Business Process Consultant – Revenue Assurance

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Identify current and prospective opportunities for enhancements in the revenue cycle.

• Facilitate discussions, assessments, selections, and prioritization of improvement opportunities within PRMO, including creating an ROI analysis to evaluate potential impacts on overall PRMO performance.

• Collaborate closely with PRMO leadership to comprehend operational objectives and challenges to pinpoint enhancement opportunities.

• Conduct and prepare regular root cause analyses of the revenue cycle function’s performance to highlight areas for improvement, utilizing various data systems such as Slicer Dicer and Tableau.

• Accountable for various standard and recurring reporting functions that support the operational business needs of the revenue cycle.

• Track key performance indicators for both internal and external stakeholders.

• Foster internal relationships to better understand departmental workflows.

• Assist in the investigation of claims/denials patterns, changes in payer policies, shifts in collection rates, avoidable write-offs, and evaluations of payer mix to enhance payer performance.

• Act as the primary contact for the month-end Revenue Cycle Net Revenue Review.

• Develop, design, lead, and implement strategies aimed at reducing accounts receivable (AR), improving aging AR, enhancing net collection rates, eliminating waste through automation or optimization of workflows, minimizing denials, and decreasing avoidable write-offs across all aspects of the Revenue Cycle.

• Build, maintain, and enhance expertise in Revenue Cycle systems and third-party vendors to support optimal workflow recommendations.

⛳️ Requirements

• Bachelor's degree is required; a Master's degree is preferred.

• At least 7 years of professional experience is necessary.

• In-depth knowledge of Revenue Cycle analytical tools, business intelligence tools, and statistical packages.

• Demonstrated experience with Revenue Cycle workflows, which includes, but is not limited to, overall claims processing throughout the revenue cycle, denials management, insurance follow-up, and implications and calculations of net collection rates.

• Experience with Epic System (Revenue Cycle Applications).

• Familiarity with Revenue Cycle operations.

🏝️ Benefits

• Health insurance.

• Paid time off.