NextGen Enterprise System Administrator

Role overview This senior-level position leads end-to-end implementations of a leading enterprise electronic health record and practice management platform for new physician revenue cycle management clients. The role combines deep platform administration with hands-on client onboarding, ensuring each environment is configured, optimized, and stabilized to support billing performance. It is a remote, client-facing technical role that partners closely with operations leadership.

Responsibilities - Drive full-cycle implementations for new physician RCM clients, from initial discovery through go-live and post-live stabilization. - Conduct workflow assessments and translate client-specific requirements into detailed system configuration plans. - Coordinate across internal teams, client stakeholders, and vendor support resources to keep implementation milestones on schedule. - Configure practice, enterprise, and location settings; manage providers, facilities, payers, insurance setup, user security, and roles. - Administer work queues, claim and charge workflows, payment and adjustment processing, statement and patient billing configuration, and claim-scrubbing rules. - Manage EDI transactions including 837/835 processing, oversee test versus production environments, and resolve configuration gaps affecting billing efficiency and collections. - Develop and deliver tailored end-user training and provide Tier 2/3 application support after go-live. - Maintain implementation documentation and contribute to internal best-practice standards for ongoing implementations.

Requirements - Six or more years of hands-on experience implementing, configuring, and supporting the NextGen Enterprise platform. - Deep expertise across Practice Management, EHR, billing and claims, scheduling, and reporting modules. - Strong working knowledge of physician revenue cycle workflows including charge capture, claim submission, ERA/EOB processing, and denial management. - Experience with data mapping, batch processing, EDI setup, and clearinghouse integrations within the platform. - Demonstrated ability to manage multiple concurrent client implementations in a remote environment. - Excellent communication skills with the ability to translate technical concepts for non-technical clinical and administrative audiences.

Nice to have - Familiarity with the professional claims lifecycle, 270/271 eligibility, 276/277 claim status, coordination of benefits, denial and rejection workflows, and payer configuration. - Working knowledge of Medicare, Medicaid, and commercial payer concepts, along with CPT/HCPCS, ICD-10, modifiers, and place-of-service codes.

Benefits and work setup - Base salary in the range of $100,000–$130,000 USD, with potential participation in bonus programs. - Comprehensive benefits package including medical, dental, vision, 401(k), and paid time off. - Fully remote work environment with a collaborative, mission-driven team. - Exposure to varied healthcare client environments and complex RCM challenges, with the opportunity to shape implementation standards across a growing organization.