Revenue Cycle Consultant

Job Description

Job Description

Description:

About Healthrise
Healthrise is deeply committed to improving the people, processes, and technology critical to ensuring the financial success of our Health Systems. Our comprehensive solution offerings range from strategic consulting and EHR transformation, to revenue cycle management, technology solutions, and staff augmentation. We take pride in our core values that guide everything we do, from building healthy relationships to continuously improving our services and fostering excellence.

Location: Remote*
*Up to 15% travel may be requested for coworking tied with major project initiatives

Position Summary

Healthrise is seeking a hands-on Revenue Cycle Consultant who will work closely with healthcare operational leaders and technical experts to identify, manage, and drive forward projects and initiatives.

This position partners closely with revenue cycle leadership to strengthen operational performance, support the deployment of new initiatives, and contribute to the development of scalable frameworks for continued service delivery.

Key responsibilities include:

• Preparing and owning project documents (project initiation, kick-off, meeting minutes, next steps).
• Conducting data analysis and forecasting.
• Identifying opportunities to enhance revenue cycle functions and workflows such as AR follow-up, denials management, underpayments, and patient access operations.
  

Core competencies include critical thinking, attention to detail, time management, relationship management, communication, and organizational planning. Proficiency in Microsoft Office, Epic’s electronic health record system, and workflow design/development are strongly desired. Current needs of expertise include all areas of revenue cycle (front, middle, back). Previous consulting or client-facing experience is preferred.

Measurements of Success

• Achievement and consistency in operational KPIs and project metrics
• Effective management and completion of project deliverables
• Positive client feedback related to operational delivery, responsiveness, and overall satisfaction
• Improved efficiency and cost management within revenue cycle workflows and associated vendor relationships
• Demonstrated operational improvements resulting from process enhancements
  

Duties and Responsibilities

• Operational Excellence: Ensure consistent, high-quality execution across revenue cycle projects, optimizing workflows, processes, and outcomes
• Performance Management: Support and influence key operational decisions, fostering clear communication, accountability, and measurable improvement
• Project Management: Apply project management methodologies and change management strategies to address performance gaps, technology enhancements, and regulatory changes
• Client Relationship Management: Serve as a critical liaison, managing expectations, communicating effectively, and addressing concerns proactively
• Daily Operations Oversight: Dive into operational details and trends, resolve issues, maintain standards, and ensure timely project delivery
• Coordination with Revenue Cycle Partners: Work closely with technical, vendor, and clinical teams to ensure effective project management and execution of deliverables
• Root-Cause Analysis: Aggregate and analyze data, identify root causes, and present summaries and recommendations for improvement
• Consultation and Advisory Support: Provide industry expertise, best practices, and KPI insights
• Tool/Dashboard Optimization: Maintain and enhance tools and dashboards to support functional and metric improvement initiatives
  

Requirements:

Required

• 3+ years of experience in revenue cycle operations and improvement strategies
• Knowledge of insurance practices, healthcare industry issues and trends, and revenue cycle functions
• Strong project leadership, organizational, and attention-to-detail skills
• Advanced analytical, presentation, and critical thinking skills
• Proven customer-oriented service with strong consultative and relationship-building skills
• Ability to galvanize others, gather support, and thoughtfully manage complex relationships to influence outcomes within the organization
• Proficiency in Microsoft Office (Outlook, Word, Excel, PowerPoint, Visio)
• Excellent communication skills and a proven track record of cross-functional collaboration
• Bachelor’s degree in Business Administration, Engineering, or a related field (or equivalent experience)
• Proven experience developing and applying structured workplans to prioritize and manage multiple initiatives simultaneously, while maintaining a strong sense of urgency across projects.
• Skilled at providing direction to project teams, driving the creation of critical deliverables, identifying and escalating potential risks, and effectively influencing stakeholders, including senior leaders both internally and externally.
  

Preferred

• Experience working in a HIPAA-compliant or healthcare-regulated environment
• Familiarity with project management concepts and methodologies
• Advanced degree (e.g., Master of Health Administration, Master of Public Health)
• Previous consulting or client-facing experience
• Familiarity with healthcare data formats and domains (HL7, X12 files such as 835/837)
• Supervisory or leadership experience