Revenue Assurance Chargemaster Analyst - NLH - Remote

UnitedHealth Group•Biddeford, ME

1d•$29 - $52•Remote

About The Position

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.

Requirements

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

Nice To Haves

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

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