HHAeXchange
Mundelein, Illinois
Job Description Job Description HHAeXchange is the leading technology platform for home and community-based care. Founded in 2008, HHAeXchange was born out of an idea to create a fully comprehensive end-to-end homecare solution to help people who are aging or have disabilities thrive in their homes and communities. Our employees are passionate about transforming the healthcare space by building the only homecare ecosystem that fully connects patients, personal care providers, managed care organizations, and states. As a Revenue Cycle Solutions Analyst, you will focus on the implementation, ongoing maintenance, and optimization of home care-focused revenue cycle solutions, with an emphasis on payer integrations and billing configuration. You will support payer onboarding and implementation activities by researching and analyzing payer business and technical requirements, reviewing payer specifications and companion guides, and translating requirements into scalable system configurations. Responsibilities include configuring and maintaining payer-specific billing rules, claim submission requirements, enrollment requirements, reimbursement workflows, and system integrations; researching and troubleshooting issues; and identifying and implementing best-fit solutions. You will execute configuration changes, testing, validation, documentation, and refinement to enable accurate and seamless data exchange between providers, payers, HHAeXchange, and partner organizations. The role requires collaboration across implementation, product, engineering, operations, and client-facing teams and provides an opportunity to deepen expertise in Medicaid/MCO revenue cycle processes, healthcare claims workflows, healthcare data standards (X12, HL7, FHIR), EDI transactions, and systems integration. To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily with or without reasonable accommodation. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position is open to candidates located within the New York City, Minneapolis, and Miami metro areas only. Essential Job Duties Partner with Business Analysts and cross-functional teams to gather, analyze, validate, and document customer, payer, business, and technical requirements for new implementations and ongoing revenue cycle integrations and configurations. Manage payer integration and configuration delivery efforts from requirements gathering through testing and production readiness to ensure high-quality delivery of home care revenue cycle solutions. Analyze payer specifications, companion guides, business requirements, and implementation documentation and translate requirements into scalable system configurations and integration solutions. Configure and maintain payer-specific billing requirements, including billing rules, claim submission logic and requirements, enrollment requirements, reimbursement workflows, and related system configurations. Analyze and troubleshoot reported integration, configuration, enrollment, and claim submission issues; perform root cause analysis; and propose and implement corrective actions. Partner with Implementation, Product, Engineering, Operations, and client-facing teams to identify workflow gaps, resolve cross-functional dependencies, and support successful payer onboarding and implementation. Assist Senior Solution Analysts with complex business and technical requirements to identify and implement best-fit solutions. Execute testing, validation, and quality assurance of new and existing configurations and integrations to ensure accuracy, alignment with customer and payer requirements, and applicable compliance standards. Support payer onboarding, implementation, production readiness, enhancement requests, and ongoing optimization of existing payer integrations and billing configurations. Monitor and maintain existing configurations and integrations to support continued performance, accuracy, and compliance, and identify opportunities for optimization and continuous improvement. Contribute to the development and enhancement of internal documentation, tools, process standards, training materials, and best practices to support consistent and scalable solution delivery. Create and maintain required documentation for new and existing integrations and configurations, including documented requirements, configuration decisions, testing outcomes, and operational processes. Facilitate knowledge transfer and develop supporting documentation to enable smooth transition to post-implementation and production support teams. Serve as a knowledgeable resource during payer onboarding and integration discussions by helping bridge technical, operational, payer, and customer requirements. Adhere to established SLAs and delivery standards while maintaining solution quality, minimizing rework, and supporting timely resolution of issues. Other Job Duties Other duties as assigned by supervisor or HHAeXchange leader Travel Requirements Travel up to 10%, including overnight travel Required Education, Experience, Certifications and Skills 4+ years of experience in healthcare solution delivery, revenue cycle configuration, healthcare data integration, claims processing, payer operations, healthcare technology, or healthcare software implementation. Experience gathering, analyzing, validating, and documenting business and technical requirements and translating requirements into configuration or integration solutions. Experience working within configuration-driven software platforms and managing multiple implementation, configuration, or integration activities simultaneously while delivering quality solutions that meet customer expectations. Experience troubleshooting complex issues and performing data and root cause analysis to identify risks, configuration gaps, and corrective actions. Familiarity with home care operations, Medicaid/MCO billing, healthcare claims workflows, payer requirements, and revenue cycle processes. Knowledge of healthcare data standards and EDI transactions, including X12 and transactions such as 837, 835, 270/271, and 