Revenue Integrity Billing Analyst

This position is Remote in Pacific, Mountain, and Central 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.    

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 8:00 am - 5:00 pm PST. It may be necessary, given the business need, to work occasional overtime. 

This will be on the job training and the hours of training will be aligned to your schedule.   

Primary Responsibilities:

• Understanding of all the Medicare and Medicaid Fee Schedules for our different services provided.
• Work zero-dollar work queue. Incorporate and approve new service fees into Epic PM system within prescribed timeframes.
• Working with revenue-producing departments to ensure the ongoing consistency of the Charge Description Master (CDM) and accurate descriptions, coding, additions, deletions, pricing, and any other changes.
• Comprehension of FFS commercial insurance contracts. Working with OI analysts to update Contract Management Tool.
• Reviewing trends in third-party payments and comparing actual payments to managed care contract reimbursement schedules and government payer fee schedules.
• Compiled, analyzed and prepared Epic reports for charging accuracy, reimbursement review and to confirm accurate practices for billing
• Collaborate with Revenue Cycle team members for development of strategies, initiatives and improve process efficiencies, etc.
• 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 or equivalent experience
• Must be 18 years of age or older
• 2+ years of revenue integrity, Insurance follow up, and/or revenue recovery
• Experience with Practice Management systems  
• Experience with computers and Windows based programs including Microsoft, Microsoft Word, Microsoft Excel (create, sort pivot tables, v-lookups, etc.), Microsoft Outlook
• If residing in Las Vegas, NV be flexible to attend onsite meetings as needed
• Ability to work full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00 am - 5:00 pm PST. It may be necessary, given the business need, to work occasional overtime. 

Preferred Qualifications:

• Epic experience
• Knowledge of professional and facility reimbursement methodologies
• Knowledge of Medicaid / Medicare reimbursement methodologies  
• Coding experience

Telecommuting Requirements:

• Reside within Pacific, Mountain, and Central 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: 

• Excellent written and verbal communication skills
• Time management, organizational, and prioritization skills and ability to balance multiple priorities 
• Motivated self-starter with exceptional time management and organization skills
• Ability to work independently and as part of a team in a fast-paced environment.
• Strong analytical and problem-solving skills.
• High attention to detail and accuracy.  

*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 help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group and its affiliated brands are 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 and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO #RED