Revenue Cycle Managing Consultant – Back-End

🕒 Julho 2

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $125.000 - $200.000 / ano

⏰ Tempo Integral

🟠 Sênior

🔴 Especialista

🔙 Engenheiro Backend

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Impact Advisors

SiteLinkedInTodas as Vagas

501 - 1000 funcionários

Fundada em 2007

💼 Consultoria

🏥 Saúde

🤖 Inteligência Artificial

Consulting • Healthcare • Artificial Intelligence

A Impact Advisors é uma empresa de consultoria focada em saúde que oferece serviços de melhoria de desempenho habilitados por tecnologia para sistemas de saúde, hospitais e planos de saúde. Eles fornecem consultoria estratégica e operacional em domínios clínicos, financeiros e técnicos - incluindo ciclo de receita, otimização de força de trabalho e cadeia de suprimentos, melhoria da qualidade clínica, implementações de EHR/ERP, modernização de TI, cibersegurança e dados & IA - com foco em valor mensurável, sustentável e transferência de capacidade para as equipes dos clientes. A Impact Advisors enfatiza a implementação colaborativa, ROI mensurável e a sustentabilidade a longo prazo das melhorias.

Descrição

• Manage Revenue Cycle improvement engagements, serving as a subject matter expert in back-end revenue cycle operations within an Epic environment. • Lead complex Revenue Cycle operational transformation engagements for healthcare organizations, serving as the back-end Revenue Cycle subject matter expert and leveraging Epic to drive sustainable improvements in reimbursement, cash flow, financial performance, and operational efficiency. • Assess, redesign, and optimize back-end revenue cycle workflows, including charge capture, coding, billing edits, claims submission, payment posting, denial management, accounts receivable follow-up, credit balance resolution, underpayment recovery, and collections. • Identify opportunities to improve revenue integrity, reimbursement, cash acceleration, denial reduction, and operational efficiency through process redesign, workflow optimization, and technology enablement. • Partner with client stakeholders to align back-end revenue cycle operations with Epic capabilities, implementing sustainable solutions that improve clean claim rates, reduce denials, optimize reimbursement, and strengthen revenue cycle performance. • Lead multidisciplinary teams in the planning and execution of large-scale back-end revenue cycle transformation initiatives, including Epic implementations, workflow optimization, and operational redesign efforts. • Develop project plans, timelines, and assessment methodologies, and lead current-state assessments and operational due diligence activities. • Monitor progress toward key milestones, provide regular client updates, identify risks, and escalate issues appropriately to internal and client stakeholders. • Oversee the quality of project deliverables and manage team performance to ensure successful client outcomes. • Participate in business development activities by developing proposals, presenting solutions, and contributing back-end revenue cycle subject matter expertise.

🎯 Requisitos

• A minimum of 7 years of healthcare revenue cycle experience • Deep expertise in back-end revenue cycle operations including denials management, AR reduction, cash acceleration, insurance follow-up/collections, and payer yield optimization • Proven ability to identify revenue leakage, design operational improvements, and implement sustainable solutions that directly impact the bottom line • Strong understanding of revenue cycle performance metrics, benchmarking, and the operational levers that drive net revenue realization • Experience leading multi-disciplinary teams through large-scale revenue cycle transformation and operational change efforts • Ability to translate complex revenue cycle data into actionable strategies and clearly communicate findings and recommendations to senior client leadership • Comfortable managing multiple client priorities in a fast-paced, matrix-structured consulting environment • Familiarity working in Epic environments preferred; functional knowledge of Hospital Billing (HB) and/or Professional Billing (PB) workflows a plus • Bachelor's degree preferred • PMP certification preferred

🏖️ Benefícios

• Annual performance bonus • Opportunities for professional development