RCM Systems Administrator

About Us:

Palmetto Infusion provides comprehensive ambulatory and home-based infusion services to both acute and chronically ill patients. Our centers care for people by providing patients and their families with a convenient, affordable, and safe place to receive infusion treatments. We strive for more than personal service – always delivering a warm and attentive health care experience that boosts patients’ state-of-mind, improves their health, and quality of life.

At Palmetto Infusion, we believe in creating an experience that goes beyond just a job. It's about being part of something bigger than yourself - a connected group of caretakers who work together to restore health and hope to our patients. We call it The Palmetto Experience, and we believe it's what sets us apart from other employers.

For our employees, The Palmetto Experience means we serve and support people in our purpose to restore health and hope, we build a culture of belonging and collaboration, we deliver on our promise to treat people with respect and empathy, and we strive to embrace change and search for new opportunities.

About the Role:

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

Minimum Qualifications:

Experience/Education:

• 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
• Must be able to work as a team member and develop productive and cooperative working relationships with all members of the Palmetto Infusion team.

Essential Functions:

• 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 after 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.

About the 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

Patient Advocacy Statement:

At Palmetto Infusion, we believe that patient advocacy is at the heart of everything we do, regardless of our roles within the organization. Each member of our team is dedicated to putting the needs and well-being of our patients first. Whether we're working directly with patients or supporting them behind the scenes, our commitment to being a compassionate advocate is paramount. We understand that every interaction, every decision, and every effort contribute to the quality of care our patients receive. 

Together, we strive to ensure that every individual feels heard, supported, and empowered throughout their healthcare journey. This dedication to patient-centered care is what creates "The Palmetto Experience" — a standard of excellence that defines us and enriches the lives of those we serve.

Physical Demands:

• The physical demands described here are representative of those that must be met by an employee to successfully perform the primary functions of this job. While performing the duties of this job, the employee may be required to frequently stand, walk, sit, bend, twist, talk and hear. There may be prolonged periods of sitting, keyboarding, reading, as well as driving or riding in transport vehicles. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include reading, distance, computer, and color vision. Talking and hearing are essential to communicate with patients, vendors, and staff.

OTHER

All employees must uphold the confidentiality of protected health information and follow all HIPAA policies. This position has access to sensitive information and a breach of information may be grounds for immediate termination.

We are an equal-opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.