Billing Analyst

This position is Remote in Pacific OR Mountain Time Zone. You will have the flexibility to work remotely* as you take on some tough challenges.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. 

The Billing Analyst is an individual contributor who supports Optum Payment Integrity billing and invoicing operations through a basic, structured, and standard approach to work. The analyst applies established billing procedures, system knowledge, and factual analysis to prepare invoices, maintain revenue reporting, reconcile billing activity, perform quality checks, and address routine billing discrepancies. This position is critical for reducing claim edits, payer rejections and denials. They will help identify current billing trends, resolve claim discrepancies, supports regulatory compliance, and collaborates with clinical, coding, IT teams, and payer teams to improve operational efficiency. By identifying revenue opportunities, minimizing revenue leakage, and strengthening financial performance, the Billing Analyst directly contributes to accurate reimbursement, compliance, and the organization's overall financial health.

This position is full-time (40 hours/week) Monday - Friday. Employees are required to work an 8-hour shift schedule during our normal business hours of 7:00 am – 3:30 pm PST. It may be necessary, given the business need, to work occasional overtime. 

We offer on-the-job training. The hours of the training will be aligned with your schedule.

Primary Responsibilities

• Maintain routine billing and revenue reports, including daily billed activity, month-to-date billed revenue, operational performance reporting, and supporting documentation for stakeholders.
• Reconcile invoice, claim, revenue, and accounts receivable information; identify discrepancies and apply existing procedures and facts to resolve routine issues.
• Research billing variances, claim corrections, duplicate activity, processing-log differences, and system-to-system discrepancies using available data and standard controls.
• Perform quality control reviews of invoices, reports, data entries, integrations, and billing outputs before information is submitted to internal or external customers.
• Support recurring billing processes such as invoice generation, monthly billing close activities, revenue reconciliation, credit management
• Use billing systems, reporting tools, and business applications such as Epic, Change Health, Microsoft Excel, and related operational platforms to review data and support billing accuracy.
• Gather relevant information from internal partners and escalate or seek guidance when a billing issue requires decisions outside established procedures or billing ownership.
• Create or maintain trackers, reconciliations, and documentation that strengthen error identification, billing accuracy, process consistency, and operational controls.
• Use results from billing issue resolution and recurring error analysis to recommend practical corrections or enhancements to billing reports, systems, tools, or processes.
• Maintain knowledge of applicable billing terminology, policies, procedures, and regulatory requirements, including CMS-related requirements where relevant.
• Other duties as assigned

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:

• High School Diploma / GED
• Must be 18 years of age OR older 
• 3+ years of billing experience (revenue cycle) 
• Experience preparing and reviewing invoices, reconcile billing and revenue information, interpret reports, research variances, and communicate findings to business partners while maintaining a high level of accuracy and attention to detail
• Experience with Microsoft Excel ( View, sort, filter, Pivot Tables, etc.)
• Working knowledge of billing principles, practices, and controls, with the ability to analyze source data, investigate routine billing discrepancies, and apply established procedures to resolve issues
• Ability to work full-time (40 hours/week) Monday - Friday. Employees are required to work an 8-hour shift schedule during our normal business hours of 7:00 am – 3:30 pm PST. It may be necessary, given the business need, to work occasional overtime

Preferred Qualifications:

• Experience supporting Itemized Bill Review billing, medical claim workflows, invoice generation, revenue reporting, reconciliations, or billing quality control
• Experience with Epic, SharePoint, or comparable billing and reporting tools
• Experience creating operational trackers, duplicate reconciliations, error reports, or other controls that improve billing accuracy and process visibility
• Experience supporting integrations, invoice numbering, EOP uploads, claim corrections, credits, or other billing process enhancements
• Experience providing SOP guidance, process documentation, training, or billing support to cross-functional partners
• Knowledge of CMS requirements and medical, financial, or payment integrity terminology

Telecommuting Requirements:

• Reside within Pacific OR Mountain Time Zone
• Ability to keep all company sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Soft Skills:

• Ability to manage recurring assignments, meet established deadlines, maintain documentation, and request instruction or guidance when needed
• Professional written and verbal communication skills for responding to standard requests, explaining billing findings, and supporting process training

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $24 - $43 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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

#RED