Health Business Solutions LLC

Job Title: RCM Implementation Specialist 

Department: Client Activations/ Implementation

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