12 days old

Sr Revenue Cycle Analyst - ProHealth Physicians - Farmington, CT - 934734

Farmington, CT 06032
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  • Job Code
    934734

If you want to get way ahead in your career, it makes sense to be with an organization that's way ahead of the curve. Formed in 1997, ProHealth Physicians has grown to become Connecticuts leading primary care physician organization. With over 90 locations throughout the state of Connecticut, our family of primary care doctors and specialists care for more than 360,000 people statewide. In fact, ProHealth serves every county and provides roughly ten percent of the primary care delivered to patients in the state. We're leaders in thinking and in serving our communities. For instance, we're a C.M.S. approved Accountable Care Organization (ACO), covering over 30,000 Medicare patients associated with our community-based primary care providers. We're also nationally recognized as a NCQA Level III Medical Home. That kind of progressive leadership makes us perfect fit for OptumCare and UnitedHealth Group's expanding family of providers. This is a place where you can stay way ahead as you do your life's best work.(sm)

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ProHealth Physicians, part of OptumCare is seeking a Senior Revenue Cycle Analyst to join our team in Farmington, CT. The Senior Revenue Cycle Analyst develops and monitors programs to support and maintain ProHealths Practice Management System (PM) and Claims Coding Edit system. This position leads revenue cycle systems projects, manages application dictionaries and system configurations, builds claim scrubbing edits, maintains security, triages and analyzes revenue cycle issues, and implements new application functionality. The Senior Analyst works closely with internal departments of Application Support, Central Billing, Practice Operations and the Coding and Compliance departments.

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Primary Responsibilities:

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  • Use SQL and Access to analyze data, perform configuration support and develop reports
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  • Setup and configure applications
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  • Work independently with end users to define and refine revenue cycle processes
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  • Independently lead revenue cycle systems projects
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  • Develop and test claim logic rules for claims scrubbing
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  • Assist in upgrades, setup, configuration, and testing of version releases
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  • Respond to daily system administration tasks for maintenance of practice management and claim edit applications
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  • Analyze and resolve issues as related to system applications
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  • Available to work off hours for production support, system maintenance and upgrades
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Youll 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.

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Required Qualifications:

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  • Bachelors degree in healthcare, business, computer science, information sciences or related field (Experience or alternative degree maybe considered in lieu of education)
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  • Extensive experience in application administration, analysis and/or configuration in a healthcare environment
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  • Knowledge of SQL,Microsoft Access or similar analytical tool
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  • Knowledge and experience in managing projects
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  • You will be provisioned with appropriate Personal Protective Equipment (PPE) and are required to perform this role with patients and members on site, as this is an essential function of this role
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  • 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
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Preferred Qualifications:

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  • Knowledge of standard medical coding concepts: CPT, ICD, HCPC and payer markets and products
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  • Experience with Revenue Cycle Applications a plus Allscripts PM and RCx Rules
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  • Familiarity with Revenue Cycle including claim and eligibility files and formats
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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)

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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.

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UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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Job Keywords: IT, Revenue Cycle, Farmington, CT, Connecticut

Posted: 2021-06-10 Expires: 2021-07-10

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Sr Revenue Cycle Analyst - ProHealth Physicians - Farmington, CT - 934734

UnitedHealth Group
Farmington, CT 06032

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