Revenue Cycle Consultant – Epic Hospital Billing

🕒 Junho 19

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $98.552 - $157.683 / ano

⏰ Tempo Integral

🟠 Sênior

🔴 Especialista

💼 Consultor

👻 Score fantasma 35%

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OCHIN, Inc.

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 2000

💼 Consultoria

🏥 Saúde

🤝 Sem Fins Lucrativos

Consulting • Healthcare • Non-profit

A OCHIN, Inc. é uma consultoria em TI de saúde sem fins lucrativos que colabora com organizações de atendimento rural e comunitário em todo os Estados Unidos para promover um cuidado equitativo e integral à pessoa. Por mais de 25 anos, a OCHIN tem fornecido acesso a uma plataforma de EHR compartilhada e soluções de conhecimento integrado, oferecendo TI em saúde, treinamento de força de trabalho, consultoria operacional/financeira, pesquisa e defesa para melhorar a qualidade clínica, o bem-estar dos profissionais de saúde e a sustentabilidade para sua rede nacional de provedores de saúde comunitária.

Descrição

• Optimize OCHIN Acute Care member revenue cycle performance by providing expert guidance, technical assistance, and training to rural hospital revenue cycle teams • Design and deliver innovative learning solutions, analyze revenue cycle operations, and implement best practices to enhance efficiency, increase collections, and improve satisfaction among patients, staff, and stakeholders • Collaborate across teams to support process improvements, facilitate system enhancements, and drive measurable outcomes aligned with OCHIN’s organizational goals

🎯 Requisitos

• Minimum 10 years of Revenue Cycle and financial experience in similar or relevant role preferred • Minimum of 10 years of Revenue Cycle financial management experience in similar or relevant role in Critical Access Hospitals or Rural Healthcare Hospitals is strongly desired • Epic Certification/Accreditation/Proficiency in Epic Resolute Hospital Billing is required, or you must obtain within 6 months of hire • Experience with EHR software is required. Specifically, EPIC expertise is required in HB Resolute module is required • Experience in Prelude, Cadence, Grand Central, and EpicCare modules a plus • Must have strong Hospital Billing workflow knowledge across front end, middle, and backend processes, with the ability to coach, analyze, and evaluate current state workflows and be able to recommend and drive implemented improvements that align with OCHIN best practices and regulatory standards • Experience supporting hospital go lives, revenue cycle stabilization efforts, workflow design initiatives, and operational transformation • Must have strong knowledge of Medicare/Medicaid acute billing regulations, CMS reimbursement methodologies, and payer specific billing requirements • Must have strong technical aptitude to analyze AR data, denial trends, root cause issues, and operational metrics that impact revenue cycle performance • Experience utilizing reporting and analytic tools such as Reporting Workbench, Radar Dashboards, SlicerDicer, Clarity, Tableau, Power BI, or comparable business intelligence platforms • Working knowledge of hospital departments that impact revenue cycle performance, including Patient Access, HIM, Case Management, Utilization Review, Clinical Documentation Integrity (CDI), Revenue Integrity, and Finance • Ability to troubleshoot system build and configuration to identify and resolve workflow issues independently or in collaboration with application analyst teams • Experience leading multiple projects simultaneously, including timeline management, defining scope of work, member coordination, and delivering measurable outcomes • Ability to work in a fast paced, ambiguous environments while managing multiple member engagements simultaneously • Strong understanding of Acute Revenue Cycle KPIs (Days in AR, Self Pay days, CFB, DNB, late charges, claim lag, denial rates etc.) • Advanced proficiency in Microsoft Office Suite including Microsoft excel, Microsoft PowerPoint, Microsoft Word, Microsoft teams and Outlook • Ability to create educational materials and influence hospital leaders and billing staff on people, process, and technology changes • Ideal candidate will have deep understanding of Epic Billing functionality (Charge Capture & Revenue Integrity, Claims & Denials Management, Charge Review Work queues, Claim Edit Work queues, charge router, claims processing, etc.) • Experience working with Critical Assess Hospital (CAH) and Rural Health Hospitals is a plus • Experience supporting "Community Connect" hospitals is a plus • Change management skills and experience highly desired • Proven success in internal and external relationships with all levels of expertise from administrative to executive leadership • Must have strong consulting, facilitation, coaching, and presentation skills, including experience engaging CFOs, Revenue Cycle Directors, and hospital executives • Must have excellent interpersonal, intercultural, and customer service skills • Ability to travel as needed to support go live, onsite assessments, or stabilization efforts as needed

🏖️ Benefícios

• Generous compensation package • Health insurance • Professional development opportunities • Healthy work-life balance

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