Advisor, Managed Care, Revenue Cycle Management System Administration
Core
Strategic partner optimizing revenue cycle systems, reimbursement methodologies, and data governance to drive revenue integrity and operational performance.
Role type
Senior IC revenue cycle systems advisor
Builds
Optimized revenue cycle platform configurations, data governance frameworks, and financial reporting structures
Domain
Healthcare revenue cycle management and payer interactions
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure
Required skills
Revenue cycle management system configuration, medical coding (CPT, HCPCS, ICD-10), fee schedule administration, payer contract analysis, data governance, stakeholder collaboration, analytics, process improvement
Preferred skills
Unlimited Financials, G4 Centricity, provider/location master data management, credentialing coordination
Technologies
Unlimited Financials, G4 Centricity, MS Office Suite
Responsibilities
Provide consultative oversight of revenue cycle practice management system configuration and optimization; Lead complex system troubleshooting and enhancement activities; Oversee governance and optimization of insurance plan configurations; Analyze payer and operational performance data to identify revenue enhancement opportunities; Manage review and implementation of coding updates; Own provider and location master data governance
Seniority
Senior, hands-on IC with mentorship capabilities