Healthcare Revenue Cycle Consultant - Remote Eligible

Eide Bailly LLP•Fargo, ND

3d•Hybrid

About The Position

The Healthcare Revenue Cycle Consultant will conduct assessments of healthcare providers, focusing on patient access, mid-cycle, and back-end functions to identify improvement opportunities and recommend solutions. This role also involves providing interim revenue cycle management, acting as a trusted advisor to clients, building and managing client relationships, and ensuring revenue cycle compliance with healthcare regulations. The consultant will stay current on industry trends, support business development, enhance service offerings, provide internal education, lead and mentor staff, manage client billings, and participate in professional organizations. Additionally, the role includes writing articles on healthcare provider issues.

Requirements

Bachelor’s degree in Accounting, Business, Healthcare Administration or a related field, or related equivalent years of experience.
7+ years of experience in the healthcare industry – specifically revenue cycle, revenue integrity, coding, and/or chargemaster experience.
Advanced knowledge of terminology, policies and practices, and financial programs of healthcare systems.
Well-rounded knowledge of CMS, and other state and federal regulatory guidance related to the healthcare industry with a strong understanding of inpatient, outpatient and professional billing and payer requirements.
Knowledge of various healthcare software packages and electronic health record systems (i.e., EPIC, Cerner, MediTech, etc.). Comfortable navigating various modules within the systems and extracting reports such as detailed aging reports, credit balance summaries and aged trial balances.
Strong relationship-building and networking skills, and are excited about the opportunity to contribute to business development efforts.
Ability to communicate clearly, both verbally and in writing.
Strong organizational skills with the ability to manage multiple projects, prioritize effectively, and meet deadlines.
Ability to establish and maintain effective working relationships with co-workers and clients.
Proficient with computers, Microsoft Office (Word and Excel) and using various software packages.
Must be authorized to work in the United States now or in the future without visa sponsorship.

Nice To Haves

Certification in billing, coding or other revenue cycle areas (preferred).

Responsibilities

Conducting onsite and remote revenue cycle assessments for healthcare providers (primarily hospitals), including evaluating patient access, mid-cycle, and back-end functions; identifying improvement opportunities and recommending solutions.
Providing interim revenue cycle management for clients, including implementing recommendations from assessments and leading day-to-day operations across revenue cycle, revenue integrity, and business office functions.
Serving as a trusted advisor to clients by addressing day-to-day operational and business questions.
Building and managing client relationships by assessing needs, evaluating solution options, and delivering value-driven services.
Evaluating revenue cycle compliance with applicable healthcare rules and regulations.
Researching and staying current on healthcare revenue cycle regulations and industry trends.
Supporting business development efforts through marketing, cross-selling, presentations, and industry conference participation.
Developing and enhancing healthcare consulting service offerings based on identified client needs.
Providing internal educational sessions to healthcare staff to increase awareness of healthcare issues and service offerings.
Leading, training, and mentoring Associate and Senior Associate staff; delegating work as appropriate.
Managing client billings and supporting practice development initiatives.
Participating in healthcare-related professional and community organizations.
Writing articles on issues impacting healthcare providers.