Revenue Cycle Managing Consultant – Back-End

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Stellenbeschreibung:

Responsibilities

Manage Revenue Cycle improvement engagements, serving as a subject matter expert in back-end revenue cycle operations within an Epic environment.
Lead complex Revenue Cycle operational transformation engagements for healthcare organizations, serving as the back-end Revenue Cycle subject matter expert and leveraging Epic to drive sustainable improvements in reimbursement, cash flow, financial performance, and operational efficiency.
Assess, redesign, and optimize back-end revenue cycle workflows, including charge capture, coding, billing edits, claims submission, payment posting, denial management, accounts receivable follow-up, credit balance resolution, underpayment recovery, and collections.
Identify opportunities to improve revenue integrity, reimbursement, cash acceleration, denial reduction, and operational efficiency through process redesign, workflow optimization, and technology enablement.
Partner with client stakeholders to align back-end revenue cycle operations with Epic capabilities, implementing sustainable solutions that improve clean claim rates, reduce denials, optimize reimbursement, and strengthen revenue cycle performance.
Lead multidisciplinary teams in the planning and execution of large-scale back-end revenue cycle transformation initiatives, including Epic implementations, workflow optimization, and operational redesign efforts.
Develop project plans, timelines, and assessment methodologies, and lead current-state assessments and operational due diligence activities.
Monitor progress toward key milestones, provide regular client updates, identify risks, and elevate issues appropriately to internal and client stakeholders.
Oversee the quality of project deliverables and manage team performance to ensure successful client outcomes.
Participate in business development activities by developing proposals, presenting solutions, and contributing back-end revenue cycle subject matter expertise.

Requirements

A minimum of 7 years of healthcare revenue cycle experience
Deep expertise in back-end revenue cycle operations including denials management, AR reduction, cash acceleration, insurance follow‑up/collections, and payer yield optimization
Proven ability to identify revenue leakage, design operational improvements, and implement sustainable solutions that directly impact the bottom line
Strong understanding of revenue cycle performance metrics, benchmarking, and the operational levers that drive net revenue realization
Experience leading multi-disciplinary teams through large-scale revenue cycle transformation and operational change efforts
Ability to translate complex revenue cycle data into actionable strategies and clearly communicate findings and recommendations to senior client leadership
Comfortable managing multiple client priorities in a fast-paced, matrix-structured consulting environment
Familiarity working in Epic environments preferred; functional knowledge of Hospital Billing (HB) and/or Professional Billing (PB) workflows a plus
Bachelor's degree preferred
PMP certification preferred

Core Competencies

Demonstrates extensive expertise in back-end revenue cycle operations, including denials management and AR reduction, while leveraging Epic to optimize workflows and enhance financial performance. Proven ability to lead multidisciplinary teams in large-scale transformation initiatives and effectively communicate actionable strategies to senior leadership.