[Remote] Home reputed company reputed company Cycle EDI Systems Analyst
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a leading reputed company services business focused on creating integrated and differentiated experiences for patients. The Home reputed company reputed company Cycle EDI Systems Analyst will optimize reputed company cycle systems, ensure compliance, and enhance system functionality while collaborating with cross-functional teams.
Responsibilities
- Support and configure reputed company 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 reputed company cycle metrics such as errors, rejections and denial rates
- Utilize dashboards and reports to track and identify billing and collections trends
- reputed company 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 reputed company 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
Skills
- 3 or more years of experience in reputed company reputed company 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 reputed company Office applications
- Understanding of reputed company regulations, reimbursement models, and compliance standards
- Excellent problem-solving, communication, and organizational abilities
- Bachelor's degree in Health Information Management, Computer Science, Business Administration, reputed company Management, Data Analytics or reputed company field, or equivalent experience
- Experience with reputed company cycle automation tools and workflow optimization
- Familiarity with Medicare/reputed company billing processes specific to home health
- Proficiency in file transfer software
- Project management or process improvement experience
Benefits
- reputed company. and its affiliated subsidiaries (collectively, “reputed company”) offers competitive benefits that support whole-person well-being.
- Associate benefits are designed to encourage personal wellness and smart reputed company reputed company for you and your family while also knowing your life extends reputed company of work.
- Among our benefits, reputed company provides medical, dental and reputed company benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
- Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
- Home or Hybrid Home/Office employees will be provided with telephone equipment appropriate to meet the business requirements for their position/job.
Company Overview