Healthcare Revenue Cycle Business Consultant - 80% Travel

NTT DATA Services - Plano, TX3.5

Full-time
SkillsBenefits
Req ID: 70147

At NTT DATA Services, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company’s growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA Services and for the people who work here.

NTT DATA Services is committed to improving patient outcomes by creating efficiencies across the healthcare ecosystem. A recognized leader in the healthcare space, the company delivers targeted segment solutions including patient engagement, predictive analytics, healthcare cloud hosting, integration and interoperability, clinical and claims application implementation, revenue cycle management and policy administration, in addition to core managed infrastructure, application and business process services. Clients include more than 1,800 hospitals, 2,200 long-term care facilities, 225 acute care facilities, 43,000 clinicians, 1,000 physician practices and 50 insurance providers in support of 65 million policy holders.

NTT DATA Services currently seeks a Healthcare Revenue Cycle Business Consultant to join our team. This position requires at least 80% travel, Monday through Thursday, with remote work on Friday.

This role requires healthcare centric revenue cycle consultant who can perform gap analysis, design best practice workflow and recommend transformational strategies for both acute care and ambulatory settings.

This role will have responsibility for delivering high quality Revenue Cycle consulting services in both the acute care and ambulatory settings. Revenue Cycle Consultant will be responsible for aligning the revenue cycle activities, both operationally (workflow) and with customer technologies, insuring integration across all clinical and business units. Candidates must be able to leverage their knowledge of revenue cycle workflows and related regulatory compliance to guide process analysis and workflow design changes. The individual must have a strong background in all aspects of revenue cycle activities, with prior hands on experience in operational processes.

Proficiency required in the following areas: Billing/Accounts, Receivable Claims (paper and electronic submission), Resolution of billing and claim edits, Claims clearinghouse processes and procedure, Follow up on rejections and denials, Initiation of appeals and underpayments, Charge and payment posting, Calculation of managed care manual adjustments, Understanding of CPT and ICD-10 coding.

The individual will be responsible for the following:
Develop process-driven workflow recommendations for customer engagements which include specific implementation/support engagements
Ensure benefits realization from the functionality being implemented
Develop and manage culture change and adoption through organizational design and change management
Participate in other consulting engagements as assigned
Effectively communicate with C suite, Board of Directors, Physicians and all levels of staff in customer organization based on engagement requirements
Stay abreast of healthcare regulatory requirements related to Revenue Cycle
Proficiency in MS Office Suite, including PowerPoint to create and deliver presentations and Word to compose white papers on Revenue Cycle related topics
Willing to travel up to 80% to be present at customer site locations, as needed

Basic Qualifications

Minimum of 5 years of practical, hands on experience in an operational role in healthcare in Billing / Accounts Receivable, Claims, Denials Management, Patient Access modules, and Scheduling
Minimum of 5 years of practical, hands on experience in an operation role of creating and supporting revenue capture implementation and optimization for clinical data flow to Billing/Accounts Receivable

Preferred Skills

Understanding of registration, scheduling and pre-certifications/authorizations
Solid organizing and planning skills
Ability to multi-task and set priorities in a dynamic environment
Strong written and verbal communication skills
Strong conflict resolution skills
Analytical thinking, problem solving, customer oriented, and commitment to quality
Self-starter with proven ability to operate with minimal oversight
Demonstrated ability to think creatively and find unconventional solutions
Ability to relate application solutions to business and clinical needs

This position is only available to those interested in direct staff employment opportunities with NTT DATA, Inc. or its subsidiaries. Please note, 1099 or corp-2-corp contractors or the equivalent will NOT be considered. We offer a full comprehensive benefits package that starts from your first day of employment.

About NTT DATA Services

NTT DATA Services partners with clients to navigate and simplify the modern complexities of business and technology, delivering the insights, solutions and outcomes that matter most. We deliver tangible business results by combining deep industry expertise with applied innovations in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services.

NTT DATA Services, headquartered in Plano, Texas, is a division of NTT DATA Corporation, a top 10 global business and IT services provider with 118,000+ professionals in more than 50 countries, and NTT Group, a partner to 88 percent of the Fortune 100. Visit nttdataservices.com to learn more.

NTT DATA, Inc. (the “Company”) is an equal opportunity employer and makes employment decisions on the basis of merit and business needs. The Company will consider all qualified applicants for employment without regard to race, color, religious creed, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other class protected by law. To comply with applicable laws ensuring equal employment opportunities to qualified individuals with a disability, the Company will make reasonable accommodations for the known physical or mental limitations of an otherwise qualified individual with a disability who is an applicant or an employee unless undue hardship to the Company would result.

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