Billing Workflow Business Analyst

Job Description:

About Streamline Healthcare Solutions

Here at Streamline, we strive on building lasting and trusting relationships with our clients, and our employees set the bar.

Streamline’s mission is to build innovative technology solutions that empower people who improve behavioral health and quality of life of those in need. We are a high growth technology company that delivers web-based software for healthcare organizations to provide and coordinate all service delivery processes. Streamline has been offering software in the behavioral health marketplace since 2003. Streamline has built and maintains systems for some of the nation’s premier behavioral health organizations using the latest web-based technology.

Streamline offers competitive compensation and benefits packages as well as a challenging, yet flexible, work environment that is conducive to collaboration and productivity. A career with Streamline Healthcare Solutions provides opportunities for growth and continued learning in a workplace where individual contribution is valued and recognized. Join us, and advance your career today with a company that is on the cutting edge of the behavioral healthcare technology industry.

Summary of the Billing Workflow Business Analyst

The Billing Workflow Business Analyst works directly with the customers to determine how their billing processes will work with our application. They will use knowledge in behavioral healthcare and SmartCare application to guide our customers in developing best practice billing workflows. Develop training materials and provide assistance to users, helping them learn the application.

This is a remote position based in the United States.

Job Functions of the Billing Workflow Business Analyst

• Collaborate directly with behavioral healthcare clients to understand their billing processes.

• Conduct discovery sessions to identify current workflows, pain points, and desired outcomes.

• Translate customer needs into system requirements and configuration plans.

• Help guide clients in designing billing workflows that align with SmartCare capabilities.

• Recommend industry best practices for behavioral health billing (e.g., Medicaid, managed care, sliding scale).

• Ensure workflows support compliance with payer requirements and regulations.

• Help customers understand and configure SmartCare billing modules to support client-specific workflows.

• Help customers understand setup of fee schedules, service codes, payer rules, and claims processing logic.

• Configure billing templates and automation rules.

• Develop training materials tailored to client billing teams.

• Conduct hands-on training sessions for billing staff and administrators.

• Create quick reference sheets and FAQs.

• Support testing of billing workflows during implementation (e.g., claim generation, remittance posting).

• Validate system behavior against expected outcomes.

• Troubleshoot and resolve configuration issues.

• Provide on-site or remote support during go-live.

• Monitor billing operations and assist with issue resolution.

• Ensure users are confident and capable in using SmartCare for billing.

• Collect feedback from users and identify areas for improvement.

• Recommend enhancements or workflow adjustments.

• Support ongoing training and system updates.

• Work with clinical analysts, primary business analysts, and project managers to ensure billing workflows integrate with clinical documentation and scheduling.

• Coordinate with SmartCare support and development teams for escalated issues.

Requirements of the Billing Workflow Business Analyst

•  Bachelor’s degree in healthcare administration, Business, Information Systems, or related field preferred. 

• 2–5 years of experience in healthcare billing, preferably in behavioral health

• Experience with EHR implementation projects, especially billing modules preferred

• Ability to travel up to 30%.

Knowledge, Skills, and Abilities of the Billing Workflow Business Analyst

• Proficiency in SmartCare EHR or similar behavioral health EHR platforms

• Understanding of billing workflows, including charge entry, claims processing, and remittance

• Familiarity with EDI transactions (e.g., 837, 835 files)

• Ability to configure billing rules, fee schedules, and payer setups

• Experience with data validation, testing, and troubleshooting

• Strong understanding of behavioral health billing practices

• Knowledge of Medicaid, Medicare, and commercial insurance billing requirements

• Awareness of HIPAA and healthcare compliance standards

• State-specific billing understanding is a plus.

• Ability to analyze complex workflows and recommend improvements

• Strong attention to detail in system configuration and testing

• Capable of identifying root causes and resolving billing issues

• Excellent verbal and written communication skills

• Ability to translate technical concepts into user-friendly language

• Experience developing and delivering training materials

• Ability to manage multiple tasks and priorities in a fast-paced environment

• Comfortable working in cross-functional teams

• Adaptable to changing client needs and system updates

Streamline Healthcare Solutions is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, military status, national origin, or any other characteristic protected under federal, state, or applicable local law.