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Optum Revenue Cycle Jobs (NOW HIRING)

MyOme

Revenue Cycle Specialist

Charlotte, NC

$70K - $90K/yr

Navigate clearinghouses (e.g., Change Healthcare/Optum, Availity) and payor portals to verify ... What You'll Ne ed: * 2-5 years of revenue cycle, billing, or claims experience in a laboratory ...

CommonSpirit Health

$47.52 - $78.41/hr

Job Summary and Responsibilities As our Market Manager, Revenue Cycle, CDI you will provide ... Experience with various encoder and EMR systems (Optum eCAC, Solventum, EPIC, Cerner, Meditech)

CommonSpirit Health

$37.40 - $61.71/hr

Job Summary and Responsibilities As our Revenue Cycle Coding Edit Specialist, you will be a vital ... Proficient with various encoder (e.g., Optum eCAC, Solventum) and EMR systems (e.g., Epic, Cerner ...

UCLA Health

Revenue Capture Analyst

Los Angeles, CA · On-site

$78K - $163K/yr

Proficiency in Epic (including SlicerDicer), Microsoft Office, and revenue cycle tools such as Optum 360 Charge Assist and Revenue Cycle Pro * Preferred: CCS, CPC-H, CPC certification, or documented ...

Samaritanhealth

REVENUE CYCLE EDUCATOR

Watertown, NY · On-site

$20.84 - $33.34/hr

Position Summary Develops, delivers, and maintains comprehensive revenue cycle education, including ... Trains staff on payer portals, eligibility systems, Optum, and benefit lookup tools. Troubleshoots ...

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Optum Revenue Cycle information

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$39.5K

$120.2K

$198.5K

How much do optum revenue cycle jobs pay per year?

As of Jul 13, 2026, the average yearly pay for optum revenue cycle in the United States is $120,205.00, according to ZipRecruiter salary data. Most workers in this role earn between $87,000.00 and $150,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an Optum Revenue Cycle specialist, and why are they important?

To thrive as an Optum Revenue Cycle specialist, you need a solid understanding of healthcare billing, insurance claims processing, and revenue cycle management, often supported by a relevant degree or experience in medical billing or healthcare administration. Familiarity with electronic health record (EHR) systems, revenue cycle management platforms (such as Epic or Cerner), and knowledge of ICD-10/CPT coding is typically required. Strong attention to detail, analytical thinking, and effective communication skills help specialists resolve discrepancies and collaborate with clinical and administrative teams. These skills are essential to ensure accurate, timely reimbursement for healthcare services and maintain the financial health of the organization.

What is Optum Revenue Cycle?

Optum Revenue Cycle refers to the suite of solutions and services provided by Optum, a health services and innovation company, to help healthcare organizations manage their revenue cycle. This includes processes such as patient registration, insurance verification, medical billing, claims processing, and payment collection. The goal is to improve financial performance, reduce administrative burden, and enhance patient experience by streamlining the entire revenue cycle. Optum uses advanced technology and data analytics to optimize these processes for healthcare providers.

What is the difference between Optum Revenue Cycle vs Medical Billing Specialist?

AspectOptum Revenue CycleMedical Billing Specialist
CredentialsRelevant certifications (e.g., CPC, CPC-H)Typically certified or trained in billing procedures
Work EnvironmentHealthcare organizations, insurance companies, outsourcing firmsMedical offices, hospitals, billing companies
Employer & IndustryMajor healthcare providers, insurance companies, revenue cycle management firmsMedical practices, clinics, billing service providers
Job FocusManaging entire revenue cycle processes including billing, collections, and claimsProcessing and submitting medical claims, coding, and payment posting

Optum Revenue Cycle professionals oversee the full revenue cycle, including billing, collections, and claims management, often working in large healthcare organizations or outsourcing firms. Medical Billing Specialists focus primarily on submitting claims and ensuring payments, typically working within medical practices or billing companies. While both roles require billing and coding knowledge, Optum Revenue Cycle roles involve broader responsibilities across the revenue process.

What are some common challenges faced by professionals in Optum Revenue Cycle roles, and how can they be addressed?

Professionals in Optum Revenue Cycle roles often encounter challenges such as managing complex billing procedures, staying updated with frequently changing healthcare regulations, and ensuring timely collection of payments. Addressing these challenges requires strong attention to detail, continuous learning about healthcare compliance, and effective communication with both internal teams and external payers. Utilizing robust revenue cycle management software and collaborating closely with team members can also help streamline workflows and minimize errors.
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Optum Revenue Cycle jobs near you
Revenue Cycle Specialist

Revenue Cycle Specialist

MyOme

Charlotte, NC

$70K - $90K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 23 days ago

Job description

MyOme's mission is to provide clinically actionable genetic information to patients throughout their lives. We combine clinical-grade whole genome sequencing, advanced AI methods for genome interpretation, and seamless digital tools for doctors and patients to order and access results. Our team is composed of seasoned entrepreneurs, scientists, and operators, and we're backed by top-tier investors.