276/277; familiarity with HL7 and FHIR. Knowledge of healthcare integration methods and protocols, including sFTP and API. Ability to review and interpret payer specifications, companion guides, implementation requirements, and other technical or operational documentation. Ability to learn quickly, prioritize effectively, manage multiple responsibilities, and collaborate across Implementation, Product, Engineering, Operations, and client-facing teams. Strong attention to detail, analytical thinking, problem-solving, and organizational skills. Proven written and verbal communication skills, including the ability to clearly communicate technical and operational information to varied audiences. Ability to lead and influence discussions, respectfully challenge assumptions, ask effective discovery questions, and support decisions based on validated requirements and documented information. Experience with ticket, project, and content management applications such as JIRA, Salesforce, Confluence, and SharePoint. Exposure to State Medicaid Agencies, Managed Care Organizations (MCOs), home care providers, clearinghouses, or other healthcare payer organizations is a plus. Healthcare SaaS environment experience is a plus. The base salary range for this US-based, full-time, and exempt position is $70,000 - $80,000 not including variable compensation. An employee's exact starting salary will be based on various factors including but not limited to experience, education, training, merit, location, and the ability to exemplify the HHAeXchange core values. This is a benefits-eligible position. HHAeXchange offers competitive health plans, paid time-off, company paid holidays, 401K retirement program with a Company elected match, including other company sponsored programs. HHAeXchange is an equal-opportunity employer. The Company offers employment opportunities to all applicants and employees without regard to race, color, religion, national origin, sex, sexual orientation, gender identity or expression, age, disability, medical condition, marital status, veteran status, citizenship, genetic information, hairstyles, or any other status protected by local or federal law. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
Job Description Job Description HHAeXchange is the leading technology platform for home and community-based care. Founded in 2008, HHAeXchange was born out of an idea to create a fully comprehensive end-to-end homecare solution to help people who are aging or have disabilities thrive in their homes and communities. Our employees are passionate about transforming the healthcare space by building the only homecare ecosystem that fully connects patients, personal care providers, managed care organizations, and states. As a Revenue Cycle Solutions Analyst, you will focus on the implementation, ongoing maintenance, and optimization of home care-focused revenue cycle solutions, with an emphasis on payer integrations and billing configuration. You will support payer onboarding and implementation activities by researching and analyzing payer business and technical requirements, reviewing payer specifications and companion guides, and translating requirements into scalable system configurations. Responsibilities include configuring and maintaining payer-specific billing rules, claim submission requirements, enrollment requirements, reimbursement workflows, and system integrations; researching and troubleshooting issues; and identifying and implementing best-fit solutions. You will execute configuration changes, testing, validation, documentation, and refinement to enable accurate and seamless data exchange between providers, payers, HHAeXchange, and partner organizations. The role requires collaboration across implementation, product, engineering, operations, and client-facing teams and provides an opportunity to deepen expertise in Medicaid/MCO revenue cycle processes, healthcare claims workflows, healthcare data standards (X12, HL7, FHIR), EDI transactions, and systems integration. To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily with or without reasonable accommodation. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position is open to candidates located within the New York City, Minneapolis, and Miami metro areas only. Essential Job Duties Partner with Business Analysts and cross-functional teams to gather, analyze, validate, and document customer, payer, business, and technical requirements for new implementations and ongoing revenue cycle integrations and configurations. Manage payer integration and configuration delivery efforts from requirements gathering through testing and production readiness to ensure high-quality delivery of home care revenue cycle solutions. Analyze payer specifications, companion guides, business requirements, and implementation documentation and translate requirements into scalable system configurations and integration solutions. Configure and maintain payer-specific billing requirements, including billing rules, claim submission logic and requirements, enrollment requirements, reimbursement workflows, and related system configurations. Analyze and troubleshoot reported integration, configuration, enrollment, and claim submission issues; perform root cause analysis; and propose and implement corrective actions. Partner with Implementation, Product, Engineering, Operations, and client-facing teams to identify workflow gaps, resolve cross-functional dependencies, and support successful payer onboarding and implementation. Assist Senior Solution Analysts with complex business and technical requirements to identify and implement best-fit solutions. Execute testing, validation, and quality assurance of new and existing configurations and integrations to ensure accuracy, alignment with customer and payer requirements, and applicable compliance standards. Support payer onboarding, implementation, production readiness, enhancement requests, and ongoing optimization of existing payer integrations and billing configurations. Monitor and maintain existing configurations and integrations to