IT Analyst - Electronic Claims/Remittances

Job Description

Job Description

WE ARE HEALTHCARE SYSTEMS OF AMERICA. Our mission is to elevate healthcare standards, improve patient outcomes, and create value for communities across the United States. Healthcare Systems of America (HSA) is more than a healthcare provider-we're a community built on excellence, innovation, and compassion. If you're looking for a career that makes a difference, empowers you to grow, and gives you the opportunity to impact lives, HSA is where you belong.

Healthcare Systems of America operates 8 community hospitals across 3 states. We service a multitude of patients and their families across our vast network, while remaining committed to the professional development of our staff, the functional improvement of our patients, and the cultivation of strong partnerships within our communities.

WHAT WE OFFER

• Career Growth & Development - We are an essential, stable and growing company with many opportunities for training and advancement within the medical field that all employees and team members can benefit from.
• Supportive & Inclusive Culture - We foster an environment where every team member is valued, heard, and empowered to succeed.
• Meaningful Work - Every day, you'll contribute to patient care, cutting-edge medical solutions, and life-changing treatment and technologies.

POSITION SUMMARY

The IT Analyst - Electronic Claims/Remittances is responsible for supporting and optimizing electronic claims and remittance systems across a multi-hospital healthcare system. This role ensures that revenue cycle processes, workflows, and technologies are aligned to drive operational efficiency, compliance, and financial performance.

The Analyst will collaborate with clinical, financial, and IT teams to troubleshoot issues, implement system enhancements, and provide ongoing support for the FinThrive system and how it interfaces with MEDITECH Billing. Additionally, the Analyst will also work directly with Central Billing Office counterparts to support and ensure the proper functioning of all extracts and interfaces from the MEDITECH Revenue Cycle systems.

**This is a fully remote position with minimal travel required for production deployment events and periodic training sessions or meetings.**

PRIMARY RESPONSIBILITIES

• Troubleshoot and resolve system issues related to billing, claims processing, and accounts receivable workflows for both Acute and Ambulatory environments.
• Develop, test, and maintain interfaces between MEDITECH, clearinghouses, and payer platforms.
• Support revenue cycle processes across integrating applications and solutions working with counterparts within the Central Billing Office (CBO).
• Identify opportunities to optimize the MEDITECH platform to improve revenue cycle efficiency and reduce billing errors.
• Test and validate system upgrades, patches, and customizations to ensure compliance and performance.
• Create user training materials and provide hands-on training for revenue cycle staff.
• Develop and maintain system documentation, including workflows, configurations, and troubleshooting guidelines.
• Generate reports and dashboards to monitor system performance, billing metrics, and accounts receivable trends.
• Ensure that systems and processes comply with HIPAA, CMS, and other healthcare regulatory requirements.
• Implement security measures to protect sensitive patient and financial information.

EXPERIENCE/EDUCATION REQUIREMENTS

• Bachelor's degree in Healthcare Informatics, Information Technology, Business Administration, or a related field (preferred).
• 2+ years of experience in healthcare IT revenue cycle management, with expertise in Clearinghouses and MEDITECH Revenue Cycle systems.
• Knowledge of healthcare billing processes, claims management, and payer requirements.
• Experience with system integrations, HL7 interfaces, and clearinghouse workflows.

SKILLS/REQUIREMENTS

• Strong troubleshooting skills for resolving claims processing issues.
• Focus on accuracy and attention to detail in data management.
• Implementation and support of 837 claims and 835 remittances within a clearinghouse
• Ability to analyze complex data, identify trends, and propose actionable solutions.
• Strong verbal and written communication skills for working with multidisciplinary teams and end-users.