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Optum logo
Optum

Optum, part of the UnitedHealth Group family of businesses, 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. Join us to start Caring. Connecting. Growing together. At Optum, we support your well-being with an understanding team, extensive benefits and rewarding opportunities. By joining us, you’ll have the resources to drive system transformation while we help you take care of your future. We recognize the power of connection to drive change, improve efficiency and make a difference in health care. Join a team where your skills and ideas can make an impact and where collaboration is key to creating technology that produces healthier outcomes.

EPIC Certified Resolute Billing Application Analyst- Remote

AdministrationAdministrationFull TimeRemoteMid LevelTeam 160,000Since 2011Company Site

Location

Connecticut

Posted

41 days ago

Salary

$72.8K - $130K / year

Seniority

Mid Level

Job Description

EPIC Certified Resolute Billing Application Analyst- Remote

Optum

Requisition Number: 2354396 For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. This role supports Epic revenue cycle operations through hands-on configuration, maintenance, and optimization of Epic Resolute and Claims workflows, helping ensure accurate billing, claims processing, and financial reimbursement. Candidates should clearly list all Epic module certifications held (such as Resolute Professional Billing, Resolute Hospital Billing, and/or Claims) on their resume or application. The ideal candidate will bring experience working as an Epic application or operations analyst supporting revenue cycle functions; roles primarily focused on business intelligence, reporting, or informatics are not aligned with this position. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: - Epic configuration, maintenance, and optimization of Epic Resolute and Claims processing systems - Analyze, troubleshoot, and enhance workflows to ensure accurate claims submission, billing processing, and financial reimbursement - Perform hands-on build and production changes in response to revenue cycle and payer-driven requirements - Partner with billing, coding, and IT teams to resolve issues and drive operational efficiencies Identify standardization and process improvement opportunities across revenue cycle workflows and make corresponding build decisions - Execute end-to-end and integrated testing across Epic environments to confirm changes do not negatively impact upstream or downstream 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: - Degree/Certification in Information Technology, Healthcare Information Systems, or related equivalent work experience - Epic Resolute Certification (Professional Billing and/or Hospital Billing) required, with a minimum of two (2) years of hands on, post certification production support experience - 2+ years of hands-on experience with direct system build, configuration changes, troubleshooting, and production support (not training, shadowing, or classroom only experience) - Demonstrated experience supporting Epic revenue cycle operations, including professional billing and claims processing workflows - Proven experience performing hands on build and production changes in response to operational, payer, or revenue cycle requirements - Direct experience with ticketing systems to manage work including analysis, build, testing, and deployment to production - Experience supporting payer portals and third party clearinghouse vendors (e.g., Waystar, Experian) - Solid knowledge of ambulatory and/or primary care billing environments - Proven ability to independently analyze issues, resolve problems, and operate effectively in a solo or small team production support environment Preferred Qualifications: - Epic Claims Certification, in addition to Resolute - Experience with electronic remittance processing, including PLBs (payer takebacks/future offsets), cash management, and remittance workflows - Experience with charge routing concepts and downstream billing or financial system integrations - Experience supporting multi-payer healthcare environments with complex reimbursement models - Familiarity with 277 claim acceptance and status response files - Proven solid written and verbal communication skills, with the ability to collaborate effectively across clinical, operational, technical, and external vendor stakeholders Already Fortune 5, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good. Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed. Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams. *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy 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). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually 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 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. 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. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Benefits

  • 401(K), Dental insurance, Disability insurance, Employee stock purchase plan, Family medical leave, Flexible Spending Account (FSA), Generous parental leave, Generous PTO, Health insurance, Job training & conferences, Life insurance, Charitable contribution matching, Paid holidays, Paid sick days, Performance bonus, Tuition reimbursement, Vision insurance, Mental health benefits, Personal development training, Bereavement leave benefits

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