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IT Analyst - MedHost

IT Analyst - MedHost

Healthcare Systems of AmericaMiami, FL, US
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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.

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.

POSITION SUMMARY

The IT Analyst – MedHost is responsible for supporting and optimizing revenue cycle 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.

This individual will collaborate with clinical, financial, and IT teams to troubleshoot issues, implement system enhancements, and provide ongoing support for the MedHost system and its interfaces. Additionally, the Analyst will also closely collaborate with Billing Office counterparts to support and ensure the proper functioning of all extracts and interfaces from the MedHost 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 MedHost, clearinghouses, and payer platforms.
  • Support revenue cycle processes across integrating applications and solutions collaborating with counterparts in the Billing Office, HIM, and IT infrastructure teams.
  • Identify opportunities to optimize the MedHost platform to improve revenue cycle efficiency, increase clean claim rates, and reduce billing errors.
  • Test and validate system upgrades, patches, and customizations to ensure compliance and performance, documenting all findings and resolutions.
  • Create user training materials and provide hands-on training for revenue cycle staff, including billing analysts and registration personnel.
  • Develop and maintain system documentation, including workflows, configurations, interface specifications, 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, in coordination with IT security and compliance teams.
  • Participate in projects to implement new payer connections, transaction types (e.g., 276 / 277, 835), and clearinghouse features.
  • Serve as a subject matter expert on clearinghouse workflows and electronic transactions, including claim rejections, remittance parsing, and eligibility queries.
  • As a member of the analyst team, provide 24x7x365 coverage for the organization on a rotating basis

    • 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 MedHost systems.
  • Hands-on experience with clearinghouse platforms, with understanding of 837 / 835 and 270 / 271 transaction sets.
  • Experience with system integrations, HL7 interfaces, and clearinghouse workflows.

    • SKILLS / REQUIREMENTS

  • Working knowledge of MedHost Revenue Cycle modules, including Billing, Abstracting, and Accounts Receivable workflows.
  • Knowledge of healthcare billing processes, claims management, and payer requirements.
  • Proven troubleshooting skills for resolving claims processing issues.
  • High attention to detail and commitment to accuracy in data entry, reconciliation, and reporting.
  • Implementation and support of 837 claims and 835 remittances within a clearinghouse
  • Ability to analyze complex data, identify trends, and develop and deploy actionable solutions.
  • Strong verbal and written communication skills for working with multidisciplinary teams, end users, and external vendors.
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