IT Specialist

Company Overview

Healthcare Legal Solutions, LLC is a fast-growing healthcare collections firm that provides denial management, consulting, and corporate collections services to hospitals and health systems nationwide. Our team is collaborative, mission-driven, and focused on results. This is a great opportunity for candidates who are passionate about healthcare, legal writing, and strategy.

Position Overview

This position supports a highvolume, automated appeals operation by monitoring, troubleshooting, and optimizing technology used to process insurance claims and supporting documents. The IT Specialist ensures that all appealrelated programs and bots run reliably, data flows accurately between client systems, payer portals, and our case management system, and that any technical issues affecting claim status, correspondence, or document intake are quickly identified, analyzed, and resolved.

Duties and Responsibilities

• Run RPA programs daily and monitor the successful completion for assigned programs, ensuring all operational bots execute as expected.
• Investigate and resolve errors from program runs (failed bot runs, missing info, data mismatches), escalating complex issues to IT leadership when needed and documenting root causes and resolutions.
• Prepare and provide input files, error logs, screenshots, and detailed feedback to developers when new or updated bots are being built or troubleshot.
• Ensure that case management system contains complete and accurate data for all documents downloaded by programs/bots (EOBs, denial/approval letters, UBs, medical records, and related correspondence).
• Monitor documentscraping programs to verify that key fields (claim number, policy number, member ID, DOS, payer, level of appeal, etc.) are reliably extracted from client systems and payer portals and mapped to the correct fields.

Qualifications:

• Bachelor's Degree (BA/BS) from four-year college or university, or one to two years of related experience and/or training, or equivalent combination of education and experience.
• Other skills required:

1. Previous experience in IT, RPA, Healthcare Revenue Cycle, or related fields.

1. Able to navigate through various computer systems and applications to find information about insurance claims,

1. Strong analytical and problem-solving skills with the ability to interpret logs, error messages, and data discrepancies.

1. Excellent written and verbal communication skills for documenting findings and collaborating with operations, IT, and developers.

1. Ability to prioritize and manage multiple issues and requests in a fastpaced, deadlinedriven environment.

1. Strong organizational and time management skills, with a clear, concise, and logical writing style for tickets, documentation, and user updates.

1. High attention to detail and accuracy when reviewing claim data, system outputs, and imported documents.

1. Demonstrated ability to quickly learn and adapt to new software applications, automation tools, and system updates.

Competencies:

• Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.
• Analytical - Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement data; Designs work flows and procedures.
• Business Acumen - Understands business implications of decisions; Displays orientation to profitability; Demonstrates knowledge of market and competition; Aligns work with strategic goals.
• Business Necessity - The needs of the employer may be dependent on responding to and anticipating rapidly changing external and internal demands in all aspects of how business is conducted. This may include, but is not limited to, organization structure, finances, goals, personnel, work processes, technology, and customer demands. Therefore, it may become necessary to make modifications to how business is conducted, and work is accomplished, with minimal or no advance notice to employees. Accordingly the employee must be capable of adapting, with minimal or no advance notice, to changes in how business is conducted, and work is accomplished, with no diminishment in work performance.
• Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
• Delegation - Delegates work assignments; Matches the responsibility to the person; Gives authority to work independently; Sets expectations and monitors delegated activities; Provides recognition for results.
• Dependability - Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Commits to long hours of work when necessary to reach goals; Completes tasks on time or notifies appropriate person with an alternate plan.
• Diversity - Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce.
• Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values.
• Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.
• Judgement - Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions.
• Quality - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality.
• Quality Management - Looks for ways to improve and promote quality; Demonstrates accuracy and thoroughness.
• Quantity - Meets productivity standards; Completes work in timely manner; Strives to increase productivity; Works quickly.
• Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.