Home Healthcare Revenue Cycle EDI Systems Analyst

Systems EngineerSystems EngineerFull TimeRemoteTeam 1,001-5,000H1B No SponsorCompany SiteLinkedIn

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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