RCM Systems & Business Analyst

Nimble Solutions•Chesterfield Office Hybrid or Remote, MO

About The Position

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.

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

Nice To Haves

Relevant certifications such as Certified Revenue Cycle Representative (CRCR) or Certified Professional Coder (CPC) are a plus

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