Senior Consultant Revenue Cycle (225-824)

A Senior Consultant in Revenue Cycle is a pivotal role within a healthcare organization or consulting firm, focusing on optimizing the financial operations related to the revenue cycle. This includes everything from patient registration and billing to ensuring payments are reconciled and processed efficiently. The Senior Consultant is often responsible for analyzing existing processes, identifying areas for improvement, and implementing strategies that streamline operations and enhance financial performance. They must have a robust understanding of healthcare billing and coding, insurance regulations, and financial analysis. This role often involves working with key stakeholders to design and execute solutions that ensure compliance, improve efficiencies, and ultimately enhance revenue collection.

Responsibilities

• Analyze current revenue cycle processes to identify inefficiencies and recommend improvements.
• Lead projects focused on enhancing revenue cycle operations within healthcare organizations.
• Coordinate with billing and coding teams to ensure accuracy and compliance with regulations.
• Develop strategies to improve cash flow and reduce outstanding accounts receivable.
• Work closely with clients to understand their unique revenue cycle challenges and goals.
• Provide expertise in healthcare reimbursement, billing regulations, and coding methodologies.
• Prepare detailed reports and presentations for clients showcasing findings and solutions.
• Conduct training sessions for staff on best practices and new processes or systems.
• Monitor project timelines, deliverables, and consultant team performance effectively.
• Facilitate communication between clinical and administrative departments to streamline operations.
• Promote the use of technology solutions to automate and optimize revenue cycle functions.
• Stay current with industry trends, regulatory changes, and technology advancements impacting revenue cycles.

Requirements

• Bachelor's degree in Healthcare Administration, Finance, Business, or a related field.
• Minimum of five years of experience in revenue cycle management or consulting.
• Expert knowledge of healthcare billing, coding, and reimbursement systems.
• Strong analytical skills with the ability to interpret financial data and metrics.
• Exceptional communication and presentation skills for diverse stakeholder engagement.
• Proven ability to manage multiple projects with tight deadlines effectively.
• Familiarity with electronic health records and revenue management software systems.