Position Overview:

MyOme is seeking a high-energy, detail-oriented Revenue Cycle Specialist to join our growing Revenue Cycle Management (RCM) team. This is a tactical, hands-on role focused on claim and denials management, appeals, and the manual administrative work that keeps a high-performing billing operation running. You'll spend your days inside RCM systems, payor portals, and clearinghouses — working claims, resolving denials, and turning friction into revenue.

This role is ideal for a rising star with a few years of laboratory or diagnostic billing experience who is looking to take ownership of meaningful work in a fast-growing genomics company. You'll report directly to the Head of Revenue Cycle Management and work alongside a small, focused team where your output is highly visible and your impact is immediate. If you bring a go-getter mentality, sharp attention to detail, and a relentless instinct to chase down every dollar a payor owes us, we want to hear from you.

What You'll Do:

  • Own day-to-day claim and denials management across MyOme's book of business, working claims through resolution in our RCM system and payor portals.
  • Investigate and resolve both front-end and back-end rejections and denials, identifying root causes and partnering with internal teams to prevent recurrence.
  • Draft, submit, and track appeals across commercial and government payors, including out-of-network claim scenarios, with strong documentation and follow-through.
  • Work denials across the full category spectrum — prior authorization, medical necessity, timely filing, eligibility, coordination of benefits, and non-covered services — escalating systemic issues with proposed solutions.
  • Navigate clearinghouses (e.g., Change Healthcare/Optum, Availity) and payor portals to verify eligibility, check claim status, and pull EOBs and remittance detail.
  • Execute the manual, time-consuming administrative billing tasks that keep the operation moving — demographic and insurance corrections, claim resubmissions, payor follow-up calls, and documentation upload.
  • Maintain meticulous notes and worklog hygiene in the RCM system so that every claim has a clear audit trail.
  • Surface trends in denial reasons, payor behavior, and process gaps to the Head of RCM and contribute ideas for workflow improvements.
  • Collaborate with Customer Support, Clinical Operations, and Lab teams to resolve the upstream issues that drive downstream denials.

What You'll Need:

  • 2–5 years of revenue cycle, billing, or claims experience in a laboratory, diagnostic, or genetic testing environment (currently working at a peer lab is a strong plus).
  • Hands-on experience with Xifin strongly preferred; experience with other lab RCM systems or clearinghouses (Change Healthcare/Optum, Availity, payor portals) will also be considered.
  • Demonstrated experience working claims for out-of-network providers with commercial payors.
  • Working knowledge of both front-end and back-end rejections and denials, and a proven track record of successful appeals.
  • Required working knowledge of the following denial categories:
    • Prior authorization
    • Medical necessity
    • Timely filing
    • Eligibility
    • Coordination of benefits
    • Non-covered services
  • Sharp attention to detail and the patience to work high volumes of detailed administrative tasks without losing accuracy.
  • High-energy, go-getter mentality — you take initiative, you don't wait to be told what to do next, and you close loops.
  • Strong written and verbal communication skills, including the ability to write clear, persuasive appeal letters.
  • Comfort with ambiguity and a willingness to roll up your sleeves in a small, fast-moving team.
  • Proficient in Google Workspace, Excel, and modern RCM/billing tooling.

Location, Compensation, and Benefits:

  • Location: Remote in the US
  • Compensation: Annual salary range is $70,000 - $90,000 and will be determined based on experience.
San Francisco Bay Area pay range
$70,000—$90,000 USD

Benefits:

  • Comprehensive healthcare coverage (Health, Dental, and Vision)
  • 401K
  • Unlimited PTO
  • Professional development opportunities
  • Company-sponsored off-sites and team meals during in-person meetings
  • Direct access to company leadership and the opportunity for career growth

Diversity, Inclusion, and Equal Opportunity:
MyOme values diversity in all forms. We believe that diverse perspectives drive better science and better patient outcomes. We are an Equal Opportunity Employer committed to creating an inclusive workplace that empowers every individual.

Why Work at MyOme?
Join us if you:

  • Want to make an impact at the intersection of healthcare and technology, changing the way people engage with their health at the genetic level
  • Enjoy rolling up your sleeves, taking initiative, and being empowered to lead
  • Value humility, transparency, and collaborative problem-solving
  • Thrive in fast-moving, dynamic environments with smart, driven teammates
  • Appreciate competitive compensation, meaningful equity, and excellent benefits

Learn More: myome.com

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About MyOme

Sourced by ZipRecruiter

Industry

Biotechnology research and development

Company size

11 - 50 Employees

Headquarters location

Palo Alto, CA, US

Year founded

2017

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