support continued performance, accuracy, and compliance, and identify opportunities for optimization and continuous improvement. Contribute to the development and enhancement of internal documentation, tools, process standards, training materials, and best practices to support consistent and scalable solution delivery. Create and maintain required documentation for new and existing integrations and configurations, including documented requirements, configuration decisions, testing outcomes, and operational processes. Facilitate knowledge transfer and develop supporting documentation to enable smooth transition to post-implementation and production support teams. Serve as a knowledgeable resource during payer onboarding and integration discussions by helping bridge technical, operational, payer, and customer requirements. Adhere to established SLAs and delivery standards while maintaining solution quality, minimizing rework, and supporting timely resolution of issues. Other Job Duties Other duties as assigned by supervisor or HHAeXchange leader Travel Requirements Travel up to 10%, including overnight travel Required Education, Experience, Certifications and Skills 4+ years of experience in healthcare solution delivery, revenue cycle configuration, healthcare data integration, claims processing, payer operations, healthcare technology, or healthcare software implementation. Experience gathering, analyzing, validating, and documenting business and technical requirements and translating requirements into configuration or integration solutions. Experience working within configuration-driven software platforms and managing multiple implementation, configuration, or integration activities simultaneously while delivering quality solutions that meet customer expectations. Experience troubleshooting complex issues and performing data and root cause analysis to identify risks, configuration gaps, and corrective actions. Familiarity with home care operations, Medicaid/MCO billing, healthcare claims workflows, payer requirements, and revenue cycle processes. Knowledge of healthcare data standards and EDI transactions, including X12 and transactions such as 837, 835, 270/271, and 276/277; familiarity with HL7 and FHIR. Knowledge of healthcare integration methods and protocols, including sFTP and API. Ability to review and interpret payer specifications, companion guides, implementation requirements, and other technical or operational documentation. Ability to learn quickly, prioritize effectively, manage multiple responsibilities, and collaborate across Implementation, Product, Engineering, Operations, and client-facing teams. Strong attention to detail, analytical thinking, problem-solving, and organizational skills. Proven written and verbal communication skills, including the ability to clearly communicate technical and operational information to varied audiences. Ability to lead and influence discussions, respectfully challenge assumptions, ask effective discovery questions, and support decisions based on validated requirements and documented information. Experience with ticket, project, and content management applications such as JIRA, Salesforce, Confluence, and SharePoint. Exposure to State Medicaid Agencies, Managed Care Organizations (MCOs), home care providers, clearinghouses, or other healthcare payer organizations is a plus. Healthcare SaaS environment experience is a plus. The base salary range for this US-based, full-time, and exempt position is $70,000 - $80,000 not including variable compensation. An employee's exact starting salary will be based on various factors including but not limited to experience, education, training, merit, location, and the ability to exemplify the HHAeXchange core values. This is a benefits-eligible position. HHAeXchange offers competitive health plans, paid time-off, company paid holidays, 401K retirement program with a Company elected match, including other company sponsored programs. HHAeXchange is an equal-opportunity employer. The Company offers employment opportunities to all applicants and employees without regard to race, color, religion, national origin, sex, sexual orientation, gender identity or expression, age, disability, medical condition, marital status, veteran status, citizenship, genetic information, hairstyles, or any other status protected by local or federal law. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
RR Donnelley
New York, New York
Job Description Job Description Company Description RRD provides marketing, packaging, print, and business services to the world's most respected brands. The company's proprietary technology, advanced data analytics, and expertise fuel organizational decision-making from strategy through execution, delivering sustainable solutions with the lowest possible environmental impact. Global organizations and regulated industries trust RRD to reduce complexity and drive audience connections across the entire customer journey. Job Description Position summary The Presentation Workflow Coordinator is an experienced position delivering exceptional customer service to our clients by providing timely and accurate presentations support of an intermediate to advanced level. Advanced ability to assess documents, with a technical eye to detect and ensure proper corrections (creation, formatting, edits, proofing, etc.) for requesters. The position requires advanced software aptitude in those programs used for presentations, as well as speed and accuracy in a high-volume, high-pressure production environment. The Presentations Workflow Coordinator may require the training of team members and may be responsible for the day-to-day coordination of workflow within a shift or site. position is responsible for providing presentation services for our clients. Job duties ( denotes an "essential function") Intakes work requests from the client; including clarification of job instructions and negotiation of deadlines with the requester. Seeks alternate solutions to deadline requests, as needed Prioritizes work requests across team and coordinates/balances