Billing Analyst - Revenue Cycle

Join our dedicated team and help prioritize health! As a Billing Analyst in Revenue Cycle, you will play a critical role in ensuring efficient and accurate billing processes throughout the organization. Your responsibilities will include monitoring accounts receivable, resolving billing discrepancies, and tackling claim rejections. Additionally, you will investigate billing issues and propose enhancements to our processes. Regularly update the A/R pivot table to review the status of accounts receivable. Examine submitted claims to identify and resolve issues with uploading to RevConnect and facilitate mass rebilling for claims not transmitted. Identify opportunities for enhancements in billing projects and rectify recurring billing challenges. Review Non-Medicare payers in RevConnect to spot and correct mass billing errors that lead to claim rejections. Ensure that root causes of rejections are addressed to prevent recurring issues. Assist in investigating billing issues to determine and implement suitable resolutions. Monitor new payer Quick Reference Guides (QRGs) and contract updates to ensure compliance with contract terms; address any inconsistencies. Track week-over-week trends for billed and unbilled accounts. Monitor significant billing issues that could impact revenue collection. Propose solutions to reduce aging accounts (over 90 days) and meet key performance targets. Analyze month-over-month trends to discover improvement opportunities in billing, procedures, and collections aligned with organizational objectives. Report on over 90-day aging trends to resolve denied claims and boost revenue. Keep track of the top 10 monthly payers and comment types to address any rises in billing or claim challenges. Provide detailed reporting and analysis as needed by management. Assist in audit reviews. Review contracts for accuracy and compliance in claim processing when necessary. Utilize your skills to make a difference! Requirements: A minimum of 5 years of experience in billing systems, payer setup, and contract review. Proficiency in data analysis and reporting. Experience in data-driven decision making. Strong attention to detail and organizational skills. To support remote work capabilities, employees must ensure their internet service meets these criteria: At least 25 Mbps download speed and 10 Mbps upload speed; wired cable or DSL connections are recommended. Satellite, cellular, and microwave connections may be permitted with leadership approval. Employees residing and working remotely in specific states will receive bi-weekly internet expense reimbursement. Remote employees will be provided with necessary telephone equipment for business needs. Work from a dedicated space free from interruptions to protect member PHI/HIPAA information. Travel: This is a remote position, but occasional travel to Humana's offices for training or meetings may be necessary. Scheduled Weekly Hours: 40 Compensation: The pay range reflects a good faith estimate for full-time employment at the time of posting and may vary based on geographic location, skills, experience, and education. $60,800 - $82,900 per year Benefits Overview: Humana, Inc. and its subsidiaries offer competitive benefits supporting overall well-being. Our benefits emphasize personal wellness, smart healthcare decisions, and a healthy work-life balance. Benefits include medical, dental, and vision coverage, a 401(k) retirement savings plan, paid time off, paid parental and caregiver leave, and more. Application Deadline: 02-26-2026 About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing chronic conditions or recovering from various health events. Our team is dedicated to helping patients rehabilitate, recover, and regain their independence for healthier, happier lives. About CenterWell, a Humana company: As the leading provider of senior-focused primary care and home health services, CenterWell is committed to whole-person health. We provide opportunities for career growth, flexible scheduling, and comprehensive benefits from day one. Equal Opportunity Employer: Humana fosters an inclusive environment and does not discriminate against employees or applicants based on various characteristics. We promote affirmative action to support individuals with disabilities and protected veteran status in all employment decisions. CenterWell complies with all applicable civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity, or religion.

Created: 2026-03-04