[Remote] Business Process Consultant - Revenue Assurance (Remote) Job Details | Duke Careers

Note: The job is a remote job and is open to candidates in USA. Duke University is seeking a Business Process Consultant for its Patient Revenue Management Organization, dedicated to advancing health through improved revenue cycle processes. The role involves supporting revenue cycle operations, analyzing performance metrics, and identifying opportunities for operational efficiency and improvements.

Responsibilities

• Identify existing and future revenue cycle-based improvement opportunities
• Lead PRMO discussions, evaluations, selections and prioritization of improvement opportunities, including the development of an ROI analysis to better understand and determine potential impact on overall PRMO performance
• Work closely with PRMO leadership to understand operational goals and challenges to identify opportunities for enhancements
• Perform and prepare regular root cause analysis of performance of the revenue cycle function to identify areas of opportunity utilizing various data systems including Slicer Dicer and Tableau
• Responsible for various standard, recurring reporting functions to support revenue cycle operational business needs
• Assists revenue cycle senior leaders in working closely with organizational stakeholders to improve financial performance based on analytic findings
• Monitor key performance indicators for internal and external parties
• Cultivates internal relationships to assist in understanding department workflows
• Provides analytics for and supports special projects as needed (e.g. new payer policy financial impact)
• Support investigation into claims/denials patterns, payer policy changes, collection rate shifts, avoidable write-off’s, and payer mix evaluation to optimize payer performance
• Develop analytical models that are well-documented containing advanced formulas and functions that are used to evaluate historical trends, forecast future expectations, or draw conclusions
• Point person for month-end Revenue Cycle Net Revenue Review
• Create, design, lead, and implement strategies that will reduce AR, improve aging AR, improve net collection rate, eliminate waste through automation or optimization of workflows, reduce denials, and reduce avoidable write-offs, for all areas of the Revenue Cycle
• Develop, maintain, and enhance knowledge of Revenue Cycle systems and third-party vendors to support recommendations for optimal workflows
• Leverage technology and best practices to recommend process improvements
• Effectively communicate trends to influence all levels of leadership for process improvements
• Partner with leaders and teams to review and establish improvement opportunities
• Perform project management duties to align multi-disciplinary groups across the revenue cycle and clinical departments, corporate finance, DHTS, and hospital service line leadership
• Communicate and track progress of identified issues and action items
• Partner with Operations Improvement on outstanding optimization and automation projects
• Promote PRMO strategic vision, mission, and purpose while emphasizing teamwork and results
• Create and foster a department culture that provides a satisfying and enriching environment in which staff can be developed and retained
• Interact with and provide timely verbal/written responses to all stakeholders (patients, providers, payors, and departmental personnel)
• Acknowledge management requests and emails in a professional, timely manner
• Attend meetings and participate in Work Culture initiatives, committees or workgroups, as assigned
• Accomplish all tasks as assigned

Skills

• Bachelor's degree required
• Minimum of 7 years work experience
• Extensive knowledge of Revenue Cycle analytical tools, business intelligence tools and statistical packages
• Proven experience with Revenue Cycle workflows to include but not limited to overall claims processing spanning the life cycle of the revenue cycle, denials management, insurance follow up, and net collection rate impacts and calculations
• Experience can be supplemented with Master's degree with a Masters being equivalent to two years of experience
• Knowledge of Epic System (Revenue Cycle Applications)
• Knowledge of Revenue Cycle operations
• Ability to understand revenue cycle operational performance goals/metrics
• Strong analytical skills
• Ability to perform root cause analysis with accuracy
• Ability to identify and implement optimization opportunities within Epic
• Ability to investigate and analyze information and provide recommend solutions for identified issues
• Ability to develop, implement and oversee project teams comprised of IT and operational resources
• Ability to communicate effectively, both orally and in writing
• Demonstrate strong interpersonal and communication skills
• Ability to work effectively with a wide range of constituencies in a diverse community
• Ability to foster a positive work environment
• Ability to multi-task
• Systems: Epic, MS Office Applications (Word, Excel, Visio, PowerPoint), Kodiak RCA
• Master's degree preferred

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