Role Description
This position is National Remote. Youβll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges.
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:
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Prepare invoices
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Maintain revenue reporting
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Reconcile billing activity
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Perform quality checks
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Address routine billing discrepancies
This position helps maintain accurate, timely, and controlled billing operations by:
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Reviewing source data
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Researching variances
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Supporting account and claim corrections
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Contributing practical input to billing processes, reports, systems, and procedures
This position is full time, 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, Monday - Friday. This will be on-the-job training and the hours during training will be during normal business hours.
Primary Responsibilities:
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Prepare, modify, and distribute invoices using established billing schedules, controls, and customer requirements.
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Maintain routine billing and revenue reports, including daily billed activity, month-to-date billed revenue, operational performance reporting, and supporting documentation for stakeholders.
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Reconcile invoice, claim, revenue, and accounts receivable information; identify discrepancies and apply existing procedures and facts to resolve routine issues.
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Research billing variances, claim corrections, duplicate activity, processing-log differences, and system-to-system discrepancies using available data and standard controls.
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Perform quality control reviews of invoices, reports, data entries, integrations, and billing outputs before information is submitted to internal or external customers.
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Support recurring billing processes such as invoice generation, monthly billing close activities, revenue reconciliation, credit management, and Great Plains integration coordination.
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Use billing systems, reporting tools, and business applications such as ClinicalPoint, Tableau, Great Plains, Microsoft Excel, and related operational platforms to review data and support billing accuracy.
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Respond to routine questions and requests from Account Management, Account Coordination, Appeals, Finance, Operations, MCA, and billing team members; provide invoices, reports, process guidance, SOP support, and basic training as appropriate.
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Gather relevant information from internal partners and escalate or seek guidance when a billing issue requires decisions outside established procedures or billing ownership.
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Create or maintain trackers, reconciliations, and documentation that strengthen error identification, billing accuracy, process consistency, and operational controls.
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Use results from billing issue resolution and recurring error analysis to recommend practical corrections or enhancements to billing reports, systems, tools, or processes.
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Maintain knowledge of applicable billing terminology, policies, procedures, and regulatory requirements, including CMS-related requirements where relevant.
Qualifications
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High School Diploma / GED
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Must be 18 years of age OR older
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2+ years of billing experience
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Working knowledge of billing principles, practices, and controls
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Experience preparing and reviewing invoices, reconciling billing and revenue information
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Experience with Microsoft Excel (VLOOKUP, Pivot Tables, etc.)
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Ability to work full time, Monday - Friday
Requirements
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Experience supporting Itemized Bill Review billing, medical claim workflows, invoice generation, revenue reporting, reconciliations, or billing quality control.
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Experience with ClinicalPoint, Tableau, Great Plains, Microsoft Excel, Microsoft SharePoint, or comparable billing and reporting tools.
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Experience creating operational trackers, duplicate reconciliations, error reports, or other controls that improve billing accuracy and process visibility.
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Experience supporting integrations, invoice numbering, EOP uploads, claim corrections, credits, or other billing process enhancements.
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Knowledge of CMS requirements and medical, financial, or payment integrity terminology.
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Experience providing SOP guidance, process documentation, training, or billing support to cross-functional partners.
Benefits
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Comprehensive benefits package
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Incentive and recognition programs
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Equity stock purchase
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401k contribution (all benefits are subject to eligibility requirements)
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.