Humana · 1 day ago
Healthcare Revenue Cycle Systems Analyst
United States
Full-time
Remote
Mid Level
$65K/yr - $89K/yr
3+ years expHumana is a leading healthcare company focused on providing personalized care and support. The Revenue Cycle Systems Analyst is responsible for optimizing revenue cycle systems, ensuring compliance with regulations, and enhancing billing processes in collaboration with internal teams and external partners.
Health CareHealth InsuranceInsuranceVenture Capital
Responsibilities
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
Respond to internal and external audit and data requests
Support staff with system use and system issues
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
Support and train staff on System functionality, EDI processes and best practices
Evaluate current workflows and recommend enhancements to improve efficiency, reduce costs, and ensure accurate and timely billing
Collaborate with cross-functional teams to implement new procedures and track effectiveness
Qualification
Required
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
Preferred
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
Medical, dental and vision benefits
401(k) retirement savings plan
Paid time off
Company and personal holidays
Volunteer time off
Paid parental and caregiver leave
Short-term and long-term disability
Life insurance
Company
Humana
Humana is a health insurance provider for individuals, families, and businesses.
10001+ employees
H1B Sponsorship
Humana has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (282)
2024 (246)
2023 (284)
2022 (274)
2021 (212)
2020 (84)
Funding
Current Stage
Public CompanyTotal Funding
$13.07B2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B
Leadership Team
Jim Rechtin
CEO and President
Nwando Olayiwola
Chief Health Equity Officer & Senior Vice President
Recent News
2026-01-16
2026-01-16
Company data provided by crunchbase