Revenue Cycle Analyst
About The Position
The Revenue Cycle Analyst I supports revenue cycle systems, electronic payment enrollment processes, payer connectivity, and revenue cycle operations through data analysis, reporting, and process improvement. The role includes researching EFT/ERA enrollments, validating payer information, supporting payment posting, analyzing EDI transactions, preparing reports, and optimizing workflows. The analyst develops foundational knowledge of healthcare EDI transactions, enrollment lifecycle management, revenue cycle systems, and project methodologies while supporting cross-functional initiatives with internal stakeholders, vendors, financial institutions, payers, and clients. The position is telecommute-eligible from anywhere within the U.S., subject to UnitedHealth Group’s Telecommuter Policy.
Requirements
- At least 2 years of experience in healthcare revenue cycle, enrollment, payer management, systems support, or analytics.
- At least 2 years of experience with EFT, ERA, electronic payment processes, or healthcare reimbursement workflows.
- At least 2 years of experience interpreting data and translating findings into actionable recommendations.
- Intermediate Microsoft Excel proficiency, including pivot tables, lookups, and data analysis.
- Six Sigma Yellow Belt certification or willingness to obtain certification within 12 months.
- Strong analytical and problem-solving skills.
- Effective communication and professional writing skills.
- Basic understanding of process improvement methodologies.
Nice To Haves
- Bachelor’s degree in business, Healthcare Administration, Information Systems, Data Analytics, Finance, or a related field.
- Experience supporting EFT/ERA enrollments, EDI transactions, clearinghouses, or payer connectivity.
- Knowledge of healthcare EDI transactions, including 835, 837, 270/271, 276/277, and 278 transaction sets.
- Experience with healthcare enrollment platforms, payer portals, and electronic payment management systems.
- Experience using Power BI, Tableau, SQL, Salesforce, Smartsheet, Monarch Data Prep Studio, or similar analytics tools.
- Knowledge of project management methodologies such as Agile, Waterfall, Lean, Six Sigma, or DMAIC.
- Experience gathering business requirements and documenting workflows.
- Familiarity with automation technologies such as RPA, workflow automation, data integration, or API-based solutions.
- Experience with healthcare revenue cycle applications such as STAR, IDX, Epic, OnBase, TechDoc, MS4, or similar platforms.
- Lean Six Sigma Green Belt certification or project participation experience.
- Skills in data analysis, process mapping, root cause analysis, dashboard development, business process improvement, EDI enrollment management, electronic remittance processing, revenue cycle reporting, Power BI, advanced Excel, project coordination, workflow documentation, healthcare systems integration, and vendor and payer management.
Responsibilities
- Monitor and analyze EFT, ERA, and payer enrollment activity to support successful electronic payment connectivity.
- Research payer enrollment requirements and electronic transaction capabilities.
- Support troubleshooting of EDI transactions, including enrollment, remittance, and payment delivery workflows.
- Coordinate with payers, clearinghouses, banks, and vendors to resolve enrollment and connectivity issues.
- Maintain payer enrollment databases, reference documentation, and workflow procedures.
- Use Excel, Power BI, and reporting tools to identify trends, exceptions, and operational improvement opportunities.
- Validate data and perform quality reviews to ensure enrollment and payment data accuracy.
- Develop and maintain operational dashboards and performance reports.
- Analyze electronic payment adoption metrics and identify opportunities for automation and standardization.
- Participate in project teams supporting revenue cycle technology implementations and process improvement initiatives.
- Assist in documenting business requirements, workflows, process maps, and standard operating procedures.
- Apply Lean Six Sigma methodologies to identify waste, reduce variation, and improve operational efficiency.
- Support testing for payer implementations, system upgrades, and automation initiatives.
Benefits
- Comprehensive benefits package, subject to eligibility requirements.
- Incentive and recognition programs.
- Equity stock purchase.
- 401(k) contribution.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
