Imagine Software System Administrator

Infinx

1d • Remote

About The Position

We are seeking an experienced and detail-oriented Imagine Software System Administrator to support and optimize the Imagine billing platform used in our revenue cycle operations. This role is critical to ensuring payer rules, mappings, system configurations, and upstream data from various RIS/EMR systems and EDIs are accurately maintained to reduce billing errors, denials, and operational inefficiencies. You will act as a liaison between IT, RCM operations, and client teams, leading key initiatives and collaborating closely with internal analysts and external partners.

Requirements

• 5+ years of experience in RCM systems administration
• 2+ years of experience with Imagine software
• In-depth knowledge of Imagine Billing Software (ERS rules, payer setup, pre-bill validations, HL7 interfaces)
• Strong SQL/reporting skills for rule analysis and audits
• Experience with payer rules, insurance mapping, denial management, and cross-platform data integration
• Strong understanding of healthcare billing workflows (radiology/imaging preferred)
• Excellent communication and stakeholder management skills
• Strong analytical and problem-solving mindset
• Ability to lead meetings and manage cross-functional priorities
• Highly organized with a keen eye for detail

Nice To Haves

• Imagine certified strongly preferred
• Experience working with all associated Imagine applications, various EMR/RIS/LIS systems and other scheduling/credentialing platforms preferred
• Familiarity with HL7 interface troubleshooting preferred
• Previous experience working with multi-state Imaging groups (200+ facilities across country) or of similar size operating in Imagine preferred

Responsibilities

• Participate in onboarding kick-off with Operations, RCM, Imagine, and Client stakeholders
• Validate system requirements (PMS/EHR, clearinghouse, interfaces, reporting)
• Update onboarding checklist and timelines
• Identify configuration dependencies and risks
• Work with Imagine to ensure practice, location, provider, and department structures
• Work with Imagine and client to ensure practice, location, providers, rendering/referring details, NPIs, taxonomy, and enrollments flags are completed
• Work with Imagine to ensure fee schedules, charge masters, and contract rates configuration is completed
• Work with Imagine to ensure payer profiles, plans, rules, billing workflows (charge entry, claim edits, posting, follow-up) are configured properly
• Validate, vet, and maintain ERS rules across payers and databases to avoid downstream issues like false debits, false credits, incorrect adjustments, and incorrect patient statements
• Create various checks and balances to avoid any future occurrence of the issues and maintain a project log to ensure there is full transparency
• Create and maintain SOPs for system rule configuration and validation
• Create user accounts and assign role-based access
• Manage onboarding and offboarding of users
• Coordinate with Imagine on historical data migration (demographics, AR, contracts, fee schedules)
• Validate migrated data for completeness and accuracy by working with key stakeholder
• Perform reconciliation between legacy system and new system by working with key stakeholders
• Obtain business sign-off on migrated data
• Work with Imagine for set-up and test interfaces for Clearinghouse, Eligibility & ERA (835), EDI, and Payment gateways / bank files
• Validate end-to-end data flow
• Ensure payer IDs are accurate mapped between Imagine, RIS/EMR, and EDI (Phicure) to avoid reworks
• Collaborate with Phicure credentialing contacts to address provider ID, billing rule, criteria builder logics, and split billing configurations
• Work with Operations to conduct UAT for scheduling, billing, posting, and reporting
• Validate claim generation and submission
• Support parallel run if required
• Resolve configuration defects prior to go-live
• Provide go-live readiness sign-off
• Configure standard operational and financial reports such as charge lag, DOS-based AR aging, cash posting & reconciliation, and denial categories
• Set up dashboards and scheduled report distribution
• Ensure audit and compliance reports are enabled
• Generate SQL/Imagine reports for auditing, rule tracking, and issue identification
• Help in building Infinx AR solutions by working with data analysts to train them on rule structure, reporting logic, and operational impact
• Support user training from a system perspective
• Create system-specific SOPs and configuration documentation
• Provide admin-level knowledge transfer to Operations team
• Maintain configuration and change-log documentation
• Monitor system performance and data integrity
• Support issue resolution and configuration adjustments
• Manage change requests and enhancements
• Coordinate with vendor support for escalations
• Configure auto-adjustment rules to eliminate inflated AR from recurring underpayments or unconfigured adjustments
• Lead initiatives to prevent denials through pre-billing validation, working with upstream systems like RIS for insurance, COB, and PA data synchronization
• Troubleshoot and manage HL7 interface issues between RIS/EMR and Imagine (e.g., demographics, charge transfers, or PA truncations)
• Establish and maintain crosswalk logic when incorrect plans are selected in RIS/EMR, ensuring accurate mapping in Imagine
• Lead weekly system administration calls with end client and internal teams to review priorities and blockers
• Maintain a project tracker for all outstanding system admin items and escalate issues requiring IT/vendor input
• Ensure HIPAA, SOC, and client compliance requirements are met
• Maintain system audit trails
• Support internal and external audits
• Enforce change management protocols

Benefits

• Access to a 401(k) Retirement Savings Plan.
• Comprehensive Medical, Dental, and Vision Coverage.
• Paid Time Off.
• Paid Holidays.
• Additional benefits, including Pet Care Coverage, Employee Assistance Program (EAP), and discounted services.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees