Revenue Assurance Chargemaster Analyst - NLH - Remote

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.

Under the direction of the Manager of Enterprise Chargemaster, the Enterprise Chargemaster Analyst maintains an accurate and complaint chargemaster based on NLH member facility and computer system.

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:

• Works collaboratively with peers and managers, throughout the NLH members, including but not limited to coding, PFS and charge services IT to assure the integrity of enterprise-wide chargemaster
• Maintain a detailed understanding of the computer systems in use by NLH to ensure accurate charge built to support the billing nuances inherent in each system
• Contributes to process improvement initiatives within the enterprise revenue cycle by recognizing process improvement opportunities, anticipating, and proposing opportunities, engaging stakeholders to assist with conducting root cause analyses
• Contributes to the development and maintenance of policies and education
• Works collaboratively with peers and managers to facilitate an understanding of current charge methodology, regulatory requirements, and current best practices
• Maintains a compliant enterprise chargemaster for accurate and optimal reimbursement in accordance with regulatory guidance and Guiding Principles document
• Maintains a working knowledge of guiding principles, regulatory mandates, and payer requirements and applies understanding in the maintenance of the enterprise chargemaster
• Routinely performs internal audits of the enterprise chargemaster and address variances in a timely manner
• Addresses findings in external audits in a timely manner
• Offers strategic and technical expertise to identify and improve financial opportunities in revenue cycle operations
• Collaborates with Northern Light Health and vendor to maintain strategic pricing
• Works under the direction of CDM Manager and Lead Analysts to prepare files for yearly price changes and regulatory coding changes
• Keeps abreast of current regulatory guidance and attends local and regional conferences/seminars to remain current
• Participates with implementation and testing

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:

• 4+ years in revenue cycle operations
• 2+ years working with hospital chargemaster methodology and maintenance
• 2+ years working with regulatory guidance, governments and commercial payer regulations related to hospital revenue cycle and the ability to interpret them to maintain a compliant chargemaster
• In depth understanding of regulatory guidance, governments and commercial payer regulations related to hospital revenue cycle and the ability to interpret them and apply toward best practices within the enterprise revenue cycle
• In depth understanding of hospital billing practices and reimbursement methodologies including DRG, APC, cost-based and other payment methodologies
• Proficient with Microsoft business applications with excellent excel skill level
• Proven history of analytical and data interpretation skills

Preferred Qualifications:

• Proven excellent interpersonal and communication skills, both written and verbal
• Proven ability to manage multiple projects and affective prioritization
• Proven ability to provide exceptional customer service
• Proven ability to complete time sensitive projects and work both independently and collaboratively
• Proven ability to handle difficult and stressful situations with professional composure
• Proven ability to research, define, effectively communicate, analyze and problem solve trends within the Revenue Cycle for resolution
• Proven ability to keep abreast of current regulatory guidance and attends local, regional, or national conferences/seminars to remain current
• Proven ability to provide back-up support and assists within the department as needed

*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 hourly pay for this role will range from $28.94 to $51.63 per hour 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.

UnitedHealth Group 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.

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