Buscar empleo: 957 ofertas de trabajo de data analyst en Florida (abril 2026) - page 6

Senior Revenue Cycle Management Systems Analyst

hace 9 días

Fort Lauderdale

Job Description Senior Revenue Cycle Management Systems Analyst – ICBD Downtown Fort Lauderdale, FL HQ - In-Office About ICBD ICBD is a robust single-family office focused on private investment and business development, supporting exceptional companies in healthcare, technology, and beyond. We own and operate a growing portfolio of high-performance businesses united by a shared commitment to people, operational excellence, and long-term value creation. But we’re not just building businesses—we’re building a legacy of leadership, innovation, and purpose. Joining ICBD means you'll be part of the team behind some of the fastest-growing companies in healthcare, technology, and business services. We are proudly self-funded, committed to sustainable growth, and led by visionary thought leaders—including our CEO and Founder, the 2024 Ernst & Young U.S. Entrepreneur Of The Year® National Overall Award winner. Our most visible success is ABA Centers, a revolutionary leader in autism care and diagnostics, ranked #5 on the 2024 Inc. 5000 list of fastest-growing private companies in the U.S. The ICBD portfolio includes these dynamic organizations united by strategic vision, operational expertise, and unwavering commitment to excellence: • ABA Centers – The leading provider of autism care in the U.S., with 13 regional brands and 70+ operating areas., • GateHouse Treatment – A comprehensive network of substance use disorder programs that address the full spectrum of recovery needs from medical treatment to supportive housing and respite services., • Marquis MD – A concierge medicine concept redefining healthcare by prioritizing convenience, connection, and care powered by advanced technology., • Exact Billing Solutions – Innovative revenue cycle management and advanced billing support systems for healthcare providers., • Curative AI – A next-generation platform using AI to disrupt and transform the healthcare system by providing new solutions for revenue cycle management, scheduling, medical documentation, clinical and diagnostic support, and more., • The Christopher M. Barnett Family Foundation – The philanthropic heart of ICBD, advancing programs that address autism care, food insecurity, homelessness, women’s empowerment, and underserved children. Recognition & Awards At ICBD, our commitment to operational excellence, ethical leadership, and transformative care has earned us recognition across industries. Our portfolio companies and leadership team have been honored with multiple awards, including: • Inc. 5000 – 5th Fastest-Growing Private Company in America (2024)., • Financial Times – #1 on "The Americas' Fastest Growing Companies.", • EY Entrepreneur Of The Year® U.S. Overall., • South Florida Business Journal’s Top 100 Companies., • Florida Trend Magazine's 500 Most Influential Business Leaders., • Inc. Best in Business, Health Services. About the Role The Senior Revenue Cycle Management Systems Analyst — RCM is a senior technical and functional individual contributor responsible for the implementation, administration, integration, and ongoing optimization of the organization's revenue cycle management technology stack — with CollaborateMD as the primary platform. This role bridges the gap between healthcare operations and technology: the ideal candidate is equally comfortable configuring billing workflows inside an RCM platform, writing API-based integrations, extracting and analyzing claims data via SQL, and sitting across the table from a billing director to map out a process improvement. This is not an entry-level or purely functional role. We are looking for someone who has worked inside a real RCM environment — who understands the revenue cycle from patient registration through claim submission, adjudication, ERA posting, and denial management — and who can translate that domain knowledge into system configurations, integrations, and technical solutions. Experience with CollaborateMD is strongly preferred; candidates with deep expertise in comparable platforms (Kareo, AdvancedMD, athenahealth, or similar) will also be considered. A defining expectation of this role is healthcare interoperability: this analyst will own and maintain integrations between the RCM platform and adjacent systems — EHR/EMR platforms, clearinghouses, payer portals, and internal data pipelines — using HL7, FHIR, X12 EDI, and API-based standards. The analyst will also take ownership of system implementations and enhancement projects from requirements through go-live, coordinating with clinical, billing, and IT stakeholders throughout. ESSENTIAL DUTIES & RESPONSIBILITIES RCM Platform Administration — CollaborateMD & Comparable Systems • Serve as the primary administrator for CollaborateMD (or equivalent RCM platform), with full ownership of system configuration, user management, role architecture, and environment governance., • Configure and maintain core RCM platform settings including practice setup, provider enrollment, fee schedules, payer configurations, place of service codes, and billing rules., • Manage charge capture configurations including CPT/ICD mapping, modifier rules, bundling logic, and provider-specific billing profiles., • Administer ERA/EOB posting rules, payment variance thresholds, contractual adjustment mappings, and denial reason code routing., • Coordinate platform upgrades, patch releases, and new module deployments; lead regression testing and UAT with RCM stakeholders., • Maintain system documentation, configuration logs, and change management records in accordance with IT governance standards. Healthcare Interoperability & Integration Development • Design, build, and maintain integrations between the RCM platform and external systems using HL7 v2.x (ADT, SIU, DFT, ORM, ORU), FHIR R4 APIs, and X12 EDI transaction sets (837, 835, 270/271, 276/277, 278)., • Own and manage integrations between CollaborateMD and EHR/EMR platforms for patient demographics, encounter data, charge feed, and clinical documentation., • Manage clearinghouse integrations including claim submission pipelines, acknowledgment processing (999/TA1), and rejection resolution workflows., • Build and maintain payer portal integrations and automated eligibility verification workflows, including real-time and batch 270/271 transactions., • Maintain the integration between CollaborateMD and NetSuite ERP for payment posting, revenue recognition, and financial reconciliation data flows., • Develop