Revenue Integrity Billing Analyst

Telecommuting Opportunity

This position is national remote. You'll enjoy the flexibility to telecommute from anywhere within the U.S. 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. This position is 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. 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.

Required Qualifications :

Preferred Qualifications :

Telecommuting Requirements :

Soft Skills :

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). The hourly pay for this role will range from $23.41 - $41.83 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 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. OptumCare 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.