Healthcare Revenue Cycle EDI Systems Analyst

CenterWell Senior Primary Care

Revenue Cycle EDI Systems Analyst optimizing revenue cycle systems for healthcare company. Ensuring accurate billing, compliance, and efficient workflows while collaborating with internal and external teams.

Posted 4/14/2026full-timeCalifornia, Illinois, Montana, South Dakota • 🇺🇸 United StatesMid-LevelSenior💰 $60,800 - $82,900 per yearWebsite

About the role

Key responsibilities & impact

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.
Collaborate with clearinghouses and payers to resolve transmission, billing and adjudication errors.
Ensure timely submission of claims and receipt of remittance advice.
Partner with internal and external teams to ensure system functionality supports departmental and company goals.
Work with finance to reconcile payments and resolve discrepancies.
Evaluate current workflows and recommend enhancements to improve efficiency, reduce costs, and ensure accurate and timely billing.

Requirements

What you’ll need

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.
Experience with revenue cycle automation tools and workflow optimization.
Familiarity with Medicare/Medicaid billing processes specific to home health.
Proficiency in file transfer software.
Project management or process improvement experience.

Benefits

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

revenue cycle applicationsbilling managementclaims managementHIPAA transactionsEMR systemsEHR systemsEDIrevenue cycle automation toolsworkflow optimizationfile transfer software

Soft Skills

analytical skillsproblem-solvingcommunicationorganizational abilities