Billing Analyst

Billing Analyst

This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

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.

The Billing Analyst is an individual contributor who supports Optum Payment Integrity billing and invoicing operations through a basic, structured, and standard approach to work. The analyst applies established billing procedures, system knowledge, and factual analysis to prepare invoices, maintain revenue reporting, reconcile billing activity, perform quality checks, and address routine billing discrepancies. The role responds to standard requests from internal business partners, provides billing documentation and process guidance, and seeks direction from leadership or cross-functional partners when decisions fall outside established procedures or billing ownership.

This position helps maintain accurate, timely, and controlled billing operations by reviewing source data, researching variances, supporting account and claim corrections, and contributing practical input to billing processes, reports, systems, and procedures.

This position is full time, 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, Monday - Friday.

This will be on the job training and the hours during training will be during normal business hours

Primary Responsibilities:

• Prepare, modify, and distribute invoices using established billing schedules, controls, and customer requirements.
• Maintain routine billing and revenue reports, including daily billed activity, month-to-date billed revenue, operational performance reporting, and supporting documentation for stakeholders.
• Reconcile invoice, claim, revenue, and accounts receivable information; identify discrepancies and apply existing procedures and facts to resolve routine issues.
• Research billing variances, claim corrections, duplicate activity, processing-log differences, and system-to-system discrepancies using available data and standard controls.
• Perform quality control reviews of invoices, reports, data entries, integrations, and billing outputs before information is submitted to internal or external customers.
• Support recurring billing processes such as invoice generation, monthly billing close activities, revenue reconciliation, credit management, and Great Plains integration coordination.
• Use billing systems, reporting tools, and business applications such as ClinicalPoint, Tableau, Great Plains, Microsoft Excel, and related operational platforms to review data and support billing accuracy.
• Respond to routine questions and requests from Account Management, Account Coordination, Appeals, Finance, Operations, MCA, and billing team members; provide invoices, reports, process guidance, SOP support, and basic training as appropriate.
• Gather relevant information from internal partners and escalate or seek guidance when a billing issue requires decisions outside established procedures or billing ownership.
• Create or maintain trackers, reconciliations, and documentation that strengthen error identification, billing accuracy, process consistency, and operational controls.
• Use results from billing issue resolution and recurring error analysis to recommend practical corrections or enhancements to billing reports, systems, tools, or processes.
• Maintain knowledge of applicable billing terminology, policies, procedures, and regulatory requirements, including CMS-related requirements where relevant.

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:

• High School Diploma / GED
• Must be 18 years of age OR older
• 2+ years of billing experience
• Working knowledge of billing principles, practices, and controls, with the ability to analyze source data, investigate routine billing discrepancies, and apply established procedures to resolve issues.
• Experience preparing and review invoices, reconcile billing and revenue information, interpret reports, research variances, and communicate findings to business partners while maintaining a high level of accuracy and attention to detail.
• Experience with Microsoft Excel (VLOOKUP, Pivot Tables, etc.)
• Ability to work full time, 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.

Preferred Qualifications:

• Experience supporting Itemized Bill Review billing, medical claim workflows, invoice generation, revenue reporting, reconciliations, or billing quality control.
• Experience with ClinicalPoint, Tableau, Great Plains, Microsoft Excel, Microsoft SharePoint, or comparable billing and reporting tools.
• Experience creating operational trackers, duplicate reconciliations, error reports, or other controls that improve billing accuracy and process visibility.
• Experience supporting integrations, invoice numbering, EOP uploads, claim corrections, credits, or other billing process enhancements.
• Knowledge of CMS requirements and medical, financial, or payment integrity terminology.
• Experience providing SOP guidance, process documentation, training, or billing support to cross-functional partners

Telecommuting Requirements:

• 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:

• Ability to manage recurring assignments, meet established deadlines, maintain documentation, and request instruction or guidance when needed.
• Professional written and verbal communication skills for responding to standard requests, explaining billing findings, and supporting process training.

*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 $24 - $43 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.