Revenue Cycle Consultant

SSM Health • MO-REMOTE, MO

5d • Remote

About The Position

Responsible for providing support to leadership by leading projects, designing or improving workflows and processes and implementing change. Identifies areas of opportunities for metric and process improvement, workflow optimization and operational effectiveness. Serves as expert consultant for revenue cycle and clinical operations for existing practices and outside operations. Reviews and reports revenue cycle and clinic operations workflows to identify opportunities for optimization and process improvement to meet target metric goals. Provides revenue cycle training, support and workflow optimization. Performs other duties as assigned.

Requirements

• Minimum of seven years of experience in revenue cycle operations or a related field.
• Proficiency in Epic Resolute or similar revenue cycle systems.
• Strong background in accounts receivable (AR) management and denial prevention/root cause analysis.
• Demonstrated expertise in data analysis, workflow design, and project execution.
• Bachelor's degree or equivalent combination of education and experience
• Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
• Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
• Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
• Frequent use of hearing and speech to share information through oral communication.
• Ability to hear alarms, malfunctioning machinery, etc.
• Frequent keyboard use/data entry.
• Occasional bending, stooping, kneeling, squatting, twisting and gripping.
• Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
• Rare climbing.

Nice To Haves

• Epic Certification in Resolute (PB/HB) or related revenue cycle modules
• Epic build experience (Workqueues, rule logic, and claim edits)
• Experience supporting denial prevention and AR performance through system configuration
• Ability to translate operational needs into scalable Epic solutions

Responsibilities

• Identifies areas of opportunities for metric and process improvement, workflow optimization and operational effectiveness.
• Serves as expert consultant for revenue cycle and clinical operations for existing practices and outside operations.
• Reviews and reports revenue cycle and clinic operations workflows to identify opportunities for optimization and process improvement to meet target metric goals.
• Provides revenue cycle training, support and workflow optimization.
• Performs other duties as assigned.

Benefits

• Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
• Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
• Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Associate degree