Home Healthcare Revenue Cycle EDI Systems Analyst
CenterWell Senior Primary Care
full-time
Posted on:
Location Type: Remote
Location: California • Illinois • United States
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Salary
💰 $60,800 - $82,900 per year
About the role
- Support and configure revenue cycle applications utilized for billing and claims management.
- Identify and implement process improvements to reduce denials and accelerate reimbursements.
- Collaborate with FSU, IT and vendors to troubleshoot and resolve system issues and coordinate upgrades or integrations.
- Monitor revenue cycle metrics such as errors, rejections and denial rates.
- Utilize dashboards and reports to track and identify billing and collections trends.
- Provide actionable insights to leadership for decision-making.
- Ensure systems align with CMS, HIPAA, and payer requirements.
- Manage, analyze, and optimize electronic data transactions (837, 835, 270/271, etc.) between the FSU and external vendors.
- Partner with internal and external teams to ensure system functionality supports departmental and company goals.
- Evaluate current workflows and recommend enhancements to improve efficiency, reduce costs, and ensure accurate and timely billing.
Requirements
- 3 or more years of experience in healthcare revenue cycle and EDI, preferably in home health or post-acute care.
- Strong knowledge of HIPAA transactions (837, 835, 270/271, etc.), EMR/EHR systems, and clearinghouse platforms.
- Analytical skills with proficiency in Microsoft Office applications.
- Understanding of healthcare regulations, reimbursement models, and compliance standards.
- Excellent problem-solving, communication, and organizational abilities.
- Bachelor's degree in Health Information Management, Computer Science, Business Administration, Healthcare Management, Data Analytics or related field, or equivalent experience (preferred).
- Experience with revenue cycle automation tools and workflow optimization (preferred).
- Familiarity with Medicare/Medicaid billing processes specific to home health (preferred).
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance and many other opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
revenue cycle applicationsbilling managementclaims managementprocess improvementselectronic data transactionsHIPAA transactionsEMR systemsEHR systemsrevenue cycle automation toolsworkflow optimization
Soft Skills
analytical skillsproblem-solvingcommunicationorganizational abilities