Cerner Patient Accounting Consultant

Bridging gap between non-profit needs and technical solutions

Gathering and analyzing user requirements

Implement Oracle EPM solutions

Align business needs with technology

Support internal operations and growth, Drive process improvements, Ensure system functionality,

laborate with cross-functional teams, Provide training and user

Provide basic user support for EMEA and UKI users

Focus on data management

Assist in setting up Microsoft Bookings for the business

Create a seamless online booking experience for clients

Lead and deliver JD Edwards Distribution implementations

Gather, analyze, and document client business requirements

Define and execute the strategic vision for Revenue Management.

Build and scale market-aligned service offerings.

Support process improvement in claims.

Organize and execute solutions for issues.

Lead revenue cycle operations across multiple states.

Improve billing accuracy and efficiency.

Build and lead a high-performing team.

Ensure accurate and timely claims processing.

Serve as a subject matter expert on reimbursement policies.

Respond to internal and external disputes regarding payment integrity.

Assist in Epic EHR development and support.

Improve workflows through tailored applications.

Negotiate contracts with healthcare providers.

Analyze and manage provider performance.

Lead cutover planning and execution.

Manage go-live activities and readiness assessments.

Serve as a liaison between customers and internal teams.

Analyze customer performance metrics for improvement.

Assist members and providers with inquiries.

Educate on benefits and site navigation.

Manage complex insurance A/R follow-ups.

Drive billing and coding accuracy.

Gather and document business requirements.

Translate business needs into specifications.

Provide strategic advisory on system configurations.

Conduct operational troubleshooting and staff training.

Support enterprise systems across multiple departments.

Gather and document business requirements.

Lead a revenue operations team.

Ensure compliance with ASC 606 and US GAAP.

Manage revenue cycle outsourcing engagements.

Lead operational plans and policies.

Resolve rejected and denied claims.

Research and appeal denied claims.

Oversee health plan integrations.

Manage configuration changes in Availity.

Oversee healthcare operations for clients.

Lead daily revenue cycle activities.

Manage and enhance authorization workflows.

Translate business requirements into technical specs.

Design and configure authorization workflows.

Translate requirements into automated logic.

Lead recruitment for Epic IT roles.

Build a pipeline of Epic-certified consultants.

Provide support to policyholders.

Assist with claims and policy information.

Provide support to C&C teams.

Ensure data accuracy in processing.

Own and execute product strategy and roadmap.

Leverage customer insights and data for decision-making.

Define and execute product strategy for Senior Care.

Utilize data and customer insights for decision-making.

Support clients in EHR implementation.

Develop change management strategies.

Optimize financial operations for clients.

Configure systems for effective use.

Provide timely and empathetic customer support.

Gather and document key claim details.

Resolve outstanding claims with insurance carriers.

Examine and correct denied claims for reprocessing.

Manage HRIS data integrity and reporting.

Oversee end-to-end onboarding process.

Oversee the collections process and improve accuracy.

Build a high-discipline collections engine.

Conduct audits of medical claims.

Verify compliance with regulations and SOPs.

Oversee end-to-end collections process.

Develop and maintain accurate collections forecasts.

Lead development of healthcare products

Bridge clinical needs with technology solutions

Join a dynamic team as an RCM Claims Status Manager, where you'll lead a remote group of specialists dedicated to enhancing claim resolutions and payer communications. This pivotal role involves managing electronic inquiries, documenting responses, and ensuring compliance with service level agreements. With over five years in healthcare billing operations and a strong grasp of claims workflows, you will identify trends and resolve discrepancies effectively. This is an exciting opportunity to drive improvements in revenue cycle management and contribute to the financial health of healthcare services.

Oversee electronic claim inquiries and payer communications.

Join a dynamic team as a Healthcare Data and Business Analyst, where you will play a crucial role in shaping Metabase dashboards and analyzing healthcare data for impactful clinical and financial reporting. This position offers the opportunity to collaborate across departments and centralize data from various sources, enhancing the decision-making process. With a focus on data integrity and visualization, this role is ideal for someone with strong analytical skills and a passion for healthcare, while enjoying the benefits of a competitive salary and flexible work environment.

Analyze healthcare data for clinical and financial reporting.

Join our Evidence of Coverage team as a Regulatory Affairs Analyst, where you'll coordinate vital regulatory work supporting annual QHP filings. This role is ideal for individuals with a keen eye for detail and experience in health insurance. You'll be responsible for managing documentation, scheduling internal groups, and ensuring compliance with state requirements. With competitive benefits, including medical, dental, and a 401(k) plan, this opportunity offers a chance to make a significant impact in the healthcare sector.

Support annual QHP filings.