RCM Applications Lead

We are seeking an experienced Revenue Cycle Management (RCM) Applications Lead to oversee revenue cycle systems, configuration, optimization, revenue integrity, and assigned RCM configuration staff. This highly visible role will serve as the organization’s RCM subject matter expert , providing expertise across payer configuration, fee schedules, billing logic, claims workflows, EDI, billing edits, and revenue cycle reporting.

The RCM Applications Lead will work closely with EHR, Application Development, Data & Analytics, Finance, Billing, and Operations teams to translate complex business and billing requirements into effective system specifications, configurations, workflows, and testing strategies.

This is an excellent opportunity for an experienced revenue cycle applications professional who enjoys solving complex problems, improving systems and processes, and leading initiatives that directly impact revenue integrity and operational performance., * Lead the design, configuration, implementation, testing, and optimization of revenue cycle applications and workflows.

• Serve as the primary RCM subject matter expert for payer configuration, fee schedules, billing rules, claims workflows, EDI transactions, billing edits, and revenue cycle reporting .
• Oversee and provide guidance to assigned RCM configuration staff , ensuring accuracy, consistency, and timely completion of projects.
• Translate business, operational, and billing requirements into detailed system specifications and configuration requirements .
• Develop and execute comprehensive testing strategies for new configurations, system enhancements, upgrades, and workflow changes.
• Partner with EHR, application development, data and analytics, finance, billing, and operational teams to identify and resolve revenue cycle system issues.
• Analyze existing workflows and system functionality to identify opportunities for automation, optimization, and improved revenue integrity .
• Troubleshoot complex billing, claim, payer, and system configuration issues and lead efforts to determine root causes and sustainable solutions.
• Support payer and reimbursement configuration, including maintenance and validation of fee schedules and billing logic.
• Monitor system performance and data to identify trends, billing errors, claim issues, and opportunities to improve clean-claim rates and revenue cycle outcomes.
• Support EDI workflows and ensure accurate electronic claims and related transactions.
• Maintain documentation related to system configuration, workflows, testing, and change management.
• Provide leadership and expertise for revenue cycle projects, system implementations, upgrades, and process improvement initiatives.

• Significant professional experience within Revenue Cycle Management and healthcare applications/systems .
• Strong hands-on knowledge of RCM system configuration and optimization .
• Demonstrated expertise with payer configuration, fee schedules, billing logic, claims processing, billing edits, and EDI.
• Strong understanding of healthcare billing and revenue cycle workflows from charge capture through claim submission, payment, denial management, and reporting.
• Experience translating complex business requirements into technical specifications, system configurations, and testing plans .
• Previous experience leading projects, initiatives, or RCM configuration/application staff.
• Experience collaborating across technical and operational teams, including EHR, IT/application development, finance, billing, operations, and data/analytics.
• Strong analytical and troubleshooting skills with the ability to identify root causes of complex revenue cycle issues.
• Excellent communication skills with the ability to explain technical concepts to both technical and non-technical stakeholders.
• NextGen EHR experience required

• Partially paid Medical, Dental, Life, Disability, Vision
• 5 weeks PTO
• 401k with match
• Tuition reimbursement
• HSA, FSA
• Wellness programs
• 100% remote

Why Consider This Opportunity?

This position offers the opportunity to take ownership of critical revenue cycle applications while influencing how technology supports billing, reimbursement, and revenue integrity across the organization. You will have the ability to lead improvements, collaborate with key stakeholders, and make a measurable impact on revenue cycle performance.

If you are an experienced RCM Applications Lead, Revenue Cycle Systems Lead, RCM Systems Analyst, or Revenue Cycle Applications professional ready to take the next step in your career, we would love to speak with you. Apply today to learn more about this fully remote opportunity.

Pay Details: $111,000.00 to $124,985.00 per year

Equal Opportunity Employer/Veterans/Disabled

Military connected talent encouraged to apply

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The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers
• San Francisco Fair Chance Ordinance