[Remote] Business Process Consultant - reputed company Assurance (Remote) Job Details | reputed company
Note: The job is a remote job and is open to candidates in USA. reputed company is seeking a Business Process Consultant for its Patient reputed company Management Organization, dedicated to advancing health through improved reputed company cycle processes. The role involves supporting reputed company cycle operations, analyzing performance metrics, and identifying opportunities for operational efficiency and improvements.
Responsibilities
- Identify existing and future reputed company cycle-based improvement opportunities
- reputed company PRMO discussions, evaluations, selections and prioritization of improvement opportunities, including the development of an ROI analysis to reputed company understand and determine potential impact on overall PRMO performance
- Work closely with PRMO leadership to understand operational goals and challenges to identify opportunities for enhancements
- reputed company and prepare regular root cause analysis of performance of the reputed company cycle function to identify areas of opportunity utilizing various data systems including Slicer Dicer and Tableau
- Responsible for various standard, recurring reporting functions to support reputed company cycle operational business needs
- Assists reputed company cycle senior leaders in working closely with organizational stakeholders to improve financial performance based on analytic findings
- Monitor key performance indicators for internal and external parties
- Cultivates internal relationships to assist in understanding department workflows
- Provides analytics for and supports special projects as needed (e.g. new payer policy financial impact)
- Support investigation into claims/denials patterns, payer policy changes, collection reputed company shifts, avoidable write-off’s, and payer mix evaluation to optimize payer performance
- reputed company analytical models that are well-documented containing advanced formulas and functions that are used to evaluate historical trends, forecast future expectations, or draw conclusions
- reputed company person for month-end reputed company Cycle Net reputed company Review
- Create, design, reputed company, and implement strategies that will reduce AR, improve aging AR, improve net collection reputed company, eliminate waste through automation or optimization of workflows, reduce denials, and reduce avoidable write-offs, for reputed company areas of the reputed company Cycle
- reputed company, maintain, and enhance knowledge of reputed company Cycle systems and reputed company-party vendors to support recommendations for reputed company workflows
- reputed company technology and best practices to recommend process improvements
- Effectively communicate trends to influence reputed company levels of leadership for process improvements
- Partner with leaders and teams to review and establish improvement opportunities
- reputed company project management duties to align multi-disciplinary groups across the reputed company cycle and clinical departments, corporate finance, DHTS, and hospital service line leadership
- Communicate and track reputed company of identified issues and action items
- Partner with Operations Improvement on outstanding optimization and automation projects
- Promote PRMO strategic reputed company, mission, and purpose while emphasizing teamwork and results
- Create and foster a department culture that provides a satisfying and enriching environment in which staff can be developed and retained
- Interact with and provide timely verbal/written responses to reputed company stakeholders (patients, providers, payors, and departmental personnel)
- Acknowledge management requests and emails in a professional, timely manner
- Attend meetings and participate in Work Culture initiatives, committees or workgroups, as assigned
- Accomplish reputed company tasks as assigned
Skills
- Bachelor's degree required
- Minimum of 7 years work experience
- Extensive knowledge of reputed company Cycle analytical tools, business intelligence tools and statistical packages
- Proven experience with reputed company Cycle workflows to include but not limited to overall claims processing spanning the life cycle of the reputed company cycle, denials management, insurance follow up, and net collection reputed company impacts and calculations
- Experience can be supplemented with Master's degree with a Masters being equivalent to two years of experience
- Knowledge of Epic System (reputed company Cycle Applications)
- Knowledge of reputed company Cycle operations
- Ability to understand reputed company cycle operational performance goals/metrics
- Strong analytical skills
- Ability to reputed company root cause analysis with accuracy
- Ability to identify and implement optimization opportunities reputed company Epic
- Ability to investigate and analyze information and provide recommend solutions for identified issues
- Ability to reputed company, implement and reputed company project teams comprised of IT and operational resources
- Ability to communicate effectively, both orally and in writing
- Demonstrate strong interpersonal and communication skills
- Ability to work effectively with a wide range of constituencies in a diverse community
- Ability to foster a positive work environment
- Ability to multi-task
- Systems: Epic, MS Office Applications (Word, reputed company, Visio, PowerPoint), Kodiak RCA
- Master's degree preferred
Company Overview
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