Revenue Cycle Solution Architect

Nimble Solutions; Chesterfield (MO); On-site; USD 110,000 - 160,000; Full time

Job summary

Nimble Solutions is seeking a Revenue Cycle Solution Architect to drive client implementations in the ASC-focused RCM space. You will partner with operations leads to ensure best-in-class client experiences and successful deployment of RCM platforms across client environments.

The role requires strong analytical skills, documentation capabilities, and proactive management of testing and go-live activities to optimize revenue recognition and client outcomes.

Qualifications

• 2-3 years of RCM operations experience focusing on Accounts Receivable, Claims or Payment Posting.
• 2-3 years’ experience with client practice management systems.
• Excellent written and oral communication skills.

Responsibilities

• Drive the implementation process from initiation through handoff to client services teams and operations.
• Lead client discovery sessions and create deliverables including workflow diagrams and SOPs.
• Perform detailed technical requirements gathering to inform workflow and system design in client host systems and nimble platforms.
• Analyze client historical data to identify trends in AR, write-offs, cash per case, collectability and RCM KPI’s.
• Create and execute detailed testing plans across all in-scope functions of the RCM.
• Provide SME support during post go-live phase and monitor post-live revenue recognition barriers.

Skills

RCM operations

Client implementation

Job description

Who We Are

nimble solutions has over 20 years of specialized, surgical-focused revenue cycle management experience that spans across the ambulatory surgical center (“ASC”) industry and other affiliated services adjacent to the ASC space, such as anesthesia billing services, professional billing services, transcription services, and many others. We provide services in nearly every U.S. state, and our team of experts works around the globe, having managed over $10 billion in net collections as we continue to build and innovate a world-class organization with people like you.

Job Type

Full-time

Description

nimble solutions has over 20 years of specialized, surgical-focused revenue cycle management experience that spans across the ambulatory surgical center (“ASC”) industry and other affiliated services adjacent to the ASC space, such as anesthesia billing services, professional billing services, transcription services, and many others. We provide services in nearly every U.S. state, and our team of experts works around the globe, having managed over $10 billion in net collections as we continue to build and innovate a world-class organization with people like you.

Together, we embrace challenges, fuel innovation, and strive to exceed expectations. Healthcare means a lot more to us. We care about creating an environment where our coworkers’, clients’, and communities’ social, financial, and physical health is at the forefront of everything we do. From our cutting-edge technology to our endless opportunities for growth, we are a community of people who care deeply about our employees and their futures. We look forward to your thirst for learning, developing, and growing with our team.

Job Overview

As the Revenue Cycle Solution Architect, you will help drive client implementation and ensure key critical processes are followed for a smooth and best-in-class client experience. You will partner and align with key operations functional leads and team members to drive and execute client implementations.

Responsibilities

• Drive the implementation process from initiation through handoff to client services teams and operations
• Actively participates and collaborates with the implementation team on managing the project plan and client expectations throughout the implementation phase
• Leads client discovery sessions and creates deliverables including detailed workflow process diagrams and client standard operating procedures
• Conducts detailed technical requirements gathering to inform workflow and system design in client host systems, nimble platforms, the clearinghouse, and other indicated third party applications
• Analyzes client historical data to identify trends in AR, write offs, cash per case, collectability and other indicated RCM KPI’s
• Creates and executes on detailed testing plans across all in scope functions of the RCM
• Creates corrective action and / or remediation plans to address failed results from testing
• Supports production team members with subject matter expertise during the post go live phase
• Monitors overall inventory throughput in the post go live phase to assist with removal of barriers to revenue recognition
• Creates and/or utilizes existing project plans appropriate to the services/products being implemented
• Client facing with strong ability to facilitate and manage onboarding of complex clients
• Meets and communicates with complex clients and adjusts plans and approaches accordingly
• Weekly (and ad hoc) reporting of project status with risks/issues, go live date changes, etc

Requirements

• Minimum 2-3 years of RCM operations experience with expertise in Accounts Receivable, Claims or Payment Posting
• Minimum 2-3 years’ experience working in various client practice management systems
• Advanced understanding of implementation process and revenue cycle process
• Excellent written and oral communication skills

  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.