Revenue Cycle Managing Consultant – Back-End

Responsibilities

• Manage Revenue Cycle improvement engagements, serving as a subject matter expert in back-end revenue cycle operations within an Epic environment.
• Lead complex Revenue Cycle operational transformation engagements for healthcare organizations, serving as the back-end Revenue Cycle subject matter expert and leveraging Epic to drive sustainable improvements in reimbursement, cash flow, financial performance, and operational efficiency.
• Assess, redesign, and optimize back-end revenue cycle workflows, including charge capture, coding, billing edits, claims submission, payment posting, denial management, accounts receivable follow-up, credit balance resolution, underpayment recovery, and collections.
• Identify opportunities to improve revenue integrity, reimbursement, cash acceleration, denial reduction, and operational efficiency through process redesign, workflow optimization, and technology enablement.
• Partner with client stakeholders to align back-end revenue cycle operations with Epic capabilities, implementing sustainable solutions that improve clean claim rates, reduce denials, optimize reimbursement, and strengthen revenue cycle performance.
• Lead multidisciplinary teams in the planning and execution of large-scale back-end revenue cycle transformation initiatives, including Epic implementations, workflow optimization, and operational redesign efforts.
• Develop project plans, timelines, and assessment methodologies, and lead current-state assessments and operational due diligence activities.
• Monitor progress toward key milestones, provide regular client updates, identify risks, and elevate issues appropriately to internal and client stakeholders.
• Oversee the quality of project deliverables and manage team performance to ensure successful client outcomes.
• Participate in business development activities by developing proposals, presenting solutions, and contributing back-end revenue cycle subject matter expertise.

Requirements

• A minimum of 7 years of healthcare revenue cycle experience
• Deep expertise in back-end revenue cycle operations including denials management, AR reduction, cash acceleration, insurance follow‐up/collections, and payer yield optimization
• Proven ability to identify revenue leakage, design operational improvements, and implement sustainable solutions that directly impact the bottom line
• Strong understanding of revenue cycle performance metrics, benchmarking, and the operational levers that drive net revenue realization
• Experience leading multi-disciplinary teams through large-scale revenue cycle transformation and operational change efforts
• Ability to translate complex revenue cycle data into actionable strategies and clearly communicate findings and recommendations to senior client leadership
• Comfortable managing multiple client priorities in a fast-paced, matrix-structured consulting environment
• Familiarity working in Epic environments preferred; functional knowledge of Hospital Billing (HB) and/or Professional Billing (PB) workflows a plus
• Bachelor's degree preferred
• PMP certification preferred

Core Competencies

Demonstrates extensive expertise in back-end revenue cycle operations, including denials management and AR reduction, while leveraging Epic to optimize workflows and enhance financial performance. Proven ability to lead multidisciplinary teams in large-scale transformation initiatives and effectively communicate actionable strategies to senior leadership.

Tools & Technologies

• Epic
• Hospital Billing (HB)
• Professional Billing (PB)