[Hiring] RCM Systems Administrator @Palmetto Infusion Careers

Role Description

The System Administrator is responsible for overseeing Revenue Cycle system administration, payer configuration, fee schedules, reimbursement setup, and payer portal management to support accurate billing and reimbursement operations. This position ensures system configurations reflect contractual and regulatory requirements, oversees testing and quality controls, identifies reimbursement and configuration discrepancies, and partners with internal teams and external vendors to implement system enhancements, automation, and workflow improvements that support efficient and accurate Revenue Cycle operations.

Schedule: Monday – Friday; 8:00 AM – 5:00 PM, Work from Home

Qualifications

• High School Diploma or Equivalent
• 3 years of progressively responsible experience in healthcare Revenue Cycle systems, payer configuration, reimbursement, system administration, billing operations, or a related function
• Proficient at partner programs (i.e.: MS Outlook, Word, Excel)
• Ability to cope with ambiguous, changing environment while under pressure in a calm manner
• Must be able to work as a team member and develop productive and cooperative working relationships with all members of the Palmetto Infusion team

Requirements

• Oversee the creation, configuration, maintenance, and validation of payer records and reimbursement structures, including fee schedules, rates, billing codes, modifiers, locations, plan types, effective dates, and payer-specific requirements
• Review payer contracts, amendments, rate notifications, regulatory updates, and reimbursement documentation to identify required system changes and ensure updates are implemented accurately and timely
• Maintain reimbursement rates for professional services, infusion services, medications, supplies, and other billable services using applicable contractual terms and published reimbursement methodologies
• Perform and oversee quality assurance reviews, validation, and pre-production testing to ensure system and fee schedule changes are accurate, appropriately approved, documented, and implemented before release
• Analyze expected versus actual reimbursement, research payment variances, identify potential underpayments or configuration issues, and coordinate appropriate resolution with Revenue Cycle and operational partners
• Support internal audits, payer reviews, revenue integrity initiatives, and reimbursement inquiries involving payer configuration, fee schedules, reimbursement methodologies, and Revenue Cycle system functionality
• Administer payer portals and third-party Revenue Cycle systems, including user onboarding and offboarding, access permissions, password support, periodic access reviews, and maintenance of appropriate administrative controls
• Monitor and coordinate resolution of system and payer portal issues, including outages, access concerns, service requests, workflow disruptions, and other barriers affecting eligibility, authorization, claim submission, reimbursement, and Revenue Cycle operations
• Maintain system and portal configurations, provider and organizational information, administrative procedures, system documentation, training materials, and user guidance to support consistent and effective system utilization
• Collaborate with vendors, Information Technology, Revenue Cycle, and operational departments to implement system enhancements, integrations, configuration changes, and workflow improvements that strengthen system functionality and the user experience
• Identify and implement opportunities for technology and automation that improve system accuracy, reduce manual processes, strengthen controls, and increase Revenue Cycle efficiency

Benefits

• Competitive Compensation
• Comprehensive Medical Insurance
• Dental and Vision Insurance
• Company Life Insurance
• Voluntary Life and Disability Insurance
• Additional Voluntary Supplemental Plans
• Flexible Spending Account (Medical and Dependent Care)
• Health Savings Account
• 401K Retirement Plan
• Employee Assistance Program (EAP)
• Employee Discounts
• Ramsey SmartDollar Program
• Referral Program
• Tuition Assistance
• Paid Time Off
• 8 Paid Company Holidays