Client Summary : Our client has been the birthplace for countless breakthroughs and dramatic firsts in pediatric medicine.

Built on a foundation of delivering safe, high-quality, family-centered care, the Hospital has fostered medical discoveries and innovations that have improved pediatric healthcare and saved countless children's lives.

Job Description : Revenue Cycle Business Process Consultant

The Revenue Cycle Business Consultant supports revenue cycle processes that span multiple departments, multiple workflows and systems or supports analytic efforts of the revenue cycle through report development, data quality assurance, process mapping and analysis.

The position also supports business process improvement efforts including projects to enhance Epic, automation, quality, and efficiency through report writing, analysis, business case development and data validation

JOB FUNCTIONS

• Revenue Process Support, Workflows and Systems
• Develop and maintain written documentation for processes that exist between departments, systems, external vendors and payers.
• Act as a high-level business process consultant between operations, performance improvement and IT for needs that cross boundaries.

Implement processes and practices that can adapt quickly to changing organization, business, and payer demands. The position does not replace normal relationships between various departments but rather acts as a compliment to existing relationships to enhance and expedite performance improvement activities.

• Reviews business process, system or other changes that might impact existing workflows and recommends methods to optimize to desired state and improve efficiency.
• Review system or process architecture in scope of assigned projects.
• Perform business impact reviews of test plans that span across departments, workflows or systems or to assess impact, efficiency and effectiveness.
• Create, optimize, and support the implementation of processes that link closely to system workflows.
• Determine how these workflows will impact existing staffing, how to continuously refresh and monitor these flows and recommend optimal change management processes.
• Communicate information clearly and create an environment where people can engage in open dialogue and reach effective solutions together to optimize workflow or process.
• Direct cross-functional teams to resolve complex issues related to automated workflows or other complex processes or lead discussions with the business and operational leaders to analyze reporting needs, configure and model data and develop reports using specialized knowledge of reporting applications and software applications.

In addition to the following, this role focuses on a specific area of the PATIENT-CENTRIC REVENUE CYCLE ROADMAP

• Front End - cadence, adt, prelude experience
• Middle End - rev integrity - charge, charge router, revs integrity, coding (how it works in epic, mechanics - not actual coding)
• Back End - hospital billing priority, professional billing, claims, follow-up - (familiar, to help solution it)
• Strictly Denials Focused - finding interventions to prevent denials
• Back-End Customer Experience
• hospital billing exp w / in EPIC nonnegotiable priority
• professional billing
• claims
• follow-up - (familiar, to help solution it)

Moreover, this role will entail an element of cross functional team leadership within which project management, process improvement, stakeholder alignment (executives), change management, and significant Rev Cycle EPIC experience are critical.

In lieu of certs, requisite EPIC experience will be explored.

Education Requirement : Bachelor's Degree Required

Work Experience

• At least five (5) years experience with system design, process workflow design or business / systems consulting. Required
• EPIC experience Required
• Epic Mechanics how it works
• Revenue Cycle experience Required

Licenses, Certifications, and Registrations

• EPIC certification EPIC Preferred
• Lean Six Sigma Green Belt (LSSGB) Lean Six Sigma Green Belt - LSSGB - American Society for Quality Preferred
• Worker Level 2A - No Covid Vaccination Required

Knowledge, Skills, Abilities :

• Data Reporting and Analysis
• Responsible for creating and managing the financial and operational reports generated on regular and an ad hoc basis using software applications for report writing and data warehousing;

provides consultation and assistance to ensure end users and operational reporting needs are met through report development and design.

Primary liaison to various internal and external user groups within the company in terms of revenue cycle data reporting and analysis.

Assist revenue cycle leadership, management, and staff in analyzing, interpreting, and presenting data and information to various parties.

Develop and build reporting solutions that monitor and benchmark cost, utilization and other quality and performance indicators;

Act as primary support to senior leadership in accessing relevant data necessary to develop strategic and operational business plans, and process improvements.

• Develop business case analysis to support process optimization and change.
• Perform troubleshooting, problem solving activities related to business intelligence reporting as necessary.
• Analyze data and reports to understand business impact, correlations / discrepancies, and to propose changes / alternate solutions.
• Work closely with the Information Technology teams to resolve issues and perform analysis in a timely manner.

Knowledge, Skills and Abilities

• Project Management
• Change Managmenet
• Process Improvement
• Cross-Functional Team Leadership
• Epic Reporting
• Epic Design Exp (Not Building / Coding)
• Epic Rev Cycle Experience Required
• Strong analytical and communication skills Required
• Strong computer skills to include database analysis Required
• Statistical software experience Preferred
• Extensive knowledge of workflow and / or system design Required
• Extensive knowledge of analytical tools, business intelligence tools and statistical packages Required

Schedule Notes : TBD. 40 hours a week.

Equiliem Healthcare specializes in staffing clinical, non-clinical, and allied personnel. We excel in all levels, disciplines, and specialties within the healthcare spectrum.

Our projects range from short to long term local and travel assignments. Equiliem has been recognized as a certified small business enterprise.

In addition, we are proud that we have earned the prestigious Joint Commission accreditation for staffing firms and have been awarded Best in Staffing 4 years running by our employees and client partners.

• Medical Insurance
• Vision & Dental insurance
• Life Insurance
• 401K
• Commuter Benefits
• Employee Discounts & Rewards
• Payroll Payment Options

Last updated : 2024-07-01