Senior Business Analyst Revenue Integrity Specialist
4 weeks ago
UnitedHealth Group is seeking a highly skilled Senior Business Analyst Revenue Integrity to join our team. As a key member of our revenue cycle team, you will be responsible for ensuring the integrity of our charge capture process, analyzing reimbursement data, and implementing changes to improve revenue compliance.
Key Responsibilities
- Develop and maintain a deep understanding of our charge capture process, including charge description master (CDM) functions and reimbursement analysis.
- Analyze data to identify areas for improvement and implement changes to increase revenue compliance.
- Collaborate with clinical departments to ensure accurate and compliant billing.
- Monitor and audit revenue compliance to ensure proper reimbursement.
- Develop and maintain relationships with internal and external stakeholders to ensure effective communication and collaboration.
Requirements
- 10+ years of experience in revenue cycle processes, including CDM functions and reimbursement analysis.
- 5+ years of experience in finance within a healthcare organization.
- 5+ years of experience with CPT/HCPCS, UB-04 revenue coding, modifiers, and billing regulations.
- 3+ years of experience with Epic and Microsoft Office programs.
Preferred Qualifications
- 10+ years of experience in revenue cycle processes within a healthcare organization.
- 5+ years of experience with financial-related work experience.
- 5+ years of experience with CMS coding and compliance rules.
About UnitedHealth Group
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.
Equal Employment Opportunity
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.
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