Job Summary:

As the healthcare industry faces increasing financial pressures from evolving reimbursement models, government regulations, Accountable Care Organizations, and healthcare reform, it has never been more important for physicians and hospitals to optimize the efficiency and effectiveness of revenue cycle performance. BDO's Healthcare Group within the Management Consulting (MC) practice provides comprehensive solutions to maximize operational and financial performance, increase operational and system efficiencies and enhance the overall patient experience.

Job Duties:

• Develops central patient access and revenue cycle functions on a project basis such as:
  • Single business office for professional and hospital services
  • Central patient access unit for registration and scheduling
  • Standardized policies and procedures
• Assesses revenue cycles:
  • Thoroughly reviews of front and backend operations
  • Analyzes and redesigns workflow
  • Conducts performance metrics and benchmarking
  • Analyzing report functions and results thereof
  • Reviews revenue cycle systems, including third party solutions
  • Reviews charge capture (manual and EHR) and reconciliation processes
  • Identifies and prioritizes opportunities for improvement
  • Examines and provides recommendations for staffing size, structure & benchmarking
• Acts as Charge Data Master, overseeing projects to include:
  • Physician Education
  • Coding and compliance audits
  • EHR form/template assessment
  • Code scrubber technologies
  • CDM Assessment and Maintenance
• Manages interim revenue cycle for clients, as needed in similar capacity to
  • Executive leadership
  • Supervisors
  • Third-party contracting and settlement negotiations
  • Vendor selection for outsourced billing management
• Up-sells after initial engagement, as relevant
• Travel may be an essential requirement for this position (dependent on client requirements) and could require a commitment of up to 100% travel.
• Other duties as required

Supervisory Responsibilities

• Supervises the day-to-day workload on assigned engagements and reviews work product

Qualifications, Knowledge, Skills and Abilities:

Education

• Bachelor's Degree and six (6) or more years of industry experience with EHR/Practice Management vendor systems, required; OR High School Diploma/GED and eight (8) or more years of industry experience with EHR/Practice Management vendor systems, required
• Bachelor's Degree in Information Technology or Information Systems, preferred

Experience

• Six (6) or more years of healthcare finance, revenue cycle operations, clinical operations, or vendor/consultant-based experience, required
• This must include five (5) or more years' experience with healthcare EHR vendor systems for large group practices, and or hospitals, required

License(s)/Certification(s)/Affiliation(s)

• Epic Grand Central Certification (Prelude, Cadence, ADT), preferred
• Resolute PB/HB Certification, preferred

Software:

• Proficiency in the use of Microsoft Office Suite, MS Project, Visio, and SharePoint, required
• Proficiency in the use of Epic, Cerner, or athenaIDX, preferred

Language:

• N/A

Other Knowledge, Skills, & Abilities

• Executive presence, with the ability to act as the primary contact on assigned engagements
• Excellent verbal and written communication skills, as well as presentation skills
• Strong analytical and advanced research skills related to industry trends, market competition and technology
• Solid organizational skills, especially the ability to meet project deadlines with a focus on details
• Ability to successfully multi-task while working independently or within a group environment
• Ability to work in a deadline-driven environment, and handle multiple projects simultaneously
• Ability to interact effectively with people at all organizational levels of the Firm and with clients
• Ability to build and maintain strong relationships with internal and client personnel
• Ability to encourage a team environment on engagements, and contribute to the professional development of assigned personnel
• Travel may be an essential requirement for this position (dependent on client requirements) and could require a commitment of up to 100% travel.