Wilshire hires only the brightest and most experienced professionals in the healthcare revenue cycle management industry. Wilshire will take the time to get know you and your employment history. We will then place you in a role that will lead to a path of career success.

Job Description: Authorizations/Referrals Operations Expert

Location: Remote (PST Hours)

Travel: 10-15%

Compensation: 65% Fee Sharing

Company: The Wilshire Group

About The Wilshire Group:

The Wilshire Group is a leading healthcare consulting firm specializing in revenue cycle management, operational improvement, and technology solutions for healthcare organizations. Our team of experts works closely with clients to enhance efficiency, optimize workflows, and deliver exceptional patient care. We pride ourselves on fostering a collaborative and innovative environment that empowers our consultants to make a real impact in the healthcare industry.

Position Summary:

We are seeking an experienced Authorizations/Referrals Operations Expert to join our dynamic team. In this role, you will leverage your expertise in Epic systems and healthcare operations to support and optimize the authorizations and referrals processes within hospital settings. You will work closely with client teams to identify opportunities for improvement, implement best practices, and ensure seamless integration of operational processes.

Key Responsibilities:

• Process Optimization: Analyze and enhance current authorizations and referrals processes to improve efficiency, accuracy, and compliance.
• Epic Systems Expertise: Utilize your deep knowledge of Epic systems to optimize workflows, troubleshoot issues, and provide training and support to client teams.
• Stakeholder Collaboration: Work closely with hospital administrators, clinical staff, and IT teams to ensure alignment and integration of processes.
• Performance Monitoring: Develop and monitor key performance indicators (KPIs) to track the effectiveness of authorizations and referrals operations.
• Compliance: Ensure all processes comply with relevant regulations and standards, including HIPAA and other healthcare guidelines.
• Training & Development: Provide training and guidance to client teams on best practices and the use of Epic systems for authorizations and referrals.
• Travel: Participate in on-site visits as needed, approximately 10-15% travel.

Qualifications:

• Epic Experience: Minimum of 5 years of experience working with Epic systems, specifically in authorizations and referrals management.
• Healthcare Expertise: Strong understanding of healthcare operations, particularly in hospital settings.
• Analytical Skills: Ability to analyze complex processes and data, and make data-driven decisions.
• Communication Skills: Excellent verbal and written communication skills, with the ability to interact effectively with diverse stakeholders.
• Problem-Solving: Proven ability to identify issues and implement effective solutions.
• Remote Work: Comfortable working remotely, with flexibility to work PST hours.

Why Join The Wilshire Group?

• Impactful Work: Play a key role in transforming healthcare operations and improving patient care.
• Collaborative Culture: Join a team that values collaboration, innovation, and professional growth.
• Flexibility: Enjoy the benefits of remote work while making a tangible difference in the healthcare industry.

If you are a seasoned professional with a passion for optimizing healthcare operations and have the expertise in Epic systems to back it up, we encourage you to apply for this exciting opportunity.

The Wilshire Group is an Equal Opportunity Employer.

Wilshire is honored that you have taken the time to review/apply to our open position. We will now take the time to review your experience and be in touch with you soon.