Healthcare Revenue Cycle and Claims - Business Systems Analyst

Silicontek Inc; United States; Remote; USD 87,000 - 98,000; Full time

Job summary

Silicontek Inc is looking for a Sr. Business Systems Analyst to enhance operations in the healthcare revenue cycle. The role involves analyzing data flows and collaborating with stakeholders on requirements. The ideal candidate will have significant experience in a healthcare setting, focusing on improving processes and technology solutions.

Qualifications

• Minimum 10 years of total work experience.
• At least 3 years in a Revenue Cycle or Claims analyst role.
• Strong understanding of clinical and billing workflows.

Responsibilities

• Analyze business processes and deliver technology solutions.
• Gather requirements from stakeholders.
• Conduct financial analysis, including ROI.

Skills

Data mapping

Stakeholder collaboration

Data validation

Financial analysis

Problem-solving

Education

Bachelor’s or Master’s degree in Health Informatics, Bioinformatics, Finance

Tools

SQL

Relational databases

Job description

Healthcare Revenue Cycle and Claims - Business Systems Analyst

Healthcare Revenue Cycle and Claims - Business Systems Analyst

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We are seeking a Sr. Business Systems Analyst (BSA) to support the Revenue Cycle and Claims domain within the healthcare ecosystem. The ideal candidate will play a pivotal role in analyzing data flows, understanding business processes, and delivering technology solutions that enhance operational efficiency across Registration, Scheduling, Billing, and Accounting.

Key Responsibilities:

• Collaborate with stakeholders to gather, define, and document both current and future business and data needs.
• Perform data mapping of clinical, revenue cycle, and claims information into normalized models.
• Act as a subject matter expert (SME) on revenue cycle domains (e.g., Registration, Scheduling, Billing).
• Support data-driven use cases by building robust and scalable data concepts.
• Conduct data validation and quality testing to ensure standards compliance and accuracy.
• Partner with technical teams to troubleshoot data quality issues and lead remediation efforts.
• Evaluate existing business processes and recommend changes aligned with system integration goals.
• Participate in solution design and implementation across multiple platforms and teams.
• Conduct financial analysis including ROI to prioritize and fund projects.
• Support cross-functional teams to optimize workflow consistency and quality.
• Stay current with healthcare industry trends and apply them to improve processes.
• Identify improvement opportunities, providing actionable recommendations.
• Monitor project tasks to ensure timely delivery, scope alignment, and quality compliance.
• Proactively escalate unresolved project or process challenges.

Required Qualifications:

• Min of 10 years of total wort experience
• Minimum 3 years of experience in a Revenue Cycle or Claims analyst role within a healthcare setting.
• Working knowledge of relational databases; SQL experience highly preferred.
• Familiarity with data from EMRs, Revenue Cycle, and Patient Accounting Systems.
• Solid understanding of clinical, billing, and claims workflows in both ambulatory and acute care settings.
• Bachelor’s or Master’s degree in Health Informatics, Bioinformatics, Finance, or a related field.
• Proven ability to work independently, prioritize effectively, and deliver results under pressure.

Preferred Qualifications:

• Experience conducting ROI or financial analysis for healthcare technology projects.
• Demonstrated leadership in process optimization or system integration projects.
• High-level critical thinking and problem-solving skills.

Educational Requirements:

• High School diploma or GED with at least 2 years of relevant experience, OR
• Associate's or Bachelor's degree in a related discipline (preferred).

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Contract

Job function

• Job function

  Consulting

• Industries

  IT Services and IT Consulting

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