[Hiring] Revenue Integrity Billing Analyst @UnitedHealth Group

Role Description

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.

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.

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.

Requirements

• 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.

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase.
• 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.