AI Solution Engineer
We are seeking an innovative RCM AI Solutions Engineer to lead the development and implementation of AI-powered solutions that transform revenue cycle operations. This individual will identify automation opportunities, design intelligent workflows, and deploy AI-driven tools that improve efficiency, accuracy, and decision-making across the revenue cycle lifecycle.
What You'll Do:
AI Solutions Development
- Design, build, test, and deploy AI-powered tools, agents, and workflows.
- Develop custom prompts and automation solutions that streamline operational processes.
- Integrate AI solutions with healthcare and business systems.
- Evaluate new AI capabilities and recommend innovative applications.
Revenue Cycle Optimization
- Identify opportunities to automate manual tasks and reduce administrative burden.
- Improve workflows related to:
- Prior Authorizations
- Denial Management
- Claims Follow-Up
- Eligibility & Benefits Verification
- Revenue Cycle Operations
- Measure and monitor performance improvements resulting from AI adoption.
Cross-Functional Collaboration
- Partner with operational, technology, compliance, finance, and clinical teams to deliver effective solutions.
- Serve as a subject matter expert on AI tools and best practices.
- Train end users and support organizational adoption of AI-powered workflows.
Governance & Compliance
- Ensure adherence to healthcare regulatory requirements, privacy standards, and responsible AI practices.
- Implement monitoring, quality assurance, and governance processes for AI solutions.
- Maintain documentation and support ongoing optimization efforts.
Qualifications:
Qualifications:
- 3 years of experience in Healthcare Revenue Cycle Management (RCM).
- Knowledge of claims processing, denials, authorizations, eligibility verification, and billing operations.
- Experience with AI, automation, machine learning, conversational AI, or workflow optimization technologies.
- Familiarity with large language models (LLMs), prompt engineering, and AI-powered business applications.
- Experience integrating solutions with enterprise software platforms.
- Understanding of healthcare compliance, privacy, and data security requirements.
- Strong analytical, problem-solving, and communication skills.
- Ability to collaborate across technical and operational teams while driving change and innovation.
Compensation
$130,000.00-$155,000.00 YearlyAbout Us
Technology Doesn't Change the World, People Do.®
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