• Healthcare Revenue Cycle Manager

    Job Locations US-CA-Oakland | US-CA-Fresno
    Job ID
    2018-2554
    Category
    Consulting
  • Overview

    Create lasting, positive impact.

    By considering Wipfli LLP, you’ve decided to go beyond the ordinary public accounting and consulting firm. At Wipfli, we create positive impact and lifetime relationships by leading and working with an outward mindset. As a member of our team, you will be inspired to think freely and follow your passion, grow as a professional by developing your skills and commit to serving our clients and communities with honesty and integrity.

     

    Wipfli has a broad national footprint with offices coast to coast — and we’re still growing! As an associate, you’ll have access to skill development and career opportunities, whether you want to move up or transition into another area of specialty. You’ll also have the flexibility and technology to work wherever you are, whether it’s at home or in our clients’ offices, or switching Wipfli offices if you’re looking to move across the country.

     

    Join a company focused on giving back to the greater good — at Wipfli, we’re committed to supporting the communities we do business in. To learn more about our volunteer efforts, who we are and what we do, visit wipfli.com.  

     

    Wipfli is currently seeking candidates for the role of Healthcare Revenue Cycle Consulting Manager. This position can be at any of our offices or remote.

    Responsibilities

    • Serves as both a role model and trainer in helping them to develop technical and professional competency in new hires.
    • Planning, scoping, developing, and leading projects, including developing work plans that comply with Wipfli policies and methodologies.
    • Leading interviews with client process owners to understand current state systems, processes, and/or controls and assessing risk with minimal oversight and supervision.
    • Evaluating design and operating effectiveness of chart reviews, including efficiency, effectiveness, and mitigating controls, and procedures to remediate gaps.
    • Preparing chart review reports on findings and recommendations to senior management.
    • Reviewing deliverables, chart review work papers, and other supporting process documentation for quality.
    • Communicating strengths and weaknesses to the client or internal project management team and developing effective solutions.
    • Ensuring timely completion of assigned project phases within a provided budget.
    • Exhibiting strong ethical behavior and strong morals.
    • Developing tools necessary to perform job duties when needed
    • Developing and maintaining effective client relationships.

    Qualifications

    • 3+ years in a healthcare provider industry (or relevant experience in professional services), preferably in areas such as patient financial services, reimbursement, compliance or internal audit.
    • Bachelor’s Degree in relevant discipline (e.g. Accounting, Finance, Information Technology or Business Related Field) desired.
    • Prior experience in the healthcare industry, preferably provider operations including hospitals, physician practices and ancillary services.
    • Understanding of revenue cycle operations and revenue cycle accounting principles.
    • Strong knowledge in CMS requirements for reimbursement
    • Knowledge of the Health Insurance Portability and Accountability Act (HIPAA), Stark, Anti-kickback and other industry-relevant compliance requirements.
    • Provider billing and reimbursement, including revenue recognition and accounts receivable management
    • General knowledge of healthcare provider operations, including hospitals, physician practices, home health, hospice, skilled nursing
    • Relevant regulatory knowledge within the industry including, but not limited to: CMS, OIG, HIPAA, ACA etc.
    • Key healthcare provider processes including, but not limited to: charge capture, billing, collections, compliance, patient access, medical records, payer contracts, physician relationships, financial operations, foundation, etc.
    • Project management, supervisory, leadership, and mentoring experience.
    • Ability to interpret payer contracts
    • Strong analytical and problem-solving skills.
    • Advanced verbal and written communication skills including documentation of findings and recommendations.
    • Strong listening skills to discern the best course of action for our clients.
    • Understanding of commonly used internal control concepts
    • Knowledge of chart review processes and methodologies, including developing process flows.
    • Travel throughout the month frequently required based upon client requests/commitments. Travel may include suburban, regional, or out of state locations.

    Our recruiting team will guide you through our evaluation and interviewing process. We will communicate an update on your status as soon as possible.

     

    The recruiting team member guiding you through this process is Jeannie Ang, and you can find her on LinkedIn here. She is based in our Minneapolis, MN office and looks forward to guiding you through this process.

     

    Wipfli is an equal opportunity/affirmative action employer. All candidates will receive consideration for employment without regards to race, creed, color, religion, national origin, sex, age, marital status, sexual orientation, gender identify, citizenship status, veteran status, disability, or any other characteristics protected by federal, state, or local laws.

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