Revenue Cycle Managing Consultant – Back-End

🕒 il y a 4 mois

🇺🇸 États-Unis – Télétravail

💵 $125 000 - $200 000 / an

⏰ Temps Plein

🟠 Senior

🔴 Expert

🔙 Ingénieur Back-end

🗣️🇺🇸🇬🇧 Anglais requis

PMP

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Repérée par Remote Rocketship il y a 4 mois

Toujours ouverte sur le site de Impact Advisors. Vérifiée il y a 2 heures.

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Impact Advisors

501 - 1000 employés

Fondée en 2007

💼 Conseil

🏥 Santé

🤖 Intelligence artificielle

Consulting • Healthcare • Artificial Intelligence

Impact Advisors est une société de conseil spécialisée dans le secteur de la santé, offrant des services d'amélioration de la performance grâce à des technologies avancées pour les systèmes de santé, les hôpitaux et les régimes de santé. Elle propose des services de conseil stratégique et opérationnel couvrant les domaines clinique, financier et technique. Ces services incluent l'optimisation du cycle de revenus, la gestion des effectifs et de la chaîne d'approvisionnement, l'amélioration de la qualité clinique, les implémentations EHR/ERP, la modernisation des TI, la cybersécurité ainsi que le traitement des données et l'intelligence artificielle (IA). L'objectif est de fournir une valeur mesurable et durable, ainsi que de transférer les compétences aux équipes clients. Impact Advisors met l'accent sur la mise en œuvre collaborative, le retour sur investissement mesurable et la durabilité à long terme des améliorations.

Description

• 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.

🎯 Exigences

• 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

🏖️ Avantages

• Annual performance bonus • Opportunities for professional development

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