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Revenue Cycle Client Management Consultant - (Museum District)
Revenue Cycle Client Management Consultant - (Museum District)Houston Methodist • Houston, TX, US
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Revenue Cycle Client Management Consultant - (Museum District)

Revenue Cycle Client Management Consultant - (Museum District)

Houston Methodist • Houston, TX, US
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Houston Methodist is hiring a Revenue Cycle Client Management Consultant to lead revenue cycle initiatives within assigned clinics. This role serves as the internal consultant for revenue cycle management, building collaborative relationships, coordinating projects, driving operational performance related to revenue, and overseeing processes impacting cash collections. Responsibilities include analyzing and communicating revenue cycle performance, partnering with leadership to develop action plans for underperforming metrics, ensuring registration and financial tools are used effectively, and maintaining controls to monitor performance and regulatory compliance.

Responsibilities

  • People Essential Functions

Serve as the primary knowledge source for the department's revenue cycle performance.

  • Lead committees and task forces to support revenue cycle initiatives for assigned departments, planning, directing, and delegating tasks with deadlines.
  • Bridge communication between the department, the Physician Organization's Centralized Business Office (PO CBO), and the Single Billing Office (SBO).
  • Service Essential Functions
  • Perform root cause analysis, identify trends, prioritize performance-improvement initiatives (e.g., coding, claim submission, insurance and self-pay collections, refunds and write-offs), and work with training to address deficiencies and improve workflows.

  • Monitor revenue cycle performance in alignment with compliance policies and serve as the department leadership's primary resource for related questions or concerns.
  • Quality / Safety Essential Functions
  • Coordinate with PO CBO and SBO management to understand trends affecting revenue cycle performance.

  • Track ongoing performance of revenue cycle metrics to meet department, PO CBO, and SBO needs and goals.
  • Lead monthly meetings with department administrators and physicians to review metrics, trends, and improvement opportunities (e.g., staff training, physician coordination, policy / process revisions).
  • Develop goals linking department and revenue cycle initiatives with the organization's strategy.
  • Finance Essential Functions
  • Prepare timely monthly financial status reports for each physician's practice and review with department leadership, faculty, and staff at monthly revenue cycle meetings.

  • Coordinate with the assigned financial analyst to obtain accurate month-end financial reports.
  • Growth / Innovation Essential Functions
  • Develop, coordinate, and monitor implementation plans.

  • Act as a lead consultant / educator on performance-improvement requirements in operations and methodologies to revenue cycle teams, medical staff, other patient care, physician and hospital departments.
  • Identify and pursue new technologies that help identify and guide improvement opportunities aligned with PO CBO success.
  • This job description is not intended to be all-inclusive; the employee will also perform other related duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as needed.

    Education

  • Bachelor's degree in business or healthcare
  • Work Experience

  • Five years of experience in medical billing and insurance collections
  • Licenses and Certifications - Required

  • N / A
  • Knowledge, Skills, and Abilities

  • Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations
  • Proficiency in English (speaking, reading, and writing) necessary to perform essential functions, especially where safety or security is involved
  • Effective communication with patients, physicians, families, and coworkers with a customer-service focus
  • Strong understanding of revenue cycle technology processes and denials
  • Excellent project management skills and ability to manage multiple projects
  • Ability to navigate competing priorities and multiple demands
  • Ability to analyze trends and report findings clearly
  • Problem-solving skills and the ability to take independent action within policies
  • Critical thinking with a focus on global revenue cycle impact and solution orientation
  • Ability to maintain confidentiality of sensitive information
  • Strong leadership skills with the ability to coach and develop staff
  • Supplemental Requirements

    Work Attire

  • Uniform No
  • Scrubs No
  • Business professional Yes
  • Other (department approved) No
  • On-Call

  • Note that employees may be required to be on-call during emergencies (e.g., disaster, severe weather) regardless of selection below.
  • On Call No
  • Travel

  • Travel specifications may vary by department
  • May require travel within the Houston Metropolitan area Yes
  • May require travel outside the Houston Metropolitan area No
  • Houston Methodist is an Equal Opportunity Employer.

    Seniority level

  • Mid-Senior level
  • Employment type

  • Full-time
  • Job function

  • Consulting
  • Information Technology
  • Sales
  • Industries

  • Hospitals and Health Care
  • J-18808-Ljbffr

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    Revenue Cycle Consultant • Houston, TX, US