Revenue Cycle Solutions Analyst
Core
Implement and optimize revenue cycle integrations and configurations for home care solutions to enable seamless data exchange between providers, payers, and partners.
Role type
Mid-level IC healthcare revenue cycle solutions analyst
Builds
Home care revenue cycle integration solutions for Medicaid/MCOs and homecare providers
Domain
Healthcare technology / Revenue cycle management / Data integration
Deliverable
production ML models | product features | dashboards & analysis | client delivery
Required skills
Healthcare revenue cycle configuration, X12 claims/remittance processing, data integration, requirements gathering, solution troubleshooting, technical documentation, integration protocols (sFTP, API), project management
Preferred skills
HL7, FHIR, State Medicaid/MCO experience, SaaS environment experience, ticket management tools (JIRA, Salesforce, Confluence)
Technologies
X12 (837/835), HL7, FHIR, sFTP, API, JIRA, Salesforce, Confluence, SharePoint
Responsibilities
Gather and document business/technical requirements for revenue cycle integrations, manage configuration and integration delivery, analyze and troubleshoot reported issues, execute testing and validation of solutions, create and maintain integration documentation, monitor existing configurations for performance and compliance
Seniority
Mid-level, hands-on IC
