Business Process Consultant – Revenue Assurance

🕒 July 28

🌲 North Carolina – Remote

🌲 North Carolina – Remote

⏰ Full Time

🟠 Senior

🔴 Lead

⚙️ Business Operations

👻 Ghost score 65%

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Duke University Health System

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

📚 Education

💰 $129.6k Grant on 2022-12

Healthcare • Education

Duke University Health System is an academic health system (branded Duke Health) that delivers clinical care, patient services, research and education across multiple integrated divisions. Its offerings include clinical laboratories, primary care, homecare & hospice, patient revenue management, health technology solutions, and transport services such as Duke Life Flight. The organization emphasizes advancing health through patient care, workforce development, and innovation—summarized by its mission “Advancing Health Together”—and is recognized for safety, quality, and employer culture.

📋 Description

• Serve as the primary analytical resource supporting revenue cycle processes, systems, and workflows • Provide subject matter expertise in Epic (Maestro Care), data analytics, payer reimbursement, and revenue cycle operations • Identify, analyze, and prioritize revenue cycle improvement opportunities • Develop ROI analyses to assess potential impact on PRMO performance • Analyze revenue cycle performance using Slicer Dicer, Tableau, and other data systems • Prepare recurring reports and support revenue cycle operational business needs • Support leaders and stakeholders in improving financial performance based on analytic findings • Monitor key performance indicators for internal and external parties • Provide analytics and support for special projects, including payer policy financial impact assessments • Investigate claims and denial patterns, payer policy changes, collection rate shifts, avoidable write-offs, and payer mix • Develop documented analytical models using advanced formulas and functions for trend analysis and forecasting • Serve as point person for month-end Revenue Cycle Net Revenue Review • Lead strategies and projects to reduce accounts receivable, improve aging AR and net collection rates, reduce denials and avoidable write-offs, and optimize workflows through automation • Maintain and enhance knowledge of revenue cycle systems and third-party vendors • Recommend process improvements using technology and best practices • Communicate trends and influence leadership on process improvements • Partner with leaders and multidisciplinary teams across revenue cycle, clinical departments, corporate finance, DHTS, and hospital service lines • Manage projects, track issues and action items, and partner on optimization and automation initiatives • Promote PRMO's strategic vision, mission, and purpose • Respond to stakeholders, attend meetings, and participate in assigned committees or workgroups

🎯 Requirements

• Bachelor's degree required • Minimum of 7 years work experience • Master's degree may supplement experience, with a Master's being equivalent to two years of experience • Extensive knowledge of Revenue Cycle analytical tools, business intelligence tools, and statistical packages • Proven experience with Revenue Cycle workflows, including claims processing across the revenue cycle, denials management, insurance follow-up, and net collection rate impacts and calculations • Knowledge of Epic System Revenue Cycle Applications • Knowledge of Revenue Cycle operations • Ability to understand revenue cycle operational performance goals and metrics • Strong analytical skills • Ability to perform root cause analysis accurately • Ability to identify and implement optimization opportunities within Epic • Ability to investigate and analyze information and recommend solutions • Ability to develop, implement, and oversee project teams comprising IT and operational resources • Effective oral and written communication • Strong interpersonal and communication skills • Ability to work effectively with diverse constituencies • Ability to foster a positive work environment • Ability to multitask • Proficiency with Epic, MS Office Applications (Word, Excel, Visio, PowerPoint), and Kodiak RCA

🏖️ Benefits

• Equal Opportunity Employer • Reasonable accommodation information and support provided • Work Culture initiatives, committees, or workgroups participation

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