Our Ability Jobs

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.

Opportunities at Optum, in strategic partnership with Allina Health. As an Optum employee, you will provide support to the Allina Health account. 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.

Job Profile Summary

Serves as the central revenue cycle liaison to the clinical departments to identify and resolve issues across the revenue cycle, including charge capture, charge description master, reconciliation and denials. Promote revenue enhancement and compliance with billing regulations through the performance of charge performance improvement reviews, monitoring, and education to ensure complete and accurate charge capture and timely billing. Role is service line specific and may align to more than one service line. Reviews and coordinates distribution of federal and private insurance billing requirements, documents charge capture processes, and may assist in charge reconciliation procedures.

Primary Responsibilities:

• Supports the data analytics needs of the department by providing the background and data to support root cause analysis, development of remediation plans, actionable items, education and performance improvement tracking for charge master, charge capture, reconciliation, and denials

• Prepares special reports by collecting, analyzing and summarizing revenue and usage and charge capture trends as needed

• Uses business data and statistical methods to provide insight into business performance and suggest area and methods of improving operations

• Ensures compliant and complete charge description master content and usage

• Demonstrates advance knowledge in computer application databases, spreadsheets and work processing applications in a high complexity environment

• Researches and maintains documentation of charge codes and the flow of the revenue through all applications and systems

• Actively participates in system affiliate implementations, updates and maintenance processes

• Other duties as assigned

Responsibilities:

• Supports the data analytics needs of the department by providing the background and data to support root-cause analysis, development of remediation plans, actionable items, education and performance improvement tracking for charge master, charge capture, reconciliation, and denials

• Prepares special reports by collecting, analyzing and summarizing revenue and usage and charge capture trends as needed, uses business data and statistical methods to provide insight into business performance and suggest area and methods of improving operations

• Ensures compliant and complete charge description master content and usage

• Demonstrates advance knowledge in computer application databases, spreadsheets and work processing applications in a high complexity environment

• Researches and maintains documentation of charge codes and the flow of the revenue through all applications and systems

• Actively participates in system affiliate implementations, updates and maintenance processes

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

• 2+ years of experience in healthcare charging practices and governmental coding

• 2+ years of experience in facility clinical operations

Preferred Qualifications

• Certification through American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC)

• Epic charge master experience

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

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.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

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