multiple projects based on experience and following established guidelines, especially when working with escalated deadlines or issues Applies own creativity, grammatical and/or composition skills to design and layout elements in presentations or materials to effectively support the client's intended message. Acts as a leading definitive resource for all questions relating to presentations, proofreading and quality assurance by the team Detects formatting and compositional errors; verifies citations are properly formatted; checks corrected proofs against mark-up for quality assurance Performs presentation design work of all levels with focus on identification and correction of errors in complex documents to ensure quality of return product to requesters. Adheres to and monitors team members' adherence to formatting standards, utilizing generally accepted formatting corrections and requisite resources, with an understanding of the client's business environment. Demonstrates proper professional expectations for team members when dealing with client requesters and client work requests, including meeting deadlines and delivering high-quality work Responsible for development and delivery of on-going training of new and existing team members in existing processes, as well as new trends or processes for presentations work Facilitates focus and coordination on and between shifts in the production of deliverables to the client in order to meet or exceed the client's expectations for quality, timeliness and service Trains more junior staff members, as needed Communicates with manager and/or client on job or deadline issues in a timely and professional manner Assists the Lead, Supervisor or Manager in the execution of administrative and/or other procedures or systems across impacted team members Facilitates team's adherence to company policies (conduct, attire, performance, attendance) Works collaboratively, demonstrating open and flexible communication, within and across team members Contributes to recommendations for individual development goals, trainings, or performance expectations to Lead, Supervisor or Manager to enhance team skill levels and quality outputs Working conditions Position operates at sites with maximum of 24/7 operations. Individual shift requirements will vary by site. Ability to work overtime as needed. Work is performed in a professional work environment. Professional/business casual attire required. Hazards include working with office machines (computers, peripherals, copiers, faxes, scanners, bindery equipment, paper cutters, paper, toner) and cleaning supplies. Must be able to work sitting down most of the time. Qualifications Bachelor's degree or equivalent with years of experience able to substitute Minimum of 3 years prior office experience, proofreading, presentations or design experience Advanced knowledge of Microsoft Office suite (PowerPoint, Excel, Visio as examples); able to technically troubleshoot applicable software specific to the business/client; Advanced in various Adobe PDF and Creative Suite applications (Illustrator, Photoshop as examples) Advanced knowledge of presentations and/or proofreading procedures and/or generally accepted practices Extensive experience in business terminology, presentations and/or proofing formats; skill and efficiency in use of requisite resources Strong attention to detail; able to work on multiple projects simultaneously Able to apply intermediate to advanced requisite knowledge of appropriate grammar, spelling, composition to work requests Must have good organizational skills Must be able to meet deadlines and complete all projects in a timely manner Ability to handle sensitive and/or confidential documents and information Able to exercise good judgment to make decisions that conform to business needs and policy Able to troubleshoot more complex or advanced tasks, equipment or software concerns on own; understands when to escalate a problem to a supervisory level Ability to maintain professional composure when working with immediate deadlines Ability to work both independently and collaboratively as part of a team Ability to work in a fast paced environment Ability to communicate professionally both verbally and in writing Must be self-motivated with a positive attitude Proven customer service skills are required in order to create, maintain and enhance customer relationship Additional Information The range of pay for this role at the noted RRD location is $28.90 - $43.36/ hour. Typically, roles follow step progressions to a target rate or set increments over time. Depending on the role, in addition to the hourly rate of pay, the total compensation package may also include overtime, shift differential, call-in, and/or stand-by pay. RRD's benefit offerings include medical, dental, and vision coverage, paid time off, disability insurance, 401(k) with company match, life insurance and other voluntary supplemental insurance coverages, plus parental leave, adoption assistance, tuition assistance and employer/partner discounts. Shift: M-F, 8:00 am - 4:00 pm All employment offers are contingent upon the successful completion of both a pre-employment background and drug screen. RRD is an Equal Opportunity Employer, including disability/veterans
