Payer Integration & Revenue Cycle Analyst

HHAeXchange

Minneapolis (MN)

On-site

USD 70,000 - 80,000

Full time

10 days ago

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Benefits offered by this job

Health plans
Paid time-off
Company holidays
401K with company match

Job summary

HHAeXchange is seeking a Payer Integration Solutions Analyst to implement, maintain, and optimize home care revenue cycle solutions with a focus on payer integrations and billing configuration. You will translate payer requirements into scalable configurations and partner across cross-functional teams to ensure accurate data exchange and payer onboarding.

The role requires strong analytical and problem-solving skills, experience with healthcare revenue cycle, and ability to work on-site three

Qualifications

  • Four+ years in healthcare revenue cycle, payer operations, or related fields.
  • Experience with Medicaid/managed care payer processes and claims workflows.
  • Experience interpreting payer specs and documenting requirements.
  • Experience with configuration-driven software platforms and multiple implementation activities.
  • Strong communication, organization, and problem-solving abilities.
  • Familiarity with Jira, Salesforce, Confluence, or SharePoint.

Responsibilities

  • Gather, analyze, validate, and document payer and business requirements and translate into configurations.
  • Own payer integration work from requirements through testing and production readiness.
  • Configure billing rules, claim submission logic, enrollment, and workflows.
  • Analyze issues, determine root causes, and implement corrective actions.
  • Collaborate across Implementation, Product, Engineering, Operations, and client-facing teams.
  • Perform testing, validation, and QA to ensure configurations meet requirements.
  • Support onboarding and ongoing optimization of payer configurations.

Skills

Analytical thinking
Troubleshooting
Verbal communication
Written communication
Attention to detail
Cross-functional collaboration
Jira
Salesforce
Confluence
SharePoint

Tools

Jira
Salesforce
Confluence
SharePoint

Job description

HHAeXchange is seeking a Payer Integration Solutions Analyst to implement, maintain, and optimize home care revenue cycle solutions with a focus on payer integrations and billing configuration. You will translate payer requirements into scalable configurations and partner across cross-functional teams to ensure accurate data exchange and payer onboarding.

The role requires strong analytical and problem-solving skills, experience with healthcare revenue cycle, and ability to work on-site three

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