Description 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.
Requirements 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.
Technology Doesn't Change the World, People Do.
Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
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All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
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