Job Description Job Description Company Description RRD provides marketing, packaging, print, and business services to the world's most respected brands. The company's proprietary technology, advanced data analytics, and expertise fuel organizational decision-making from strategy through execution, delivering sustainable solutions with the lowest possible environmental impact. Global organizations and regulated industries trust RRD to reduce complexity and drive audience connections across the entire customer journey. Job Description Position summary The Presentation Workflow Coordinator is an experienced position delivering exceptional customer service to our clients by providing timely and accurate presentations support of an intermediate to advanced level. Advanced ability to assess documents, with a technical eye to detect and ensure proper corrections (creation, formatting, edits, proofing, etc.) for requesters. The position requires advanced software aptitude in those programs used for presentations, as well as speed and accuracy in a high-volume, high-pressure production environment. The Presentations Workflow Coordinator may require the training of team members and may be responsible for the day-to-day coordination of workflow within a shift or site. position is responsible for providing presentation services for our clients. Job duties ( denotes an "essential function") Intakes work requests from the client; including clarification of job instructions and negotiation of deadlines with the requester. Seeks alternate solutions to deadline requests, as needed Prioritizes work requests across team and coordinates/balances multiple projects based on experience and following established guidelines, especially when working with escalated deadlines or issues Applies own creativity, grammatical and/or composition skills to design and layout elements in presentations or materials to effectively support the client's intended message. Acts as a leading definitive resource for all questions relating to presentations, proofreading and quality assurance by the team Detects formatting and compositional errors; verifies citations are properly formatted; checks corrected proofs against mark-up for quality assurance Performs presentation design work of all levels with focus on identification and correction of errors in complex documents to ensure quality of return product to requesters. Adheres to and monitors team members' adherence to formatting standards, utilizing generally accepted formatting corrections and requisite resources, with an understanding of the client's business environment. Demonstrates proper professional expectations for team members when dealing with client requesters and client work requests, including meeting deadlines and delivering high-quality work Responsible for development and delivery of on-going training of new and existing team members in existing processes, as well as new trends or processes for presentations work Facilitates focus and coordination on and between shifts in the production of deliverables to the client in order to meet or exceed the client's expectations for quality, timeliness and service Trains more junior staff members, as needed Communicates with manager and/or client on job or deadline issues in a timely and professional manner Assists the Lead, Supervisor or Manager in the execution of administrative and/or other procedures or systems across impacted team members Facilitates team's adherence to company policies (conduct, attire, performance, attendance) Works collaboratively, demonstrating open and flexible communication, within and across team members Contributes to recommendations for individual development goals, trainings, or performance expectations to Lead, Supervisor or Manager to enhance team skill levels and quality outputs Working conditions Position operates at sites with maximum of 24/7 operations. Individual shift requirements will vary by site. Ability to work overtime as needed. Work is performed in a professional work environment. Professional/business casual attire required. Hazards include working with office machines (computers, peripherals, copiers, faxes, scanners, bindery equipment, paper cutters, paper, toner) and cleaning supplies. Must be able to work sitting down most of the time. Qualifications Bachelor's degree or equivalent with years of experience able to substitute Minimum of 3 years prior office experience, proofreading, presentations or design experience Advanced knowledge of Microsoft Office suite (PowerPoint, Excel, Visio as examples); able to technically troubleshoot applicable software specific to the business/client; Advanced in various Adobe PDF and Creative Suite applications (Illustrator, Photoshop as examples) Advanced knowledge of presentations and/or proofreading procedures and/or generally accepted practices Extensive experience in business terminology, presentations and/or proofing formats; skill and efficiency in use of requisite resources Strong attention to detail; able to work on multiple projects simultaneously Able to apply intermediate to advanced requisite knowledge of appropriate grammar, spelling, composition to work requests Must have good organizational skills Must be able to meet deadlines and complete all projects in a timely manner Ability to handle sensitive and/or confidential documents and information Able to exercise good judgment to make decisions that conform to business needs and policy Able to troubleshoot more complex or advanced tasks, equipment or software concerns on own; understands when to escalate a problem to a supervisory level Ability to maintain professional composure when working with immediate deadlines Ability to work both independently and collaboratively as part of a team Ability to work in a fast paced environment Ability to communicate professionally both verbally and in writing Must be self-motivated with a positive attitude Proven customer service skills are required in order to create, maintain and enhance customer relationship Additional Information The range of pay for this role at the noted RRD location is $28.90 - $43.36/ hour. Typically, roles follow step progressions to a target rate or set increments over time. Depending on the role, in addition to the hourly rate of pay, the total compensation package may also include overtime, shift differential, call-in, and/or stand-by pay. RRD's benefit offerings include medical, dental, and vision coverage, paid time off, disability insurance, 401(k) with company match, life insurance and other voluntary supplemental insurance coverages, plus parental leave, adoption assistance, tuition assistance and employer/partner discounts. Shift: M-F, 8:00 am - 4:00 pm All employment offers are contingent upon the successful completion of both a pre-employment background and drug screen. RRD is an Equal Opportunity Employer, including disability/veterans