Revenue Cycle Consultant – Hospital Billing

Job Description:

• Optimize OCHIN Acute Care member revenue cycle performance by providing expert guidance, technical assistance, and training to rural hospital revenue cycle teams.
• Responsible for designing and delivering innovative learning solutions, analyzing revenue cycle operations, and implementing best practices to enhance efficiency, increase collections, and improve satisfaction among patients, staff, and stakeholders.
• Collaborate across teams to support process improvements, facilitate system enhancements, and drive measurable outcomes aligned with OCHIN’s organizational goals.
• Work intensively with health center teams participating in assigned projects to refine their Revenue Cycle and implement best practice concepts.
• Design, develop, and implement member assessments/consults around Revenue Cycle performance and TA needs to identify opportunities for improvements and possible solutions.
• Lead in the coordination of member consultations, including planning meeting logistics, communicating with members, preparing content for meetings, and coordinating follow-up.
• Plan, coordinate, facilitate, and evaluate learning sessions/trainings for members in collaboration with project partners including curriculum design, agenda setting, and trainer identification.
• Other duties as assigned.

Requirements:

• Minimum 10 years of Revenue Cycle and financial experience in similar or relevant role preferred
• Minimum of 10 years of Revenue Cycle financial management experience in similar or relevant role in safety net organizations preferred
• Epic Certification/Accreditation/Proficiency in Epic Resolute Hospital Billing is required, or you must obtain within 6 months of hire
• Experience with EHR software is required. Specifically, EPIC expertise is required in HB Resolute module is required.
• Must have strong Hospital Billing workflow knowledge across front end, middle, and backend processes, with the ability to coach, analyze, and evaluate current state workflows and be able to recommend and drive implemented improvements that align with OCHIN best practices and regulatory standards.
• Must have strong knowledge of Medicare/Medicaid acute billing regulations, CMS payment methodologies, and payer specific billing requirements.
• Must have strong technical aptitude to analyze AR data, denial trends, root cause issues, and operational metrics that impact revenue cycle performance.
• Ability to troubleshoot system build and configuration to identify and resolve workflow issues independently or in collaboration with application analyst teams.
• Experience leading multiple projects simultaneously, including timeline management, defining scope of work, member coordination, and delivering measurable outcomes.
• Ability to work in a fast paced, ambiguous environments while managing multiple member engagements simultaneously.
• Strong understanding of Acute Revenue Cycle KPIs (Days in AR, Self Pay days, CFB, DNB, late charges, claim lag, denial rates etc.)
• Ability to educate and influence hospital leaders and billing staff on people, process, and technology changes.
• Ideal candidate will have deep understanding of Epic Billing functionality (Charge Review Work queues, Claim Edit Work queues, charge router, claims processing, etc.)
• Experience working with Critical Assess Hospital (CAH) is a plus
• Experience supporting "Community Connect" hospitals is a plus
• Change management skills and experience highly desired.
• Proven success in internal and external relationships with all levels of expertise from administrative to executive leadership.
• Must have strong consulting, facilitation, coaching, and presentation skills, including experience engaging CFOs, Revenue Cycle Directors, and hospital executives.
• Must have excellent interpersonal, intercultural, and customer service skills.
• Ability to travel as needed to support go live, onsite assessments, or stabilization efforts as needed.

Benefits:

• Generous compensation package
• Healthy work-life balance
• Opportunities for professional advancement

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