Revenue Cycle Expert

4 days ago

Arlington, Virginia, United States Tria Federal (Tria) Full time
Job Description

About This Role:

Tria Federal (Tria) is seeking a highly motivated and skilled Revenue Cycle Consultant (Senior Consultant) to join our team. As a Revenue Cycle Consultant, you will provide professional consulting services to assist our Department of Defense client in managing their operational and revenue cycle operations.

Key Responsibilities:

  • Process Improvement: Identify problems, develop solutions, and implement changes to ensure processes, procedures, and operations are aligned with client's business operations.
  • Data Analysis: Conduct research and analysis to identify market and other macro trends that impact client business operations, and shares knowledge both internally and externally, as appropriate.
  • Team Collaboration: Work effectively with cross-functional teams, stakeholders, and team members to ensure that everyone is working towards the same goals and objectives.
  • Communication: Actively participate within project team(s) and engages with team members to ensure project objectives and client needs are met. Provides support and guidance as needed to ensure quality work products.
  • Project Management: Adheres to all established project processes, procedures, and guidelines regarding resources and how to use them. Communicates with leadership regarding resource needs and communicates changes.
  • Time Management: Adheres to defined work plans while maintaining all established timelines and deliverable deadlines.
  • Presentation and Facilitation: Assists in developing effective internal and external presentations and skillfully helps to facilitate client and internal team meetings.
  • Documentation: Accurately documents client communications and shares information with the project team.

Requirements:

  • Revenue Cycle Knowledge: Knowledge and a working understanding of revenue cycle concepts, business processes, and/or operations within the healthcare industry (commercial or federal).
  • Software Applications: Ability to use various software applications and tools to perform revenue cycle and integrity functions, such as Electronic Health Record systems (Oracle/Cerner MHS GENESIS Patient Accounting Module (CPAM)), billing/claim solutions/systems (Electronic Claims Clearinghouse (SSI), 3M 360 Encompass Institutional & Professional Coding, Claim Scrubber Edits (Alpha ii), Dentrix Billing, Patient Statements/Letters (RevSpring)), and data analytics tools/repositories (Excel, Power BI, SAS, Tableau, HealtheAnalytics).
  • Analysis and Problem-Solving: Ability to analyze and interpret complex data, processes, and reports related revenue cycle and integrity.
  • Communication and Collaboration: Ability to collaborate and communicate effectively with team members, clients, business partners, and other various stakeholders involved in revenue cycle and revenue integrity.
  • Professional Certifications: N/A
  • Education: Bachelor's degree required, Finance, Business Administration, Healthcare Administration or related field preferred. Masters in Business Administration or related field, ideal.
  • Clearance: Ability to Obtain and Maintain a Public Trust
  • Years of Professional Experience: 7 or more years of consulting or healthcare experience required, preferably in a federal consulting environment.

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