Bachelor's degree in Healthcare Administration, Health Information Technology, Finance, Computer Science, or related field; or equivalent experience.
7+ years in healthcare revenue cycle operations or health systems IT, with 5+ years on MEDITECH Revenue Cycle modules.
Deep expertise in MEDITECH Expanse and 6.x Revenue Cycle applications (BAR, ADM, Abstracting, CDM).
Proficiency in MEDITECH Report Designer, NPR/SQL querying, and advanced Microsoft Excel functions.
Strong knowledge of electronic claim formats (837I, 837P, 835) and remittance processing.
In-depth understanding of hospital billing workflows, medical terminology, and payer rules.
Excellent communication and interpersonal skills.
Responsibilities
Lead configuration and maintenance of MEDITECH Revenue Cycle modules.
Monitor system performance and resolve technical issues.
Analyze revenue cycle processes to identify and implement workflow enhancements.
Collaborate with teams to analyze claim denial trends and modify claim rules.
Design and maintain advanced reports and dashboards to track KPIs.
Ensure MEDITECH application rules comply with billing regulations.
Serve as a liaison between Finance, IT, Clinical Operations, and external clearinghouses.
Participate in testing activities and support system implementations.
Investigate and resolve system issues while providing ongoing user support.
Create and maintain comprehensive documentation for systems and processes.
Contribute to project planning and execution, managing timelines and deliverables.
Benefits
Comprehensive health insurance coverage.
Retirement savings plan with employer matching.
Generous paid time off and holiday schedule.
Professional development opportunities and training.
Flexible work arrangements and supportive work environment.
Full Job Description
Type: Full-Time 75 Hours Bi-Weekly
Shift: Days
Hours: 8:00AM - 4:30PM
Salary: $110,000 - $125,000
Responsibilities:
System Optimization & Maintenance:
Lead the configuration, dictionary maintenance, build, and testing of MEDITECH Revenue Cycle modules (e.g. Admissions/Registration, Patient Accounting, Billing & Accounts Receivable, HIM, Abstracting).
monitor system performance and identify and resolve technical issues.
Provide ongoing maintenance for existing financial systems.
Perform system upgrades and patches as needed.
Workflow & Process Improvement:
Analyze complex end-to-end revenue cycle processes, identify bottlenecks or charge leakages, and implement workflow enhancements directly in MEDITECH.
Denial & Revenue Integrity Management:
Collaborate with Patient Accounting and Billing teams to analyze claim denial trends, modify claim rules/scrubbers, and update dictionary settings to reduce Days in A/R and denial rates.
Reporting & Data Analytics:
Design and maintain advanced reports and dashboards, using MEDITECH Report Designer, NPR, Data Repository (DR), SQL, or visualization tools to track Key Performance Indicators (KPIs).
Regulatory & Payer Compliance:
Ensure MEDITECH application rules align with federal, state, and commercial billing regulations, including annual CPT/HCPCS code updates and billing modifier logic.
Cross-Functional Collaboration & Leadership:
Serve as a liaison between Finance, Information Technology, Clinical Operations, and external clearinghouses.
Maintain effective communication with stakeholders throughout the project lifecycle.
Effectively communicate complex technical concepts to non-technical audiences.
Address stakeholder concerns and manage expectations throughout the project lifecycle.
Testing & Implementation:
Participate in testing activities to validate the accuracy and completeness of system functionality.
Create valid and thorough test plans. Perform function and system testing and assist in parallel and system stress testing.
Support the implementation of new systems and applications, providing training and guidance to end-users.
Conduct post-implementation reviews to evaluate system effectiveness and identify areas for improvement.
Problem Resolution/Support:
Act as a liaison between I.S., Software vendors, department management, and end-users; maintaining a current knowledge of customer ongoing needs and issues, current procedures, and use of information.
Investigate and resolve system issues and defects.
Provide ongoing support and troubleshooting assistance to users.
Participates in IT on-call rotation.
Documentation:
create and maintain comprehensive documentation, including system specifications, user manuals, and training materials.
Effectively manage Help Desk tickets and other vendor application tickets; tickets are acknowledged and routinely updated timely, communicates ticket stats to requestor, and closes ticket once the issue is resolved.
Project Management:
Contribute to project planning and execution, including resource allocation, timeline management, deliverables, risk assessments, and mitigation strategies.
Provide project updates and status reports to stakeholders.
Requirements:
Bachelor's degree in Healthcare Administration, Health Information Technology, Finance, Computer Science, or related field; or equivalent combination of education and experience.
7+ years of experience in healthcare revenue cycle operations or health systems IT, with at least 5 years focused on MEDITECH Revenue Cycle modules.
Deep expertise in MEDITECH Expanse, 6.x Revenue Cycle applications (BAR, ADM, Abstracting, CDM).
Proficiency in MEDITECH Report Designer, NPR/SQL querying, and Microsoft Excel (advanced functions).
Strong knowledge of electronic claim formats (837I, 837P, 835) and remittance processing.
In-depth understanding of hospital billing workflows, medical terminology, ICD10/CPT coding structures, UB-04/CMS-1500 requirements, and payer rules.
Excellent communication and interpersonal skills, with the ability to effectively interact with stakeholders at all levels.
Knowledge of project management methodologies (e.g. Agile, Waterfall).
