Job Title: Revenue Cycle Management (RCM) Technical Business Analyst

Company: Altea Healthcare/Aarista Technologies

Location: Onsite in Burnaby, BC

Job Type: Full-Time

About the Role:

We are looking for an experienced RCM Technical Business Analyst to join our growing healthcare technology team. This role will be crucial in bridging the gap between our technical teams and business stakeholders. You will be responsible for gathering and analyzing business requirements, translating them into technical specifications, and ensuring that our RCM solutions meet both operational and regulatory standards. You will work closely with product managers, developers, and RCM operations to optimize and streamline revenue cycle management processes.

Key Responsibilities:

• Gather and analyze business requirements related to the revenue cycle process, including claim submission, remittance processing, and payer integration.
• Translate business needs into technical requirements and specifications for development teams.
• Collaborate with cross-functional teams, including engineering, product, and operations, to ensure solutions align with both business goals and technical capabilities.
• Conduct data analysis and reporting to identify revenue cycle inefficiencies and areas for process improvement.
• Define and document workflows, use cases, and functional specifications for RCM-related tools and systems.
• Lead user acceptance testing (UAT) and assist in troubleshooting and resolving issues during the development and implementation phases.
• Work with RCM stakeholders to ensure that system updates comply with payer rules, healthcare regulations, and billing standards (e.g., 835/837, HIPAA).
• Monitor system performance and provide actionable insights to improve the efficiency of RCM processes, including denials management, billing, and payments.
• Assist in the training of business users on new RCM systems or functionality.

Qualifications:

• 3-5+ years of experience as a business analyst, ideally with a focus on RCM or healthcare technology.
• Strong understanding of healthcare billing processes, including claim submissions (837), remittance processing (835), denials, and payment posting.
• Experience with clearinghouse integrations (e.g., Change Healthcare, Availity, Waystar).
• Familiarity with X12 EDI formats (especially 835 and 837) and healthcare payer requirements.
• Experience working with RCM systems, electronic health records (EHR/EMR), or healthcare billing platforms.
• Ability to translate business requirements into technical specifications and user stories for development teams.
• Proficiency in data analysis and reporting using tools like SQL, Excel, or similar.
• Strong communication and collaboration skills, with the ability to engage with both technical and non-technical stakeholders.
• Familiarity with Agile or Scrum methodologies and tools like Jira.
• Knowledge of HIPAA and other healthcare data security standards.

Preferred Qualifications:

• Experience with FHIR and healthcare interoperability standards.
• Background in working with MongoDB or other databases.
• Experience with business process modeling or requirements gathering techniques (e.g., BPMN, use case diagrams).

Why Join Us:

• Make a significant impact on the development of healthcare technology that enhances revenue cycle efficiency.
• Collaborate with a dynamic and cross-functional team of experts in engineering, product, and RCM operations.
• Contribute to building scalable solutions that improve billing and financial processes for healthcare providers.