Consultant Business Systems (Revenue Cycle Applications Analyst)

Posted Yesterday
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Bengaluru, Bengaluru Urban, Karnataka, IND
In-Office
Mid level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
The Role
Provide application support for hospital revenue cycle systems, troubleshoot claims/remittance processing (835/837), manage vendor integrations, support testing/upgrades, optimize workflows, handle production incidents, and collaborate with technical, operational, and vendor partners to resolve billing and payment issues.
Summary Generated by Built In
Requisition Number: 2375357
Optum 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.
Primary Responsibility:
  • Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

Required Qualifications:
  • 3+ years supporting hospital Revenue Cycle applications
  • Experience with Patient Accounting systems (Invision preferred, Oracle Health/Cerner strongly preferred)
  • Experience supporting 835 remittance files and 837 claims transactions
  • Experience with revenue cycle vendor applications such as Change Healthcare, FinThrive, Quadax, Experian, clearinghouses, and payment posting solutions
  • Application troubleshooting, configuration, production support, and incident resolution experience
  • Experience with system testing, upgrades, implementations, and workflow optimization
  • Knowledge of patient billing, claims processing, payment posting, denials, collections, and reimbursement workflows
  • Healthcare IT Revenue Cycle application support experience
  • Patient Accounting system experience (Invision and/or Oracle Health/Cerner preferred)
  • Claims, billing, payment posting, and remittance processing knowledge
  • Third-party revenue cycle vendor support experience
  • Experience working in a production support environment
  • Understanding of interfaces, file processing, and data validation
  • Familiarity with ServiceNow or similar ticket management systems
  • Proven solid communication, troubleshooting, and customer service skills

Soft Skills
  • Proven solid analytical and problem-solving abilities
  • Proven excellent verbal and written communication skills
  • Proven ability to work independently with minimal supervision
  • Proven solid customer service mindset and professionalism
  • Proven ability to prioritize competing demands in a fast-paced environment
  • Proven collaborative team player who works effectively with operational, technical, and vendor partners
  • Proven adaptable and comfortable navigating organizational and system changes
  • Proven solid documentation, organizational, and follow-through skills
  • Demonstrated ownership and accountability for issue resolution

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.
#OITech, NIC

Skills Required

  • 3+ years supporting hospital Revenue Cycle applications
  • Experience with Patient Accounting systems
  • Invision experience
  • Oracle Health experience
  • Cerner experience
  • Experience supporting 835 remittance files and 837 claims transactions
  • Experience with revenue cycle vendor applications such as Change Healthcare, FinThrive, Quadax, Experian, clearinghouses, and payment posting solutions
  • Application troubleshooting, configuration, production support, and incident resolution experience
  • Experience with system testing, upgrades, implementations, and workflow optimization
  • Knowledge of patient billing, claims processing, payment posting, denials, collections, and reimbursement workflows
  • Healthcare IT Revenue Cycle application support experience
  • Experience working in a production support environment
  • Understanding of interfaces, file processing, and data validation
  • Familiarity with ServiceNow or similar ticket management systems
  • Proven communication, troubleshooting, and customer service skills
  • Analytical and problem-solving abilities
  • Ability to work independently with minimal supervision
  • Customer service mindset and professionalism
  • Ability to prioritize competing demands in a fast-paced environment
  • Collaborative team player who works effectively with operational, technical, and vendor partners
  • Documentation, organizational, and follow-through skills
  • Ownership and accountability for issue resolution

What the Team is Saying

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The Company
HQ: Eden Prairie, MN
160,000 Employees
Year Founded: 2011

What We Do

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.

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Optum Offices

Hybrid Workspace

Employees engage in a combination of remote and on-site work.

Optum has three workplace models that balance the needs of the business and the responsibilities of each role. These models, core on‑site (5 days/week), hybrid (4 days/week) and telecommute or fully remote, vary by country, role and location.

Typical time on-site: Not Specified
HQEden Prairie, MN
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Washington, DC
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