Revenue Cycle Managing Consultant, Strategy & Operations

This is a fully remote position, open to applicants in United States.

📋 Description

• Evaluate the operations of medical group and ambulatory revenue cycle from the front end to the back end, encompassing patient access, charge capture, coding, billing, denials, and accounts receivable follow-up.

• Examine key performance indicators (KPIs), workflows, staffing models, productivity levels, trends in denials, aging of accounts receivable, and revenue leakage.

• Formulate actionable recommendations aimed at enhancing collections, improving staff productivity, optimizing cash flow, and boosting financial performance.

• Redesign revenue cycle processes and implement best practices throughout professional billing operations.

• Collaborate directly with client executives, physician leaders, and operational teams to foster buy-in and facilitate on-site changes.

• Oversee the implementation of enhancements, which includes modifying workflows, providing staff training, and monitoring performance.

• Construct and maintain performance dashboards and reporting systems to oversee and ensure sustained results.

• Prepare and deliver findings, updates on progress, and recommendations through PowerPoint and Excel deliverables.

• Mentor and guide consultants and senior consultants.

• Contribute to practice development and thought leadership initiatives.

⛳️ Requirements

• A bachelor's degree in healthcare administration, business, finance, or a related discipline is required.

• Over 7 years of experience in healthcare revenue cycle management.

• Extensive experience within a medical group, physician enterprise, or ambulatory/professional billing environment.

• Previous healthcare consulting experience or leadership in revenue cycle management at a medical group or health system, with a proven history of driving performance improvement initiatives.

• In-depth understanding of the entire revenue cycle, including patient access, referrals and authorizations, charge capture, coding, claims processing, denials management, and accounts receivable follow-up.

• Proven ability to analyze revenue cycle KPIs and data, such as days in accounts receivable, denial rates, net collection rates, and cost of collections.

• Established change management capabilities and experience in securing buy-in from physicians and operational leaders.

• Experience in redesigning workflows, assessing staffing models, and implementing best practices in revenue cycle management.

• Familiarity with Epic (Resolute Professional Billing, Cadence, Prelude, Referrals) or other electronic health record/practice management systems is preferred.

• Epic certification is an advantage.

• Relevant industry certifications such as CRCR, CHFP, CPC, or CRCS are beneficial.

• Excellent communication, facilitation, and executive presentation abilities.

• Advanced skills in Excel and PowerPoint.

• Willingness to travel up to 25%, including on-site engagements with clients.

🏝️ Benefits

• Eligibility for an annual performance bonus.

• Additional benefits and perks may be available based on the position and employment terms.

• A caring, enjoyable, honest, and autonomous work atmosphere.

• A workplace committed to diversity and inclusion.