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Revenue Cycle Business Process Consultant at Remote, Remote, USA
Email: [email protected]
Position is Remote. Must be EST
or CST time Zone.

Title:
Revenue Cycle Business Process Consultant

Location: Phila, PA.

Duration: 6 months

US citizens only

Start: July 15, 2024

JOB SUMMARY:

The Revenue Cycle Business Consultant supports revenue
cycle processes that span multiple departments, multiple workflows and systems
or supports analytic efforts of the revenue cycle through report development,
data quality assurance, process mapping and analysis. The position also
supports business process improvement efforts including projects to enhance
Epic, automation, quality, and efficiency through report writing, analysis,
business case development and data validation

Duties:

In addition to the following, this role focuses on a
specific area of the PATIENT-CENTRIC REVENUE CYCLE ROADMAP

Front End - cadence, adt, prelude experience

Middle End - rev integrity - charge, charge router,
revs integrity, coding (how it works in epic, mechanics - not actual coding)

Back End - hospital billing priority, professional
billing, claims, follow-up - (familiar, to help solution it)

Strictly Denials Focused - finding interventions to
prevent denials

Back-End Customer Experience

hospital billing exp + w/in EPIC nonnegotiable
priority professional billing claims follow-up - (familiar, to help solution
it)

This role will entail an element of cross functional
team leadership within which project management, process improvement, stakeholder
alignment (executives), change management, and significant Rev Cycle EPIC
experience are critical. In lieu of certs, requisite EPIC experience will be
explored.

JOB FUNCTIONS:

Revenue Process Support, Workflows and Systems

* Develop and maintain written documentation for
processes that exist between departments, systems, external vendors and payers.

* Act as a high-level business process consultant
between operations, performance improvement and IT for needs that cross
boundary. Implement processes and practices that can adapt quickly to changing
organization, business, and payer demands. The position does not replace normal
relationships between various departments but rather acts as a compliment to
existing relationships to enhance and expedite performance improvement
activities.

* Reviews business process, system or other changes
that might impact existing workflows and recommends methods to optimize to
desired state and improve efficiency. Review system or process architecture in
scope of assigned projects.

* Perform business impact reviews of test plans that
span across departments, workflows or systems or to assess impact, efficiency
and effectiveness.

* Create, optimize, and support the implementation of
processes that link closely to system workflows. Determine how these workflows
will impact existing staffing, how to continuously refresh and monitor these
flows and recommend optimal change management processes.

* Communicate information clearly and create an
environment where people can engage in open dialogue and reach effective
solutions together to optimize workflow or process.

* Direct cross-functional teams to resolve complex
issues related to automated workflows or other complex processes or lead
discussions with the business and operational leaders to analyze reporting
needs, configure and model data and develop reports using specialized knowledge
of reporting applications and software applications.

Data Reporting and Analysis

* Responsible for creating and managing the financial
and operational reports generated on regular and an ad hoc basis using software
applications for report writing and data warehousing; provides consultation and
assistance to ensure end users and operational reporting needs are met through
report development and design.

* Primary liaison to various internal and external
user groups within CHOP in terms of revenue cycle data reporting and analysis.
Assist revenue cycle leadership, management, and staff in analyzing,
interpreting, and presenting data and information to various parties.

* Develop and build reporting solutions that monitor
and benchmark cost, utilization and other quality and performance indicators;
Act as primary support to senior leadership in accessing relevant data
necessary to develop strategic and operational business plans, and process
improvements.

* Develop business case analysis to support process
optimization and change.

* Perform troubleshooting, problem solving activities
related to business intelligence reporting as necessary. Analyze data and
reports to understand business impact, correlations/discrepancies, and to
propose changes/alternate solutions. Work closely with the Information
Technology teams to resolve issues and perform analysis in a timely manner.

Additional skills needed:

Project Management

Change Management

Process Improvement

Cross-Functional Team Leadership  

Epic Reporting      

Epic Design Exp (Not Building/
Coding)        

Epic Rev Cycle Experience
Required         

Extensive knowledge of workflow and/or system
design     

Extensive knowledge of analytical tools, business
intelligence tools and statistical packages    

 Work
Experience

-           
At least five (5) years experience with system design, process workflow design
or business/systems consulting.  Required  

-           
EPIC experience Required

-           
Epic Mechanics how it works

-           
Revenue Cycle experience Required  

Thanks and Regards

Vinod Kumar

ST Global LLC

Fax: 206-319-4579

[email protected]

www.stglobaltech.com

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Keywords: active directory information technology Pennsylvania
Revenue Cycle Business Process Consultant
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Mon Jul 01 21:45:00 UTC 2024

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