Revenue Cycle Solutions Analyst

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.