Community Healthcare Revenue Cycle Management, Independent Contractor

Job not on LinkedIn

🔥 22 hours ago

🇺🇸 United States – Remote

💵 $75 - $100 / hour

⏳ Contract/Temporary

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Facktor

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2001

💼 Consulting

🏥 Healthcare

⚕️ Healthcare Insurance

Consulting • Healthcare • Healthcare Insurance

Facktor is a healthcare consulting firm specializing in enhancing the operations and financial solutions of community health centers, hospitals, and health plans. Facktor offers a comprehensive range of services including compliance, strategy and growth, interim staffing, and clinical optimization. The company does not just provide consultancy reports but works closely with clients to achieve measurable results and improve their resilience and financial robustness. Their approach is highly valued across various health institutions, leading to substantial improvements in healthcare delivery and integration.

📋 Description

• Prepare Medicare 519 wrap rate applications, including gathering and validating data, completing supporting analyses and documentation, and carrying applications through submission • Advise FQHC clients on Medicare reimbursement, PPS/wrap payments, billing requirements, and related revenue cycle considerations • Review and analyze claims, payments, denials, accounts receivable, reimbursement trends, and other revenue cycle data • Assess revenue cycle workflows across registration, eligibility, charge capture, coding, billing, claims submission, payment posting, denials, and collections • Conduct targeted audits and reconciliations to identify billing, payment, data integrity, and reimbursement issues • Develop recommendations to improve revenue capture, billing accuracy, collections, workflow efficiency, and regulatory compliance • Support client implementation of improved revenue cycle processes, policies, workflows, tools, and controls • Produce financial analyses, reports, dashboards, and other client-facing deliverables • Coordinate with client finance, revenue cycle, operations, clinical, and IT personnel • Provide revenue cycle subject matter expertise on other Facktor client engagements • Work on project-by-project engagements under statements of work defining scope, deliverables, and timelines

🎯 Requirements

• Bachelor’s degree from a four-year college or university • Master’s degree preferred; MBA ideal • Significant professional experience in healthcare revenue cycle management, reimbursement, billing, and healthcare finance • Direct, hands-on experience preparing and submitting Medicare 519 wrap rate applications for FQHCs strongly preferred • Strong knowledge of FQHC Medicare reimbursement, including PPS and supplemental/wrap payment methodologies • Prior experience serving FQHCs or other community health centers strongly preferred • Demonstrated experience analyzing healthcare claims, reimbursement, denials, accounts receivable, and other revenue cycle data • Strong understanding of end-to-end revenue cycle processes, including registration, eligibility, coding, charge capture, billing, claims, payment posting, denials, and collections • Advanced Excel and financial/data analysis skills • Demonstrated ability to independently scope and manage defined projects and deliver high-quality work within agreed timelines • Strong problem-solving skills, including the ability to identify root causes and develop practical, implementable solutions • Ability to translate complex reimbursement and revenue cycle concepts into clear recommendations for client leadership • Strong written, verbal, and client-facing communication skills • Experience delivering consulting services across multiple organizations, projects, and competing priorities • Ability to collaborate effectively and responsively with client and Facktor project teams • Interest in supporting non-profit organizations that deliver high-quality care to underserved communities • Independent consulting practice and ability to work autonomously • Contractor must supply their own equipment, software, workspace, and internet connectivity • Contractor is solely responsible for applicable taxes, insurance coverage, and any professional licensure or certification required to perform the services

🏖️ Benefits

• Occasional client travel may be scoped and reimbursed under an applicable statement of work • Contractor determines their own work location and schedule • No employee benefits are provided; the Contractor is not eligible for paid time off, sick time accrual, stipends, insurance, or other Facktor benefits