Company Overview:
Req ID: 391645
NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.
We are currently seeking a Revenue Cycle Applications Support Analyst (L2/L3) to join our team in Frisco, Texas (US-TX), United States (US).
Job Description:
US Healthcare Support Hours / Rotational On-Call Support
Position Summary
We are seeking an experienced Revenue Cycle Applications Support Analyst (L2/L3) to provide functional and technical support for Revenue Cycle Management (RCM) applications used across healthcare provider organizations. This role is responsible for supporting end-to-end revenue cycle systems including Patient Access, Registration, Scheduling, Medical Coding, Charge Capture, Claims Management, Denial Management, Payment Posting, and Accounts Receivable (AR) processes.
The ideal candidate will possess strong healthcare revenue cycle domain expertise combined with hands-on experience supporting EHR/EMR, Practice Management, Billing, Claims, and Revenue Cycle applications. The role requires advanced troubleshooting, application configuration, interface support, reporting, and production support expertise to ensure optimal financial and operational performance.
Key Responsibilities
- Revenue Cycle Application Support
- Provide L2/L3 production support for Revenue Cycle Management (RCM) applications.
- Support core revenue cycle workflows including:
- Patient Registration
- Insurance Verification
- Prior Authorization and Referrals
- Charge Capture
- Medical Coding
- Claims Management
- Payment Posting
- Denial Management
- Accounts Receivable Follow-up
- Troubleshoot complex application issues impacting revenue cycle operations.
- Partner with Revenue Integrity, Billing, Coding, Patient Access, and Finance teams to ensure smooth application operations.
- Patient Access & Registration Support
- Support applications used for:
- Patient Registration
- Scheduling
- Insurance Eligibility Verification
- Prior Authorization Management
- Referral Management
- Investigate and resolve issues related to demographic information, coverage verification, registration work queues, and payer eligibility transactions.
- Ensure accurate data flow between registration, EMR, and billing systems.
- Medical Coding & Charge Capture Support
- Support coding and charge capture workflows within RCM applications.
Troubleshoot issues related to:
- ICD-10-CM coding
- CPT coding
- HCPCS coding
- Charge review work queues
- Charge reconciliation processes
- Collaborate with coding teams to address application configuration and workflow issues.
- Support charge capture integrity and revenue optimization initiatives.
- Claims Management Support
- Support electronic claims submission and clearinghouse integrations.
- Troubleshoot:
- Claim generation failures
- Claim edits and scrubbing issues
- Electronic claim transmission errors
- Rejected claims
- Clearinghouse communication failures
- Monitor claim processing workflows and ensure timely claim submission.
- Coordinate with clearinghouse and payer teams to resolve system-related claim issues.
- Payment Posting Support
- Support payment posting and remittance processing applications.
- Investigate issues related to:
- ERA transactions
- EOB processing
- Adjustment posting
- Reconciliation variances
- Payment exceptions
- Ensure accurate posting of payer and patient payments.
- Resolve payment integration and financial reconciliation issues.
- Denial Management Support
- Support denial tracking and denial management applications.
- Analyze and troubleshoot:
- Denial work queues
- Underpayment tracking
- Appeal workflows
- Payer response processing
- Assist revenue cycle teams in identifying recurring denial patterns and system-related root causes.
- Support denial prevention and revenue recovery initiatives.
- Accounts Receivable (AR) Support
- Support AR worklists, collection tools, and follow-up workflows.
- Troubleshoot issues impacting:
- Aged receivables
- Collection activities
- Payer follow-up
- Patient balances
- Write-off workflows
- Assist in reducing outstanding AR and improving collection performance.
- Interface & Integration Support
- Support integrations between Revenue Cycle applications and:
- EHR/EMR Systems
- Practice Management Systems
- Clearinghouses
- Payer Portals
- Financial Systems
- Patient Financial Services Applications
- Troubleshoot interface failures and transaction errors.
- Support HL7, X12, EDI, and healthcare interoperability workflows.
- Validate revenue cycle data transmission and reconciliation across systems.
- Reporting & Analytics
- Develop and support reports, dashboards, and operational metrics related to:
- Claims Volume
- Clean Claim Rate
- First Pass Resolution Rate
- Denial Rate
- Collection Performance
- AR Aging
- Payment Variance Analysis
- Support ad-hoc reporting requests from Revenue Cycle leadership.
- Perform data analysis to identify trends, revenue leakage, and process improvement opportunities.
- Application Maintenance & Release Management
- Participate in application upgrades, patches, enhancements, and release activities.
- Perform impact assessments, testing, validation, and post-implementation support.
- Support configuration updates related to payer rules, claims edits, billing workflows, and coding changes.
- Maintain application documentation, support procedures, and knowledge repositories.
- Incident, Problem & Change Management
- Resolve complex incidents, service requests, and system issues.
- Perform root cause analysis for recurring operational problems.
- Participate in major incident and escalation management.
- Ensure adherence to SLA, change management, and governance standards.
- Support continuous improvement initiatives for revenue cycle operations.
- Required Skills & Experience 5+years of experience in the below skills
- Revenue Cycle Functional Knowledge 5+years of experience in the below skills
- Strong knowledge of:
- Revenue Cycle Management (RCM)
- Patient Registration & Scheduling
- Insurance Eligibility & Authorization
- Medical Billing
- Medical Coding
- ICD-10-CM, CPT, and HCPCS
- Charge Capture
- Claims Processing
- Claims Adjudication
- Payment Posting
- Denial Management
- Appeals & Reconsiderations
- Accounts Receivable (AR) Management
- Revenue Integrity Processes
- Payer Contracting Concepts
Technical Skills- 5+years of experience in the below skills
- Experience supporting Revenue Cycle applications in healthcare provider environments.
- Experience supporting:
- EHR/EMR Systems
- Practice Management Applications
- Billing Platforms
- Claims Management Systems
- Clearinghouse Integrations
- Knowledge of:
- HL7
- ANSI X12 Transactions (837, 835, 270/271, 276/277)
- EDI processing
- Interface monitoring and troubleshooting
- Experience with SQL queries, reporting tools, and data analysis.
- Strong Excel skills for operational reporting and reconciliation analysis.
- Regulatory & Payer Knowledge 5+years of experience in the below skills
- Medicare regulations and billing requirements.
- Medicaid billing and reimbursement processes.
- Commercial payer claim and authorization workflows.
- Healthcare compliance and revenue integrity requirements.
- HIPAA regulations and patient financial data privacy requirements.
- Qualifications
- Bachelor's degree in Healthcare Administration, Health Information Management, Information Technology, Business, Finance, or related field.
- L2/ L3 Support: 5+ years of experience supporting enterprise Revenue Cycle platforms, integrations, and advanced troubleshooting.
- Experience supporting hospital, health system, physician practice, ambulatory, or multi-specialty healthcare organizations.
NTT DATA provides a reasonable range of compensation for U.S.-based positions. The starting pay range for this remote role is $45-$57/hour.a This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on a number of factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications.
This position is eligible for company benefits including participation in medical, dental, and vision insurance, flexible spending or health savings account, and AD&D insurance, employee assistance, participation in a 401k program, and additional voluntary or legally-required benefits
About NTT DATA:
NTT DATA is a $30 billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize and transform for long term success. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure and connectivity. We are one of the leading providers of digital and AI infrastructure in the world. NTT DATA is a part of NTT Group, which invests over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. Visit us at us.nttdata.com
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