Performs data collection (quantitative and qualitative), research (industry and subject matter), and analysis utilizing basic analytic techniques to solve client problems
Provides expertise in insurance denial protocols and works with the client to recommend solutions
Applies appropriate tools and methodology to assignments and if unavailable completes research utilizing journals and online tools to move the initiative forward
Identifies next steps and/or work arounds on assigned tasks to begin working more independently
Audits practices and own work via data analysis, interviewing, and shadowing to ensure good quality work, identify inconsistencies, and elevate areas of opportunity or risk
Manages client relationship at the representative level
Adapts to different client personalities and internal management styles to ensure expectations are met on both ends
Communicates effectively in all manner and adjusts context based on role of individual being addressed
Participates in a positive team environment and works hard to meet client deadlines and quality expectations.

At least 5 years experience in Revenue Cycle
Preferably someone already at the Manager level in consulting or Director level in the healthcare industry
Experience related to leading Denials Avoidance/Prevention and Avoidable Write-Offs initiatives with measurable financial results
Experience with process redesign and process improvement
Experience working across the entire Revenue Cycle (including Patient Access, HIM/Coding, and Patient Financial Services)
Cerner Patient Accounting experience is preferred
Completion of a Bachelor’s degree, Master’s degree, or equivalent in the areas of economics, finance, accounting, statistics, econometrics, public health, engineering or other practice related subjects
Proven capability with MS Excel is necessary
Knowledge and experience with other analytical software (e.g., SAS, SPSS, Stata, MS Access, MS SQL Server) is preferred
Willing to travel consistently (50%
75 %, depending on project requirements and client expectations) is required for this position
Candidate must be able to submit verification of his/her legal right to work in the U.S., without company sponsorship.

Managing Consultant – Margin & Operational Improvement, Revenue Cycle

Key skills