Healthcare Business Rules Developer I at Acadian Ambulance

Lafayette, Louisiana, United States -

Full Time

Start Date

Immediate

Expiry Date

22 May, 26

Salary

0.0

Posted On

22 Feb, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Rule Authoring, Software Development, Computational Analysis, Debugging, Troubleshooting, Revenue Cycle Management, Claims Processing, Reimbursement Policy, SQL Server, Database Methodologies, Structured Programming, Systems Documentation, Workflow Analysis, Technical Specifications, Productivity Improvement, Logical Analysis

Industry

Hospitals and Health Care

Description

The candidate is responsible for handling mid-level support of custom developed accounts receivable software, independent research, and rule authoring. Rule authoring is a form of software development that includes complex computational analysis of system events, conditions, actions, sequencing, branch analysis, and chaining/recursion. Our current rules engine has hundreds of thousands of rules and millions of condition checks that require precise grouping and sequencing to ensure continuity of automated revenue cycle processes. Managing a robust and complex business rule set, as part of a team, includes functions similar to that of software development: debugging, troubleshooting, research, and new rule development. JOB TASKS * Complete rule adjustments for allowables and charges * Assist in troubleshooting application issues * Create effective systems documentation * Develop knowledge of the business and workflows * Analyze logical conditional pathways to confirm expected results * Determine business impacts on workflow and assist in the development of new workflows * Interpret business requirements into technical specifications * Develop on-going strategies for productivity improvements * Analyze rules for logical completeness, correctness, and optimization * Coordinate and prioritize multiple projects and deadlines * Conduct independent research with technical staff and subject matter experts * Recommend changes in testing methods as needed * Communicate complex information simply * Complete other assigned responsibilities * Other Continuity of Operations Duties as assigned QUALIFICATIONS * Minimum of 3 years of experience in healthcare software systems * Bachelor's degree in Health Information Management, Computer Science, MIS, Informatics preferred * 1 year of claims processing and reimbursement policy experience or equivalent knowledge preferred * Proficiency with Microsoft Office * Proficiency querying Microsoft SQL Server or other relational database is a plus * Knowledge of structured programming techniques and database methodologies is a plus

Responsibilities

The role involves mid-level support for custom accounts receivable software, focusing heavily on independent research and complex rule authoring, which includes analyzing system events, conditions, and sequencing for automated revenue cycle processes. Key tasks include completing rule adjustments, assisting with application troubleshooting, and developing knowledge of business workflows.