Healthcare Revenue Cycle Manager

BDO USA•Dallas, TX

About The Position

BDO’s Healthcare Group within its Management Consulting practice helps physicians and hospitals improve revenue cycle performance amid evolving reimbursement models, government regulations, accountable care organizations, and healthcare reform. The group provides solutions to improve operational and financial performance, increase operational and system efficiencies, and enhance the patient experience. The Healthcare Revenue Cycle Manager works on client engagements to assess and improve revenue cycle operations and systems, develop centralized patient access and revenue cycle functions, and, when needed, manage interim revenue cycle operations. The role supervises the day-to-day workload on assigned engagements and reviews work product. Travel may be required based on client needs and could reach up to 100%.

Requirements

High school diploma or GED and at least seven years of industry experience with EHR or Practice Management vendor systems; alternatively, a bachelor’s degree and at least five years of such experience.
At least five years of experience in healthcare finance, revenue cycle operations, clinical operations, or vendor- or consultant-based work.
At least three years of experience with healthcare EHR vendor systems for large group practices and/or hospitals.
Proficiency with Microsoft Office Suite, MS Project, Visio, and SharePoint.
Executive presence and ability to act as the primary contact on assigned engagements.
Excellent verbal, written, and presentation skills.
Strong analytical and advanced research skills related to industry trends, market competition, and technology.
Solid organizational skills, attention to detail, and ability to meet project deadlines.
Ability to multitask and work independently or within a group environment.
Ability to work in a deadline-driven environment and handle multiple projects simultaneously.
Ability to interact effectively with people at all organizational levels of the firm and with clients.
Ability to build and maintain strong relationships with internal staff and clients.
Ability to encourage a team environment on engagements and contribute to the professional development of assigned team members.

Nice To Haves

Epic Grand Central Certification (Prelude, Cadence, ADT).
Resolute PB/HB Certification.
Proficiency with Epic, Cerner, or athenaIDX.

Responsibilities

Develop central patient access and revenue cycle functions on client projects, such as a single business office for professional and hospital services, a centralized registration and scheduling unit, and standardized policies and procedures.
Assess revenue cycles by reviewing front- and back-end operations, analyzing and redesigning workflows, conducting performance metrics and benchmarking, and analyzing reporting functions and results.
Review revenue cycle systems, including third-party solutions, charge capture and reconciliation processes, and manual and EHR-based workflows.
Identify and prioritize opportunities for improvement and recommend staffing size, structure, and benchmarks.
Oversee Charge Data Master-related projects, including physician education, coding and compliance audits, EHR form and template assessment, code-scrubber technologies, and CDM assessment and maintenance.
Manage interim revenue cycle operations for clients as needed, in capacities similar to executive leadership and supervisory roles.
Manage third-party contracting and settlement negotiations and participate in vendor selection for outsourced billing management.
Pursue relevant opportunities to expand client engagements after the initial engagement.
Supervise the day-to-day workload on assigned engagements and review work product.
Travel as required by client needs, potentially up to 100%.
Perform other duties as required.