The ideal candidate will have deep knowledge of Revenue Cycle modules —including Registration, Scheduling, Charge Services, Patient Accounting, and Health Information Management—and will play a key role in optimizing workflows, ensuring integration accuracy, and supporting end‑to‑end revenue operations within healthcare systems. This is a hands‑on role requiring both technical proficiency and strong functional understanding of RCM processes.
What you will do :
- Configure and maintain modules related to Registration, Scheduling, Billing, and Claims.
- Develop and manage required components of the system based on clinical and financial requirements.
- Maintain Health Plan setup, Contractual Discounts, and Claim Submission Deadlines aligned with payer rules and regulatory compliance.
- Analyze and streamline RCM workflows to improve operational efficiency and financial accuracy.
- Collaborate with functional and technical teams to identify bottlenecks and propose system‑based solutions.
- Provide expert consulting to business stakeholders on RCM design decisions, interdependencies, and workflow impacts.
- Support and troubleshoot integration between HIS and external systems.
- Design, code, and implement enhancements using Java, DiscernDev, Custom MPage Development, and CCL / Custom Reporting to meet evolving business needs. Collaboration & Client Engagement
- Partner with cross‑functional teams, including Solution Architects and Business Analysts, to translate requirements into effective solutions.
- Engage with healthcare leadership and finance teams to align system configurations with strategic RCM goals.
- Provide post‑go‑live support, optimization, and issue resolution for RCM‑related functions.
Basic Qualifications :
- Bachelor’s degree in Computer Science, Information Technology, or related field.
- Minimum 5 years of experience in Healthcare Information Systems (HIS) with a focus on Revenue Cycle Management.
- Proven expertise in Revenue Cycle modules (Registration, Scheduling, Charge Services, Patient Accounting, HIM etc). Preferred.
- Experience working with Health Insurance Post Offices (., Riayati, DHPO), including transaction monitoring and troubleshooting.
- Hands‑on experience with CCL, MPage Development, DiscernDev, and Java programming.
- Strong understanding of health plan configuration, claim workflows, charge capture, and discount management.
- Excellent analytical, problem‑solving, and documentation skills.
- Excellent English communication skills, both verbal and written.
Expected Attributes :
- Proactive and detail‑oriented with a focus on quality and results.
- Strong stakeholder management and communication skills.
- Passion for healthcare innovation and operational excellence.
- Ability to work under pressure, handle multiple priorities, and meet tight deadlines.
- Willingness to travel and support on‑site as needed.
Career Level - IC3