Revenue Cycle Business Process Consultant

Revenue Cycle Business Process Consultant (Denials)

Pride Health is hiring a Revenue Cycle Business Process Consultant (Denials) for one of its clients. This is a Remote opportunity.

This is a 4-month contract with a possible extension with competitive pay and benefits.

Job Summary

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.

Job Duties

• Revenue Process Support, Workflows, and Systems bull.
• Develop and maintain written documentation for processes that exist between departments, systems, external vendors, and payers Bull.
• Act as a high-level Business Process Consultant between operations, performance improvement, and IT for needs those 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 complement to existing relationships to enhance and expedite performance improvement activities& bull.
• Reviews Business Processes, systems, or other changes that might impact existing workflows and recommends methods to optimize to the desired state and improve efficiency.
• Review system or process architecture in the scope of assigned projects & bull.
• Perform business impact reviews of test plans that span across departments, workflows, or systems or to assess impact, efficiency, and effectiveness & bull.
• 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 & bull.
• Communicate information clearly and create an environment where people can engage in open dialogue and reach effective solutions together to optimize workflow or process & bull.
• 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.

Requirements

• Education High School Diploma / GED Required Bachelor's Degree Preferred
• At least five (5) years of experience with system design, process workflow design, or business/systems consulting. 
• Required EPIC experience.
• Required Epic Mechanics on how it works Revenue Cycle experience Required.      
• Project Management
• Change Management
• 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.   

“Pride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, , legal support, auto ,home insurance, pet insurance, and employee discounts with preferred vendors. “