MedHost Revenue Cycle Technical Analyst - Billing, Abstracting, AR, Clearinghouse & EDI

• *This is a remote position with minimal travel required for production deployment events and periodic training sessions or meetings.** KORE1, a nationwide provider of staffing and recruiting solutions, has an immediate opening for a full-time MedHost Revenue Cycle Technical Analyst – Billing, Abstracting, AR, Clearinghouse & EDI 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. 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

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.
• 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.
• Hands-on experience with clearinghouse platforms, with understanding of 837/835 and 270/271 transaction sets.
• Implementation and support of 837 claims and 835 remittances within a clearinghouse
• Experience with system integrations, HL7 interfaces, and clearinghouse workflows.
• Ability to analyze complex data, identify trends, and develop and deploy actionable solutions.
• High attention to detail and commitment to accuracy in data entry, reconciliation, and reporting.
• Strong verbal and written communication skills for working with multidisciplinary teams, end users, and external vendors.

Compensation depends on experience but is typically $75K - 85K. ABOUT KORE1 Specializing in professional and technical recruiting, KORE1 is committed to supporting top IT, Engineering, Creative, Scientific, Accounting and Finance professionals in their career paths. We build deep relationships with leading companies, connecting them to exceptional talent every day. With extensive industry expertise and unmatched opportunities, our goal is to provide a unique experience for our contractors and consultants as they prepare for their next role. We are passionate about matching the right people with the right companies. Kore1 provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Kore1 complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Kore1 expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Kore1's employees to perform their job duties may result in discipline up to and including discharge. Apply tot his job Apply To this Job