RCM Systems & Business Analyst

nimble solutions; Chesterfield (MO); On-site; USD 80,000 - 110,000; Full time

Job summary

nimble solutions is actively seeking a detail-oriented RCM System Analyst to drive the implementation and ongoing optimization of our new workflow platform for revenue cycle management.

The role partners with operations and IT to document requirements, manage projects, and optimize RCM systems, ensuring compliance and effective dashboards for healthcare billing, coding, and collections.

Qualifications

• Bachelor’s degree in Healthcare Administration, Information Technology, Business Administration, or a related field.
• Minimum of 3-5 years of experience in revenue cycle management, healthcare billing, or a related field
• Proficiency with RCM software and systems
• Strong understanding of healthcare billing and coding practices
• Experience with data analysis and reporting tools
• Knowledge of healthcare regulations and compliance standards
• Excellent analytical and problem-solving skills
• Strong communication and interpersonal skills
• Ability to work independently and as part of a team
• Detail-oriented with strong organizational skills
• Relevant certifications such as CRCR or CPC are a plus

Responsibilities

• Partner with operations and IT to drive technology imperatives for RCM.
• Document business requirements and manage timelines for system builds.
• Analyze and optimize existing RCM systems and processes.
• Configure workflows and monitor SLAs and KPIs for performance insights.
• Drive process improvements to enhance billing, coding, and collections.
• Generate and analyze performance reports and dashboards for management.
• Ensure compliance with healthcare regulations and policies.
• Provide user training and technical support for RCM systems.
• Collaborate with finance, IT, and clinical teams for seamless operations.
• Assist in planning and implementing RCM system upgrades and integrations.
• Troubleshoot issues to minimize disruptions in revenue cycle operations.
• Maintain comprehensive documentation of processes and procedures

Skills

RCM software

Data analysis

Healthcare billing

Regulatory compliance

Communication skills

Education

Bachelor’s degree in Healthcare Administration / IT / Business

Tools

Reporting tools

Job description

Description nimble solutions ("nimble" and f/k/a National Medical) is currently seeking a RCM System Analyst to drive the implementation and ongoing optimization of our new workflow platform. nimble provides revenue cycle outsourcing services to ambulatory surgery centers ("ASCs"), surgical practices, surgical hospitals, and anesthesia groups. This is a great opportunity to join our team and drive the effectiveness of our RCM workflow systems and technology.

We are seeking a detail-oriented RCM System and Business Analyst to join our Revenue Cycle Management team. The successful candidate will be responsible for partnering with operations and IT to drive critical system/technology initiatives that improve the scale of our operations. The successful candidate will have experience writing business requirements, managing timelines and resources for system builds, user acceptance testing, and training. This role plays a crucial role in ensuring we drive automation and support our teams with the technology tools they need to do their work.

Key Responsibilities

• Project Manage Technology Imperatives: Assigned to 2 technology imperatives to drive the initiative forward playing a key role between operations and technology teams
• Business Requirements: Responsible for documenting business requirements for technology needs that represent the business needs. Ability to quickly understand new business processes, shadow those processes and to drive technology needs
• System Analysis: Analyze and evaluate existing RCM systems and processes, identifying areas for improvement and optimization
• System Configuration: Maintain the configuration and set up withing Workflow Platforms and other leveraged systems to ensure optimal performance of the business including monitoring SLAS, KPIS and providing leadership insights
• Process Improvement: Develop and implement strategies to streamline processes and partner with leaders to drive improvements in RCM workflow platform to improve billing, coding, and collections processes
• Reporting: Generate and analyze performance reports related to revenue cycle performance, providing insights and recommendations to management on effective dashboards and regular reports
• Compliance: Ensure compliance with all relevant regulations, standards, and policies related to healthcare billing and coding.
• Technical Support: Provide technical support and training to staff on RCM systems and software
• Collaboration: Work closely with other departments, including finance, IT, and clinical teams, to ensure seamless revenue cycle operations systems
• System Upgrades: Assist in the planning and implementation of RCM system upgrades and new technology integrations
• Troubleshooting: Identify and resolve issues related to RCM systems and processes, minimizing disruptions to revenue cycle operations
• Documentation: Maintain comprehensive documentation of RCM processes, systems, and procedures

Requirements

• Bachelor’s degree in Healthcare Administration, Information Technology, Business Administration, or a related field
• Minimum of 3-5 years of experience in revenue cycle management, healthcare billing, or a related field
• Proficiency with RCM software and systems
• Strong understanding of healthcare billing and coding practices
• Experience with data analysis and reporting tools
• Knowledge of healthcare regulations and compliance standards
• Excellent analytical and problem-solving skills
• Strong communication and interpersonal skills
• Ability to work independently and as part of a team
• Detail-oriented with strong organizational skills
• Relevant certifications such as Certified Revenue Cycle Representative (CRCR) or Certified Professional Coder (CPC) are a plus

Key Competencies

Drives Results.

Consistently achieves results, even under difficult circumstances. Fosters a sense of urgency in the team for reaching goals and meeting deadlines. Readily takes action on challenges, Identifies and seizes new opportunities; Leads others to persist despite setbacks or obstacles; Establishes clear responsibilities and processes for monitoring work and measuring results

Communicates Effectively

Developing and delivering multi-mode communications that convey a clear understanding of the unique needs of different audiences. Provides timely and helpful information to others across the organization; Encourages the open expression of diverse ideas and opinions; Picks up on situational cues and adapts personal, interpersonal and leadership behavior to fit

Quality Decision-making

Makes sound decisions, even in the absence of complete information; Considers all relevant factors and uses appropriate decision-making criteria and principles; shows courage in speaking up in driving appropriate decisions for the organization based on sound risk/reward analysis

Customer Focus.

Gains insight into customer needs; Identifies opportunities that benefit the customer; Builds and delivers marketing messaging and solutions that meet customer expectations