Revenue Cycle Consultant

Consultancy work to improve operations for charge capture, billing, collaborate with Patient Access to ensure data is collected correctly, responsible for improving denial rate, collections, etc. Manage the following groups: Charge Capture, Coding, Payer Credentialing (work with the offshore team to ensure things are going smoothly) This person will be responsible for running month end reports to manage the RCM operations, prepare and conduct leadership mtgs.

1. Senior SME to serve as overall RCM Department Lead
2. Assistant RCM Manager to provide oversight to medSR Meditech and Athena AR follow-up staff
3. AR follow-up support staff for both Meditech inpatient and Athena professional services
4. Charge release/chart completion – develop and implement best practice, provider responsibility versus medSR responsibility in the workflow process
5. CDM Update and maintenance – update and correct current Athena and Meditech CDM
6. Charge Capture and Control – medSR will develop and provide instruction, Clinical responsibility
7. Perform all third-party follow-up and account adjudication > 31 days
8. Denial processing and mitigation
9. Appeal processing
10. Manage patient correspondence related to billing
11. Credit balance processing
12. Implement medSR Payer Credentialing Services solution, support up to ten (10) payers, current fifty (50) providers, including up to 15 additional providers
13. Monthly steering meeting with key performance review
14. Standard end of month management reports

**This is a long term consultant position, 2 years. Will require some onsite- local to Chicago preferred