Job Information

Centerwell Medical Claims Data Analyst in Marietta, Georgia

This position is mainly remote but the individual needs to be local to the Atlanta, GA market.

The Revenue Cycle Data Analyst is responsible for analyzing incoming and outgoing revenue sources and measuring different financial cycles. This role will coordinate activities of staff responsible for charge capture, reimbursement analysis, or other financial functions.

  • Provides RCM analytics for the Revenue Cycle leaders and staff, including payer trends for edits, rejects, and denials of claims using metric-driven methodologies and a variety of data analytic tools.

  • Transforms data into exception-driven, actionable information through trending, comparisons to goals and norms, and drill-downs to highlight point problems versus systemic issues.

  • Prepares graphical representations of data that provides clear direction to support proposed improvements, performance to plan, and other data-driven communication and presentations.

  • Performs analyses and develops reports regarding payor reimbursement patterns, underpayment, and overpayment, RVUs relative to payment trends, and the ongoing evaluation of opportunities for improvement to capture billing and collection operations.

  • Works on projects as needed

Required Experience/Skills:

  • Associates Degree in Finance, Healthcare Administration, Information Management, Engineering or Mathematics; Bachelor’s degree preferred

  • Minimum 2 years in an analytic role collecting, querying, reporting, analyzing, and presenting data; preference in healthcare, accounting, or corporate finance setting

  • Strong knowledge of revenue cycle and business processes such as medical billing, collections, disputes, and denials

  • Basic knowledge of finance and statistics (ROI, NPV, Risk, etc.)

  • Able to manage and prioritize multiple priorities in a fast-paced work environment

  • Able to work independently without onsite direct supervision

  • Exceptional analytical and problem-solving skills; able to analyze processes and information, identify problems and trends, and develop effective solutions and strategies

  • Advanced Microsoft Office skills

  • Prior experience with Homecare – HomeBase preferred

  • Experience presenting data using applications such as reporting tools, databases, spreadsheets, word processing, presentation, and graphic software

  • Strong attention to detail and follow-up skills

  • Strong interpersonal skills; ability to relate with different personalities

  • Excellent oral and written communication skills

  • Must read, write and speak fluent English.

  • Must have good and regular attendance.

  • Approximate percent of time required to travel: 5%

  • Performs other related duties as assigned.

  • This role requires full COVID-19 vaccination.

Required Skills

Together, we can raise the bar on home healthcare

CenterWell™ Home Health (formerly Kindred at Home), is one of the nation’s leading providers of home care, with an incredible team of compassionate clinicians who deliver high-quality, specialty care to patients. Many of our clinicians live in the same neighborhoods they serve – providing the much-needed care to people in their community.

As a company, we strive to lead by example and show employees the same compassion and care we expect them to show patients. We provide employees the resources, stability, and job flexibility they truly deserve. We help them fulfill their personal and professional goals while enjoying industry-leading benefits, competitive salaries, opportunities for career and professional growth, and a healthy work/life balance.

Part of Humana’s Home Solution business

CenterWell Home Health cares for nearly 80,000 patients every day in over 350 locations, across 38 states. As part of Humana Inc., we create experiences that put patients at the center, working in collaboration with healthcare providers to bring multidisciplinary care directly to the comfort and safety of home. The result is easy, comprehensive and personalized care that helps patients lead healthier, happier lives.

Caring for people who care for our patients

Experience has shown us that supporting and nurturing employees helps them become the best version of themselves and more compassionate, committed home health professionals. That’s why CenterWell Home Health never stops working to improve the employee experience. Our people are our greatest resource, and we are committed to creating an environment they enjoy stepping into every day.

World-class employee benefits

  • Competitive pay and benefits package

  • 50% matching 401(k) contributions up to 6%

  • Career advancement opportunities

  • Tuition reimbursement program

  • Advanced Continuing Education (CE) accredited training

Required Experience

Join Our Team!

Check out our video to get a glimpse of a day in the life of our Home Health team - Home Health

To learn more, please contact your local recruiter at (toll-free) 855-563-2846 or apply online. Our Recruiters are ready to help you start a new and rewarding career with CenterWell Home Health.

Job Category: Corporate - Accounting, Finance, HR, IT, Marketing

ID: 74029E

Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options