RCM Implementation Specialist

2 days ago

Remote, Oregon, United States Health Business Solutions Full time

Job Summary:

The Revenue Cycle Implementation Specialist is responsible for supporting the end-to-end implementation of revenue cycle solutions for healthcare clients, including hospitals, physician practices, or health systems. This role ensures seamless onboarding of services and technology by collaborating with cross-functional teams, coordinating project tasks, managing timelines, and supporting clients through all phases of the implementation process—from discovery to go-live and transition to operations.

Key Responsibilities:

  • Serve as the primary point of contact for clients during implementation, ensuring consistent communication and status updates.
  • Partner with internal teams (IT/Data Acquisition, HR, Operations, Training, Quality, etc.) to gather requirements, configure systems, and design efficient workflows.
  • Develop and manage detailed implementation project plans and timelines; track progress and escalate risks or delays as needed.
  • Facilitate discovery sessions and gather critical data such as payer contracts, client policies, and existing workflows.
  • Coordinate and manage client system access needs, including submitting access requests, tracking approvals, and validating access for internal teams.
  • Ensure proper setup of collection tool, denial workflows, and reporting infrastructure.
  • Lead or support client training efforts on new systems, processes, and tools.
  • Conduct system testing, validate setup accuracy, and resolve any configuration issues before go-live.
  • Monitor early performance post go-live and partner with operations to resolve open items and ensure a smooth transition.
  • Document implementation procedures, best practices, and lessons learned to improve future project success.
  • Maintain compliance with HIPAA and all applicable regulations throughout the implementation process.
  • Document all aspects of the project, including client decisions, system configurations, timelines, milestones, meeting notes, and outstanding issues.

Qualifications:

Required:

  • Bachelor's degree in Healthcare Administration, Business, Marketing, or related field—or equivalent work experience.
  • 2+ years of experience in healthcare revenue cycle management, implementation, or client services.
  • Strong understanding of revenue cycle functions including registration, charge capture, coding, billing, AR collections, and denial management.
  • Excellent project management and organizational skills.
  • Ability to communicate effectively with both technical and non-technical stakeholders.
  • Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint, Outlook, Visio); Smartsheet or project management tools a plus.

Preferred:

  • Experience with healthcare systems (e.g., Epic, Cerner, Meditech, HealthQuest or others).
  • PMP, Lean Six Sigma, CRCR, or other relevant certifications.
  • Experience working with outsourced and offshore RCM vendors or third-party billing providers.

Key Competencies:

  • Client-Focused Mindset
  • Detail-Oriented and Analytical
  • Adaptability in Fast-Paced Environments
  • Team Collaboration
  • Problem-Solving and Critical Thinking
  • Professional Communication

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