Revenue Cycle Managing Consultant – Back-End

Das ist der Job

Tools & Technologies Epic Hospital Billing (HB) Professional Billing (PB) #J-18808-Ljbffr

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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. Oversee the quality of project deliverables and manage team performance to ensure successful client outcomes.

Requirements 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 Core Competencies Demonstrates extensive expertise in back-end revenue cycle operations, including denials management and AR reduction, while leveraging Epic to optimize workflows and enhance financial performance.

Proven ability to lead multidisciplinary teams in large-scale transformation initiatives and effectively communicate actionable strategies to senior leadership. Responsibilities 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.

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 elevate issues appropriately to internal and client stakeholders.

Participate in business development activities by developing proposals, presenting solutions, and contributing back-end revenue cycle subject matter expertise.