The ideal candidate will have deep knowledge of Revenue Cycle modules—including Registration, Scheduling, Charge Services, Patient Accounting, and Health Information Management—and will play a key role in optimizing workflows, ensuring integration accuracy, and supporting end-to-end revenue operations within healthcare systems. This is a hands-on role requiring both technical proficiency and strong functional understanding of RCM processes.
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What you will do:
- Configure and maintain modules related to Registration, Scheduling, Billing, and Claims.
- Develop and manage required components of the system based on clinical and financial requirements.
- Maintain Health Plan setup, Contractual Discounts, and Claim Submission Deadlines aligned with payer rules and regulatory compliance.
- Analyze and streamline RCM workflows to improve operational efficiency and financial accuracy.
- Collaborate with functional and technical teams to identify bottlenecks and propose system-based solutions.
- Provide expert consulting to business stakeholders on RCM design decisions, interdependencies, and workflow impacts.
- Support and troubleshoot integration between HIS and external systems.
- Design, code, and implement enhancements using Java, DiscernDev, Custom MPage Development, and CCL/Custom Reporting to meet evolving business needs.
Basic Qualifications:
- Bachelor’s degree in Computer Science, Information Technology, or related field.
- Minimum 5 years of experience in Healthcare Information Systems (HIS) with a focus on Revenue Cycle Management.
- Proven expertise in Revenue Cycle modules (Registration, Scheduling, Charge Services, Patient Accounting, HIM etc).
Preferred:
- Experience working with Health Insurance Post Offices (e.g., Riayati, DHPO), including transaction monitoring and troubleshooting.
- Hands-on experience with CCL, MPage Development, DiscernDev, and Java programming.
- Strong understanding of health plan configuration, claim workflows, charge capture, and discount management.
- Excellent analytical, problem-solving, and documentation skills.
- Excellent English communication skills, both verbal and written.
Expected Attributes:
- Proactive and detail-oriented with a focus on quality and results.
- Strong stakeholder management and communication skills.
- Passion for healthcare innovation and operational excellence.
- Ability to work under pressure, handle multiple priorities, and meet tight deadlines.
- Willingness to travel and support on-site as needed.
