Job Overview

The Financial Implementation Specialist I plays a key role in supporting the strategic objectives of the Implementation Department. This position is responsible for gathering customer financial requirements, configuring system setups, and providing support throughout the implementation process within the Careficient product suite.

The Specialist collaborates with senior financial implementation team members and cross-functional project teams to prepare customers for successful operational go-lives. Post go-live, the Specialist continues to provide financial troubleshooting support until the project is formally closed.

Key Responsibilities

• Configure system components (e.g., payers, service codes, fee schedules) based on documented customer requirements.
• Conduct testing and verification of financial configurations to ensure accuracy and effectiveness.
• Provide expert guidance on system configurations and revenue cycle workflow optimization.
• Evaluate current clinical and financial workflows and recommend best practices for improved efficiency.
• Communicates project status, risks, and needs to Project Managers, Trainers, and other relevant teams.
• Participate in external and internal meetings including customer kick-off calls, financial scoping sessions, and weekly project check-ins.
• Troubleshoot and independently resolve end-user issues during and after implementation.
• Serve as a financial configuration subject matter expert and escalation point for complex issues.
• Collaborate cross-functionally with other departments to ensure deliverables and customer needs are met.
• Analyze and interpret payer requirements and incorporate into system configurations.
• Share customer feedback with internal teams to inform product improvement efforts.
• Perform other related duties as assigned.

Requirements

• 1–3 years of billing or revenue cycle management experience in a medical setting environment.
• Solid understanding of Home Health and Hospice billing regulation a plus.
• Familiarity with Inovalon Medicare billing practices and workflows is a plus.
• Experience with Careficient financial/billing modules is preferred.

Note: This job description is not intended to be all-inclusive. Additional responsibilities may be assigned to meet evolving organizational needs.