AI Solution Engineer

RCM AI Solutions 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.

• 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.

• 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.

• 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.

• 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.