Epic Revenue Cycle Senior Consultant
- Lead functional design and configuration for Epic Patient Access modules, serving as the escalation point and design authority across Epic Cadence (Scheduling), Epic ADT (Admission, Discharge, Transfer), and Epic Prelude (Registration).
- Align Patient Access workflows to downstream revenue cycle processes, including eligibility and benefits, authorizations, charge capture, claim edits, and billing handoffs to Epic Resolute Hospital/Professional Billing.
- Coordinate and execute integrated testing, cutover, and go-live readiness across the revenue cycle, validating clean claim rate, registration accuracy, authorization completion, and reduction in avoidable write-offs.
- Partner with Patient Access, revenue cycle operations, Health Information Management (HIM)/coding, and Patient Financial Services (PFS) leadership to translate requirements into Epic design, manage decision logs and change control, and document build specifications and test scripts.
- Lead workstreams and mentor client and project team members; manage status, risks, and issues; and support stabilization and optimization to improve cash acceleration and days in accounts receivable (AR).
- Bachelor's degree.
- 4+ years of experience in provider revenue cycle operations in a health care provider, consulting, or technology vendor environment.
- 3+ years of hands-on experience implementing Epic Patient Access modules, including Epic Cadence (Scheduling), Epic ADT (Admission, Discharge, Transfer), and Epic Prelude (Registration), with integration to Epic Resolute Billing.
- 3+ years of experience translating business and operational requirements into Epic system design, configuration, testing, and activation deliverables across the revenue cycle.
- 3+ years of experience leading workstreams and small teams on multi-disciplinary revenue cycle projects.
- 3+ years of experience with Microsoft PowerPoint.
- Ability to travel 50%, on average, based on the work you do and the clients and industries/sectors you serve.
- Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future.
- 2+ years of consulting experience delivering Epic-enabled revenue cycle transformations spanning Patient Access, Health Information Management (HIM)/coding, and Patient Financial Services (PFS).
- 2+ years of experience improving revenue cycle KPIs, such as registration accuracy, authorization turnaround time, point-of-service collections, clean claim rate, first pass yield, and days in AR.
- Experience with Epic HB/Professional Resolute Billing and claim edit workqueues; familiarity with charge integrity and denial prevention.
- Experience with data extraction and analysis using Structured Query Language (SQL) or dashboarding tools such as Tableau.
- Experience with hospital and physician patient accounting or billing systems such as Epic, Cerner, MEDITECH, or Soarian.
- Master's degree in business or a health care field (e.g., MBA, MHA).
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