Business Process Consultant – Revenue Assurance

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🔥 57 minutes ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

⏰ Full Time

🟠 Senior

🔴 Lead

💹 Revenue Operations

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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

• Identify existing and future revenue cycle-based improvement opportunities • Lead PRMO discussions, evaluations, selections and prioritization of improvement opportunities, including the development of an ROI analysis to better understand and determine potential impact on overall PRMO performance • Work closely with PRMO leadership to understand operational goals and challenges to identify opportunities for enhancements • Perform and prepare regular root cause analysis of performance of the revenue cycle function to identify areas of opportunity utilizing various data systems including Slicer Dicer and Tableau • Responsible for various standard, recurring reporting functions to support revenue cycle operational business needs • Monitor key performance indicators for internal and external parties • Cultivates internal relationships to assist in understanding department workflows • Support investigation into claims/denials patterns, payer policy changes, collection rate shifts, avoidable write-off’s, and payer mix evaluation to optimize payer performance. • Point person for month-end Revenue Cycle Net Revenue Review • Create, design, lead, and implement strategies that will reduce AR, improve aging AR, improve net collection rate, eliminate waste through automation or optimization of workflows, reduce denials, and reduce avoidable write -offs, for all areas of the Revenue Cycle • Develop, maintain, and enhance knowledge of Revenue Cycle systems and third-party vendors to support recommendations for optimal workflows.

🎯 Requirements

• Bachelor's degree required. Master's degree preferred. • Minimum of 7 years work experience. • Extensive knowledge of Revenue Cycle analytical tools, business intelligence tools and statistical packages. • Proven experience with Revenue Cycle workflows to include but not limited to overall claims processing spanning the life cycle of the revenue cycle, denials management, insurance follow up, and net collection rate impacts and calculations. • Epic System (Revenue Cycle Applications) • Revenue Cycle operations

🏖️ Benefits

• Health insurance • Paid time off