Revenue Cycle Solutions Analyst @ hhaexchange

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HHAeXchange is the leading technology platform for home and community-based care. Founded in 2008, HHAeXchange was born out of an idea to create a fully comprehensive end-to-end homecare solution to help people who are aging or have disabilities thrive in their homes and communities. Our employees are passionate about transforming the healthcare space by building the only homecare ecosystem that fully connects patients, personal care providers, managed care organizations, and states.

As a Revenue Cycle Solutions Analyst, you will focus on the implementation or ongoing maintenance and optimization of integration and configuration of home care-focused revenue cycle solutions. You will be responsible for researching and troubleshooting issues, reviewing business and technical requirements, determining best-fit solutions, and executing integration and configuration tasks, including implementation of changes, testing, documentation, and refinement, to enable seamless data exchange for providers, payers, and partner customers. This role will provide an opportunity to learn and grow in the areas of Medicaid/MCO revenue cycle processes, healthcare data standards (X12, HL7, FHIR), and systems integration.

To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily with or without reasonable accommodation. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Job Duties

Partner with Business Analyst and cross-functional teams to gather, analyze and document customer business and technical requirements for new implementations related to revenue cycle integrations and configurations.
Manage configuration and integration delivery efforts to ensure high-quality delivery of home care revenue cycle solutions
Analyze and troubleshoot reported issues, propose and implement corrective actions.
Assist Sr Solution Analysts with complex requirements to translate into technical solutions and identify and implement best-fit solutions
Execute testing and validation of solutions to ensure alignment with customer needs and compliance standards.
Contribute to development and enhancement of internal documentation, tools, process improvements, and best practices to support scalable solution delivery.
Support in creation and maintenance of required documentation related to new and existing integrations and configurations
Assist in monitoring and maintaining existing configurations and integrations to ensure continued performance and compliance.
Facilitate knowledge transfer and create documentation to ensure smooth post-implementation support.
Adhere to established SLAs to support effective delivery processes, while maintaining quality solution delivery to minimize rework and issues.

Other Job Duties

Other duties as assigned by supervisor or HHAeXchange leader

Travel Requirements

Travel up to 10%, including overnight travel

Required Education, Experience, Certifications and Skills

4+ years of experience in healthcare solution delivery, revenue cycle configuration, or healthcare data integration.
Adept at prioritizing tasks and managing multiple projects simultaneously while delivering quality solutions to meet customer expectations
Experience in troubleshooting and data analysis to identify risks and issues and react timely to implement solutions.
Thinks creatively, highly driven, and self-motivated
Direct, hands-on experience with X12 formats (837/835 claims and remittances) is required.
HL7 and FHIR experience are a plus, but not required.
Proven ability to gather business requirements and translate them into configuration/integration solutions.
Experience creating documentation to support solution delivery, testing, and post-implementation support.
Knowledge of integration protocols (e.g., sFTP, API).
Ability to learn quickly, manage tasks efficiently, and collaborate with cross-functional teams.
Strong attention to detail, analytical thinking, and problem-solving abilities.
Proven written and verbal communication skills
Experience with ticket and content management applications (ie. JIRA, Salesforce, Confluence, Sharepoint)
Exposure to State Medicaid Agencies, MCOs, and Homecare Providers is a plus.
SaaS environment experience is a plus.

The base salary range for this US-based, full-time, and exempt position is $70,000 - $80,000 not including variable compensation. An employee’s exact starting salary will be based on various factors including but not limited to experience, education, training, merit, location, and the ability to exemplify the HHAeXchange core values.

This is a benefits-eligible position. HHAeXchange offers competitive health plans, paid time-off, company paid holidays, 401K retirement program with a Company elected match, including other company sponsored programs.

HHAeXchange is an equal-opportunity employer. The Company offers employment opportunities to all applicants and employees without regard to race, color, religion, national origin, sex, sexual orientation, gender identity or expression, age, disability, medical condition, marital status, veteran status, citizenship, genetic information, hairstyles, or any other status protected by local or federal law.

Revenue Cycle Solutions Analyst

hhaexchange

Compensation Overview

Essential Job Duties

Other Job Duties

Travel Requirements

Required Education, Experience, Certifications and Skills

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