Revenue Cycle Payer Perf and Relations Analyst at Illumia

Mooresville, North Carolina, United States -

Full Time

Start Date

Immediate

Expiry Date

22 Jul, 26

Salary

0.0

Posted On

23 Apr, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Revenue cycle management, Hospice billing, Contract analysis, Performance metrics, Data analysis, Project management, SharePoint, Microsoft Excel, SQL, Power BI, CPT coding, ICD-10 coding, HIPAA compliance, Billing and collections, Payer relations, Process improvement

Industry

Hospitals and Health Care

Description

Overview Drive Results. Strengthen Partnerships. Optimize Payer Performance. We are seeking a Revenue Cycle Payer Performance and Relations Analyst to join our Revenue Cycle team. This position reports to the Revenue Cycle Analytics Manager and serves as a critical liaison between the contracting and revenue cycle departments. The analyst will lead payer performance reporting, support project management, and ensure alignment between payer requirements and revenue cycle operations. This role contributes directly to the effectiveness of authorization, denial, and appeals management while maintaining strong payer relations and supporting process improvement initiatives. Key Responsibilities: Act as a bridge between contracting and revenue cycle departments, ensuring payer-specific requirements are integrated for clean claims processing. Oversee commercial billing and collections reporting in collaboration with revenue cycle management. Maintain effective relationships with external agencies and professional groups related to contractual agreements. Develop and analyze performance metrics that align with strategic revenue cycle goals. Maintain SharePoint contract databases and distribute recurring reports to leadership. Conduct contract redlines and analyze payer contract language, billing rules, provider manuals, and payer guidelines. Support Request for Proposal (RFP) development and payer research activities. Analyze and report on trends, root causes, and adjustment activity. Participate in payer implementations, in-services, and credentialing processes. Develop and maintain payer-specific Quick Reference Guides (QRGs), including non-par and managed care contracts. Interpret and configure payer rules in system databases to support accurate reimbursement and reduce held claims. Provide ongoing education and support to department personnel. Complete tasks and special projects as assigned by leadership. About You Required Skills and Qualifications: Bachelor’s degree in healthcare administration, business, or related field. At least 3 years of billing and collections experience, with a strong background in hospice billing. Familiarity with Homecare Homebase (HCHB) billing platform preferred. Knowledge of federal and state regulations, HIPAA privacy laws, CPT and ICD-9/10 coding. Understanding of AR functions, payer guidelines, and healthcare contract language. Experience with SharePoint, Microsoft Excel, SQL, and Power BI preferred. Ability to interpret complex payer policies and communicate clearly to cross-functional teams. Excellent problem-solving, prioritization, and multi-tasking skills. Strong attention to detail and ability to work both independently and in a collaborative team environment. Skilled in navigating multiple digital platforms and project management tools. We Offer Benefits for All Associates (Full-Time, Part-Time & Per Diem): Competitive Pay 401(k) with Company Match Career Advancement Opportunities National & Local Recognition Programs Teammate Assistance Fund Additional Full-Time Benefits: Medical, Dental, Vision Insurance Mileage Reimbursement or Fleet Vehicle Program Generous Paid Time Off + 7 Paid Holidays Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care) Education Support & Tuition Assistance (ASN to BSN, BSN to MSN) Free Continuing Education Units (CEUs) Company-paid Life & Long-Term Disability Insurance Voluntary Benefits (Pet, Critical Illness, Accident, LTC) Ready to be the connection point between contracts and performance? Apply now to join a mission-driven team that’s transforming care through operational excellence. Legalese This is a safety-sensitive position Employee must meet minimum requirements to be eligible for benefits Where applicable, employee must meet state specific requirements We are proud to be an EEO employer We maintain a drug-free workplace Location Gentiva Hospice Our Company At Gentiva, it is our privilege to offer compassionate care in the comfort of wherever our patients call home. We are a national leader in hospice care, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of dedicated clinicians across 38 states. Our place is by the side of those who need us – from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis. Our nationwide reach is powered by a family of trusted brands that include: Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon Palliative care: Empatia Palliative Care, Emerald Coast Palliative Care Home health care: Heartland Home Health Advanced illness management: Illumia Health With corporate headquarters in Atlanta, Georgia, and providers delivering care across the U.S., we are proud to offer rewarding careers in a collaborative environment where inspiring achievements are recognized – and kindness is celebrated.

Responsibilities

The analyst will serve as a liaison between contracting and revenue cycle departments to optimize payer performance and ensure accurate billing. They are responsible for developing performance metrics, managing contract databases, and analyzing trends to support operational excellence.