Senior Revenue Cycle Consultant

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🌽 Illinois – Remote

🌽 Illinois – Remote

⏰ Full Time

🟠 Senior

💼 Consultant

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PCG Consulting Group International

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2004

⚕️ Healthcare Insurance

Healthcare Insurance • IT • Consulting

PCG Consulting Group International is a consulting firm specializing in providing scalable solutions in the fields of Healthcare, IT, and Project Management. They focus on delivering practical and effective solutions that help organizations achieve their goals. As a Minority Business Enterprise (MBE) and a member of the Illinois Business Enterprise Program, PCG prides itself on its diverse team of data experts and experienced professionals. They offer a wide range of services, including IT services, security and compliance, data services, healthcare solutions, and more. PCG is also certified in HITRUST compliance and PCI, ensuring a strong commitment to safeguarding business interests. Their approach as problem solvers and trusted advisors helps clients navigate the complex business landscape effectively.

📋 Description

• Assess end-to-end Paragon revenue cycle workflows. • Analyze patient accounting, charge capture, billing, and claims processing. • Identify root causes impacting reimbursement. • Support claim reconstruction and financial data validation. • Collaborate with hospital leadership and cross-functional consulting teams. • Document current-state processes and recommend operational improvements. • Present findings and support executive-level deliverables.

🎯 Requirements

• Bachelor's degree or equivalent experience. • 8+ years of hospital revenue cycle experience. • 5+ years of hands-on Paragon Revenue Cycle/Patient Accounting experience. • Strong knowledge of: • Hospital billing operations • Charge capture • Patient accounting • Claims generation • Revenue Integrity • Reimbursement workflows • Excellent communication and consulting skills. • Preferred Qualifications Paragon implementation or optimization experience. • Healthcare consulting experience. • SQL reporting or healthcare analytics knowledge. • CDM (Charge Description Master) experience. • Familiarity with 837I institutional claims and clearinghouse workflows. • RHIA, HFMA, CHFP, or similar certifications preferred.