Healthcare Revenue Cycle Specialist
4 days ago
We are seeking a highly skilled and experienced specialist to join our in-house team. The ideal candidate will have a strong hospital-based Revenue Cycle Management background and a keen understanding of Compliance and Regulatory issues.
Responsibilities
· Consulting Facilitator
o Provide strategic guidance to our teams on revenue cycle management, operational efficiency, and regulatory compliance.
o Analyze complex healthcare systems and processes to identify opportunities for improvement.
o Develop and implement innovative solutions to optimize revenue cycle performance and reduce costs.
o Opportunities to prepare various highly professional documents for clients
· Revenue Cycle Expertise:
o Conduct in-depth assessments of billing and coding practices to identify areas for improvement.
o Analyze clinical and financial claims data to identify trends, patterns, and potential revenue leakage.
o Develop and implement strategies to improve revenue accuracy, reduce financial risks and accelerate payment cycles.
· Compliance and Regulatory:
o Stay up-to-date on the latest healthcare regulations, including but not limited to HIPAA, Stark Law, and Anti-Kickback Statute.
o Conduct compliance audits and risk assessments to identify potential vulnerabilities.
o Develop and implement compliance plans to mitigate risks and ensure regulatory adherence.
· Team Collaboration:
o Collaborate with cross-functional teams to ensure project success.
o Share knowledge and expertise with team members to foster a culture of continuous improvement.
Qualifications
· Bachelor's degree in healthcare administration, public health, business administration, or related field. Master’s degree preferred.
· Minimum of 5 years of experience in revenue cycle with some experience with compliance.
· Demonstrated time-management skills to work independently and with the team on multiple assignments and priorities.
· Strong communication, attention to details and interpersonal skills.
· Proven ability to develop and deliver high-quality, client-centric solutions.
· Healthcare consulting experience a plus.
· Knowledge of healthcare policies, regulations, operations, best practices and industry trends.
· Relevant certifications (e.g., CHC, Six Sigma) helpful
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