Focus on the implementation or ongoing maintenance and optimization of integration and configuration of home care-focused revenue cycle solutions.
Responsible for researching and troubleshooting issues, reviewing business and technical requirements, and determining best-fit solutions.
Execute integration and configuration tasks, including implementation of changes, testing, documentation, and refinement.
Enable seamless data exchange for providers, payers, and partner customers.
Provide an opportunity to learn and grow in Medicaid/MCO revenue cycle processes, healthcare data standards (X12, HL7, FHIR), and systems integration.

4+ years of experience in healthcare solution delivery, revenue cycle configuration, or healthcare data integration.
Adept at prioritizing tasks and managing multiple projects simultaneously while delivering quality solutions to meet customer expectations
Experience in troubleshooting and data analysis to identify risks and issues and react timely to implement solutions.
Thinks creatively, highly driven, and self-motivated
Direct, hands-on experience with X12 formats (837/835 claims and remittances) is required.
HL7 and FHIR experience are a plus, but not required.
Proven ability to gather business requirements and translate them into configuration/integration solutions.
Experience creating documentation to support solution delivery, testing, and post-implementation support.
Knowledge of integration protocols (e.g., sFTP, API).
Ability to learn quickly, manage tasks efficiently, and collaborate with cross-functional teams.
Strong attention to detail, analytical thinking, and problem-solving abilities.
Proven written and verbal communication skills
Experience with ticket and content management applications (ie. JIRA, Salesforce, Confluence, Sharepoint)
Exposure to State Medicaid Agencies, MCOs, and Homecare Providers is a plus.
SaaS environment experience is a plus.

Revenue Cycle Solutions Analyst

Key skills