Healthcare Revenue Cycle Systems Analyst jobs in United States
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CenterWell Home Health · 1 day ago

Healthcare Revenue Cycle Systems Analyst

CenterWell Home Health specializes in personalized, comprehensive home care for patients managing chronic conditions. The Revenue Cycle Systems Analyst is responsible for supporting and optimizing revenue cycle systems, ensuring accurate billing and compliance, and collaborating with internal and external teams to enhance system functionality.

Elder CareHealth CareHome Health CareMedical

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

Healthcare revenue cycleEDI transactionsHIPAA complianceData analysisEMR/EHR systemsProcess improvementMicrosoft OfficeProblem-solvingCommunication skillsOrganizational skillsProject management

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
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

Company

CenterWell Home Health

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CenterWell Home Health provides home health services.

Funding

Current Stage
Late Stage

Leadership Team

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Susan Benoit
President and CEO, CenterWell Home Health
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Linda James, MSHR, PHR, SHRM-CP
Regional Vice President of Human Resources SE Region/Director Human Resource Business Partners
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Company data provided by crunchbase