Home Healthcare Revenue Cycle EDI Systems Analyst
Location
California + 3 moreAll locations: California, Illinois, Montana, South Dakota
Posted
33 days ago
Salary
$60.8K - $82.9K / year
Bachelor Degree3 yrs expEnglish
Job Description
• 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.
Job 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
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