PB/HB Revenue Cycle Operations Expert | The Wilshire Group | Remote (United States)
Job Description
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 Title: PB/HB Revenue Cycle Operations Expert
Company: The Wilshire Group
Location: Remote (with 10-15% travel)
Contract Duration: 6+ months
Compensation: 65% Fee Sharing
About The Wilshire Group:
The Wilshire Group is a leading healthcare consulting firm specializing in revenue cycle management. We work closely with healthcare organizations to optimize their billing processes, improve financial performance, and enhance patient satisfaction. Our team of experts leverages deep industry knowledge and cutting-edge technology to deliver tailored solutions that meet the unique needs of our clients.
Position Summary:
The Wilshire Group is seeking a highly experienced PB/HB Revenue Cycle Operations Expert to join our team on a contract basis. This role focuses on front cycle revenue, billing operations, and mid-cycle processes, ensuring seamless integration and optimization across all aspects of the revenue cycle.
Key Responsibilities:
- Billing Operations: Manage and optimize the billing processes, ensuring accuracy, compliance, and efficiency across PB (Professional Billing) and HB (Hospital Billing) systems.
- Front Cycle Revenue Management: Oversee and enhance front-end processes, including patient registration, eligibility verification, and charge capture.
- Mid-Cycle Management: Focus on improving workflows related to coding, documentation, and claims submission, reducing denials, and maximizing reimbursement.
- Process Improvement: Identify opportunities for process enhancement and implement best practices to drive operational efficiency and financial performance.
- Stakeholder Collaboration: Work closely with internal teams and client stakeholders to ensure alignment on project goals and deliverables.
- Epic Systems Expertise: Leverage deep knowledge of Epic systems to customize and optimize billing and revenue cycle workflows.
- Compliance and Regulatory Adherence: Ensure all processes comply with relevant regulations and standards, maintaining the highest level of accuracy and integrity.
Qualifications:
- Education: Bachelor’s degree or higher in healthcare, business, or a relevant field.
- Experience: Minimum of 5 years of recent experience with Epic systems in cash posting, focusing on PB/HB billing and revenue cycle management.
- Skills: Strong analytical skills, excellent communication abilities, and a proven track record of successful project delivery in a healthcare setting.
- Travel: Ability to travel 10-15% as required for client engagements.
Why Join The Wilshire Group?
- Impactful Work: Be part of a team that drives meaningful improvements in healthcare organizations.
- Expert Collaboration: Work alongside industry experts who are passionate about transforming healthcare revenue cycles.
- Flexible Work Environment: Enjoy the benefits of remote work with the opportunity for occasional travel.
Application Process:
To apply, please submit your resume and a cover letter detailing your relevant experience and qualifications.
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.