitedHealth Group
Location Eden Prairie, MN
Salary Unspecified
Experience 10-15 Years Experience
Desired Education Level Other
Utilization Nurse Reviewer – RN ($2000 Sign-on Bonus!)
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
Optum delivers personal health management solutions designed to help individuals stay healthy, get healthy and live with illness. Evidence-based medicine, technology and specially trained nurses are combined to identify an individual’s health needs, make referrals to appropriate resources and close gaps in care. With capabilities ranging from wellness promotion to self-care and triage to longitudinal case management, Optum delivers an integrated, cohesive approach to managing the health of each individual–as an individual.
We offer an opportunity to truly make a difference while advancing your career. It’s a rare combination that makes Optum the ideal place for your professional and personal satisfaction.
We seek an organized nursing professional to take on an important role in our thriving organization. While focusing on case management, the Utilization Nurse Reviewer would enjoy a refreshingly regular schedule, and the chance to build lasting relationships. Come and discover the rewards and stability that await you when you apply your clinical expertise with a Fortune 100 healthcare leader.
Your primary responsibilities would include:
Reviewing inbound case referrals, and conducting related assessments
Contacting facilities to verify or gather additional information
Determining which cases qualify for case management
Submitting recommendations to clients, and obtaining appropriate approvals
Note: This position comes with a $2000 sign-on bonus!
Only licensed Minnesota RNs will be considered for this position, and solid clinical experience in acute care is also required. Ideal applicants would have a broad knowledge of diseases and a familiarity with medical coding and terminology. Utilization review experience is strongly preferred, and computer proficiency is essential. If you fit these criteria, and you are an even-keeled, persistent individual with the ability to maintain positive working relationships, we urge you to apply for this unique opening.
UnitedHealth Group offers a full range of comprehensive benefits, including medical, dental and vision, as well as a matching 401k and an employee stock purchase plan.
If you are interested in growing professionally within an innovative, highly respected organization, we invite you to explore this excellent growth opportunity!
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V.
PLEASE APPLY USING THIS BUTTON ONLY
Utilization Nurse Reviewer – RN ($2000 Sign-on Bonus!)
Job ID 161423
Position Type Full-Time Employee
Company Name UnitedHealth Group
Location Golden Valley, MN
Salary Unspecified
Experience 2-5 Years Experience
Desired Education Level Other