Revenue Cycle Analyst

The Revenue Cycle Analyst I (SG25) supports revenue cycle systems, electronic payment enrollment processes, payer connectivity, and revenue cycle operations through data analysis, reporting, and process improvement initiatives.  This role involves EFT/ERA enrollment research, payer validation, payment posting support, EDI transaction analysis, reporting, and workflow optimization activities.

The analyst is expected to develop foundational knowledge of healthcare EDI transactions, enrollment lifecycle management, revenue cycle systems, and project methodologies while supporting cross-functional initiatives involving internal stakeholders, vendors, financial institutions, payers, and clients.

Success in this role requires strong analytical skills, attention to detail, problem-solving abilities, and the ability to identify trends and opportunities through data-driven analysis.

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

Primary Responsibilities:

The following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Duties are subject to change based on business needs.

EDI & Enrollment Focus

• Monitor and analyze EFT, ERA, and payer enrollment activity to ensure successful electronic payment connectivity
• Research payer enrollment requirements and electronic transaction capabilities
• Support EDI transaction troubleshooting including enrollment, remittance, and payment delivery workflows
• Coordinate with payers, clearing houses, banks, and vendors to resolve enrollment and connectivity issues
• Maintain payer enrollment databases, reference documentation, and workflow procedures

Data & Reporting Focus

• Utilize Excel, Power BI, and reporting tools to identify trends, exceptions, and operational improvement opportunities
• Perform data validation and quality reviews to ensure accuracy of enrollment and payment data
• Develop and maintain operational dashboards and performance reporting
• Analyze electronic payment adoption metrics and identify opportunities for automation and standardization

Project & Process Improvement Focus

• Participate in project teams supporting revenue cycle technology implementations and process improvement initiatives
• Assist with 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 activities for payer implementations, system upgrades, and automation initiatives

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. 

Required Qualifications

• 2+ years of healthcare revenue cycle, enrollment, payer management, systems support, or analytics experience
• 2+ years of experience working with EFT, ERA, electronic payment processes, or healthcare reimbursement workflows
• 2+ years of experience interpreting data and translate findings into actionable recommendations
• Intermediate proficiency in Microsoft Excel, including pivot tables, lookups, and data analysis
• Six Sigma Yellow Belt certification or willingness to obtain certification within 12 months

Preferred Qualifications:

• Bachelor's degree in business, Healthcare Administration, Information Systems, Data Analytics, Finance, or 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 including 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 preferred

Soft Skills:

• Basic understanding of process improvement methodologies
• Strong analytical and problem-solving skills
• Effective communication and professional writing skills

Technical & Analytical Skills:

• 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
• Vendor and Payer Management

*All Telecommuters 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 $24.00 to $43.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. 

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.

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