Home Healthcare Revenue Cycle EDI Systems Analyst

Role Overview

• 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.

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