Revenue Cycle Payer Perf and Relations Analyst

Gentiva Hospice • Mooresville, NC

15h • Onsite

About The Position

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.

Requirements

• 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.
• 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.
• 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.

Nice To Haves

• Familiarity with Homecare Homebase (HCHB) billing platform preferred.
• Experience with SharePoint, Microsoft Excel, SQL, and Power BI preferred.

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.

Benefits

• Competitive Pay
• 401(k) with Company Match
• Career Advancement Opportunities
• National & Local Recognition Programs
• Teammate Assistance Fund
• 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)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level