and maintain RESTful and SOAP API connections; write and maintain integration scripts, transformation logic, and data mapping specifications., • Monitor integration performance, implement alerting, and manage exception handling and reprocessing workflows to ensure data completeness and accuracy. Revenue Cycle Workflow & Process Configuration • Configure and optimize end-to-end RCM workflows including patient registration, insurance verification, prior authorization tracking, charge entry, claim submission, payment posting, denial management, and patient billing., • Build and maintain eligibility and benefits verification workflows, including real-time eligibility checks and coordination of benefits (COB) logic., • Configure prior authorization tracking, workflow routing, and status update logic within the RCM platform and integrated systems., • Support the configuration of patient statement workflows, payment plan setups, and patient portal integrations for self-pay collections., • Ensure billing configurations comply with payer-specific rules, CMS guidelines, and applicable regulatory requirements (HIPAA, No Surprises Act, etc.)., • Partner with RCM leadership and billing teams to identify workflow inefficiencies, configure system solutions, and measure performance improvements. Data Extraction, Reporting & Analytics • Design and maintain RCM performance dashboards and reports covering key metrics: clean claim rate, denial rate, days in AR, collection rate, first-pass resolution rate, and payer-specific performance., • Build and automate reporting outputs for RCM leadership, Finance, and clinical operations using the platform's native reporting tools and connected BI tools such as Power BI., • Support month-end close activities by providing accurate revenue, collections, and AR aging data; assist Finance with reconciliation between the RCM platform and NetSuite., • Develop and maintain data dictionaries, field mapping documentation, and data lineage records for all RCM data flows and integrations., • Assist the Data & Analytics team. System Implementation & Project Delivery • Lead or co-lead RCM system implementations, module deployments, and integration projects from requirements gathering through go-live and hypercare., • Develop and maintain project documentation including implementation plans, configuration workbooks, test scripts, cutover checklists, and training materials., • Coordinate and lead UAT with RCM, clinical, and Finance stakeholders; manage defect tracking, resolution, and sign-off., • Produce high-quality technical documentation including Business Requirements Documents (BRDs), Functional Specifications, data flow diagrams, and integration design documents. System Support, Troubleshooting & Governance • Serve as Tier-2/Tier-3 application support for CollaborateMD and connected RCM systems; triage, diagnose, and resolve complex functional and technical issues., • Troubleshoot integration failures, claim rejection patterns, ERA posting errors, and data discrepancies across connected systems., • Coordinate with CollaborateMD support, clearinghouse partners, and payer EDI teams to resolve technical issues and implementation blockers., • Administer user access, role-based permissions, and audit controls in compliance with HIPAA and internal security standards., • Maintain and enforce data governance standards including PHI handling, data retention policies, and access logging within the RCM platform., • 5+ years of hands-on experience in a Business Systems Analyst, RCM Systems Analyst, or similar technical role within a healthcare revenue cycle environment., • Direct, production-level experience administering CollaborateMD or a comparable RCM platform (Kareo, AdvancedMD, athenahealth, Waystar, Epic Resolute, or similar); CollaborateMD experience strongly preferred., • Deep understanding of the end-to-end revenue cycle: patient registration, insurance verification, eligibility, charge capture, claim submission, ERA/EOB processing, denial management, and patient billing., • Demonstrated experience building and maintaining healthcare interoperability integrations using HL7 v2.x, FHIR R4, and X12 EDI standards (837, 835, 270/271, 276/277)., • Hands-on experience with clearinghouse platforms (Change Healthcare, Availity, Waystar, or similar) including claim submission, rejection management, and ERA processing., • Experience with RESTful and/or SOAP API integrations; ability to read API documentation, write integration logic, and troubleshoot data exchange issues independently., • Solid understanding of HIPAA regulations, PHI data handling requirements, and security controls relevant to healthcare IT systems., • Strong requirements gathering, documentation, and communication skills — able to work effectively with RCM operations, clinical teams, Finance, and technical stakeholders., • Experience leading or co-leading RCM system implementations or integration projects from requirements through go-live. Preferred / Nice to Have • Direct CollaborateMD administration experience, including payer setup, billing rules, ERA configuration, and reporting., • Experience with Epic, athenahealth, eClinicalWorks, or other major EHR/EMR platforms and their RCM integration patterns., • Familiarity with FHIR-based interoperability standards including SMART on FHIR, CDS Hooks, and Da Vinci implementation guides., • Experience with payer-specific EDI requirements, enrollment processes, and ERA/EFT setup across commercial and government payers (Medicare, Medicaid, BCBS, UHC, Aetna, etc.)., • Knowledge of medical coding standards: CPT, ICD-10-CM/PCS, HCPCS, modifiers, and their impact on claim adjudication., • Experience with prior authorization platforms (Availity, CoverMyMeds, or payer-native portals) and their integration with RCM workflows., • Exposure to NetSuite ERP and RCM-to-ERP financial data flows for revenue, collections, and AR reconciliation., • Experience in multi-specialty, multi-site, or high-volume ambulatory or hospital-based billing environments., • 21 paid days off (15 days of PTO, which increases with tenure, plus 6 holidays)., • Flexible Spending Account (FSA) and Health Savings Account (HSA) options., • Medical, dental, vision, long-term disability, and life insurance., • Generous 401(k) with up to 6% employer match. At ICBD, we believe leadership, innovation, and purpose go hand in hand. Be part of a team where your work drives lasting impact and your career reaches new heights. ICBD participates in the U.S. Department of Homeland Security E-Verify program.

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