Revenue Cycle Solutions Analyst - Payer

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, ongoing maintenance, and optimization of home care-focused revenue cycle solutions, with an emphasis on payer integrations and billing configuration. You will support payer onboarding and implementation activities by researching and analyzing payer business and technical requirements, reviewing payer specifications and companion guides, and translating requirements into scalable system configurations. Responsibilities include configuring and maintaining payer-specific billing rules, claim submission requirements, enrollment requirements, reimbursement workflows, and system integrations; researching and troubleshooting issues; and identifying and implementing best-fit solutions. You will execute configuration changes, testing, validation, documentation, and refinement to enable accurate and seamless data exchange between providers, payers, HHAeXchange, and partner organizations. The role requires collaboration across implementation, product, engineering, operations, and client-facing teams and provides an opportunity to deepen expertise in Medicaid/MCO revenue cycle processes, healthcare claims workflows, healthcare data standards (X12, HL7, FHIR), EDI transactions, 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.

This position is open to candidates located within the New York City, Minneapolis, and Miami metro areas only.