The Billing Analyst is responsible for supporting the organization’s billing operations with a focus on contract interpretation, validation, and payer setup. This role works collaboratively with internal departments, professional groups, and external agencies to ensure billing accuracy, regulatory compliance, and effective reporting. The Billing Analyst serves as a positive role model and consistently promotes the organization’s values.
Essential Duties and Responsibilities:
Interpret and validate contracts, ensuring compliance with all amendments and terms.
Establish and maintain effective relationships with community groups, professional organizations, and agency staff associated with contractual agreements.
Provide management and support on special projects as assigned.
Adhere to all organizational policies and procedures.
Assist department leaders in executing various programs and operational procedures.
Model professional behavior within and outside the organization, maintaining a positive, ethical, and respectful attitude at all times.
Effectively manage time and prioritize workload in a flexible and efficient manner.
Participate in administrative staff meetings, committees, and special projects.
Ensure compliance with federal and state regulations related to billing and collections.
Consistently promote the organization’s core values in all interactions.
Support clean claims processing procedures and recommend improvements as needed.
Provide education and resources to department personnel for continued professional development.
Collaborate with senior management to develop and analyze performance metrics aligned with strategic objectives.
Oversee and assist with reporting related to billing and collection in coordination with management.
Complete all required annual training and maintain up-to-date knowledge of industry standards.
Recommend new approaches for ongoing improvement of policies, procedures, and documentation.
Report to work on time and prepared to fulfill all job responsibilities.
Communicate regularly with supervisor regarding department issues and workload.
Perform additional duties as assigned to meet departmental needs.
Key Responsibilities:
Payer Setup: Create and manage payer configurations, ensuring accuracy and timeliness.
Contract Interpretation: Analyze and interpret complex contracts to ensure compliance and optimal reimbursement.
Contract Validation: Validate contract accuracy, including amendments and adherence to agreed terms.
Rate Management: Obtain and verify payer rates from various sources, ensuring data accuracy and integrity.
Required Experience/Skills:
Strong analytical skills and attention to detail.
Experience with contract management and payer setup processes preferred.
Proficiency in data analysis and reporting.
Excellent verbal and written communication skills.
Additional Information:
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
Satellite, cellular and microwave connection can be used only if approved by leadership.
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Home or Hybrid Home/Office employees will be provided with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
CenterWell Home Health offers a variety of benefits to promote the best health and well-being of our employees and their families. Our competitive and flexible benefits surround you with support the same way you do for our patients and members, including:
Health benefits effective day 1
Paid time off, holidays, and jury duty pay
Recognition pay
401(k) retirement savings plan with employer match
Tuition assistance
Scholarships for eligible dependents
Caregiver leave
Employee charity matching program
Network Resource Groups (NRGs)
Career development opportunities
Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 01-06-2026
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.