REVENUE CYCLE CONSULTANT - HOSPITAL BILLING

MAKE A DIFFERENCE AT OCHIN

OCHIN is a nonprofit leader in health care innovation and a trusted partner to a growing national provider network, delivering the clinical insights and tailored technologies needed to expand patient access, strengthen care teams, and improve the health of rural and medically underserved communities.

We are hiring for a number of new positions to meet increasing demand. When you choose to join OCHIN, you have the opportunity to continuously grow your skills and do meaningful work to help fulfill our vision of good health and well-being for everyone.

At OCHIN, we value the unique perspectives and experiences of every individual and work hard to maintain a culture rooted in our values.

Founded in Oregon in 2000, OCHIN employs a growing virtual workforce of more than 1,200 skilled professionals, working remotely across 49 states. We offer a generous compensation package and are committed to supporting our employees' entire well-being by fostering a healthy work-life balance and opportunity for professional advancement. We are curious, collaborative learners who strive to live our values every day. OCHIN is excited to support our continued national expansion and the increasing demand for our innovative tools and services by welcoming new talent to our growing team.

Position Overview:

The Revenue Cycle Consultant position optimizes OCHIN Acute Care member revenue cycle performance by providing expert guidance, technical assistance, and training to rural hospital revenue cycle teams. This position is responsible for designing and delivering innovative learning solutions, analyzing revenue cycle operations, and implementing best practices to enhance efficiency, increase collections, and improve satisfaction among patients, staff, and stakeholders. Acting as a trusted partner, the Revenue Cycle Consultant collaborates across teams to support process improvements, facilitate system enhancements, and drive measurable outcomes aligned with OCHIN's organizational goals.

Essential Functions:

• Work intensively with health center teams participating in assigned projects to refine their Revenue Cycle and implement best practice concepts.
• Design, develop, and implement member assessments/consults around Revenue Cycle performance and TA needs to identify opportunities for improvements and possible solutions.
• Lead in the coordination of member consultations, including planning meeting logistics, communicating with members, preparing content for meetings, and coordinating follow-up.
• Plan, coordinate, facilitate, and evaluate learning sessions/trainings for members in collaboration with project partners including curriculum design, agenda setting, and trainer identification.
• Other duties as assigned.

• Minimum 10 years of Revenue Cycle and financial experience in similar or relevant role preferred
• Minimum of 10 years of Revenue Cycle financial management experience in similar or relevant role in safety net organizations preferred
• Epic Certification/Accreditation/Proficiency in Epic Resolute Hospital Billing is required, or you must obtain within 6 months of hire
• Experience with EHR software is required. Specifically, EPIC expertise is required in HB Resolute module is required. Experience in Prelude, Cadence, Grand Central, and EpicCare modules a plus.
• Must have strong Hospital Billing workflow knowledge across front end, middle, and backend processes, with the ability to coach, analyze, and evaluate current state workflows and be able to recommend and drive implemented improvements that align with OCHIN best practices and regulatory standards.
• Must have strong knowledge of Medicare/Medicaid acute billing regulations, CMS payment methodologies, and payer specific billing requirements.
• Must have strong technical aptitude to analyze AR data, denial trends, root cause issues, and operational metrics that impact revenue cycle performance.
• Ability to troubleshoot system build and configuration to identify and resolve workflow issues independently or in collaboration with application analyst teams.
• Experience leading multiple projects simultaneously, including timeline management, defining scope of work, member coordination, and delivering measurable outcomes.
• Ability to work in a fast paced, ambiguous environments while managing multiple member engagements simultaneously.
• Strong understanding of Acute Revenue Cycle KPIs (Days in AR, Self Pay days, CFB, DNB, late charges, claim lag, denial rates etc.)
• Ability to education and influence hospital leaders and billing staff on people, process, and technology changes.
• Ideal candidate will have deep understanding of Epic Billing functionality (Charge Review Work queues, Claim Edit Work queues, charge router, claims processing, etc.)
• Experience working with Critical Assess Hospital (CAH) is a plus
• Experience supporting "Community Connect" hospitals is a plus
• Change management skills and experience highly desired.
• Proven success in internal and external relationships with all levels of expertise from administrative to executive leadership.
• Must have strong consulting, facilitation, coaching, and presentation skills, including experience engaging CFOs, Revenue Cycle Directors, and hospital executives.
• Must have excellent interpersonal, intercultural, and customer service skills.
• Ability to travel as needed to support go live, onsite assessments, or stabilization efforts as needed.
• Prior to moving forward to the team interview, all candidates are required to complete a 50-60-minute competency assessment. The assessment gives us insights into how your strengths, preferences, and work style align with the OCHIN's nine core competencies. It's not about passing or failing-it's about understanding fit and setting you up for success.

Base Pay Overview

OCHIN uses broadened pay bands to support equitable and market-aligned compensation practices. The final offer will be based on a variety of factors, including relevant skills, certifications, education, experience, training, responsibilities, internal equity, and market data.

Physical Requirements/Work Environment:

• Constant interpersonal skills, teamwork, and customer service. Frequent creativity, mentoring, presentations, and teaching. Occasional decision making and independent judgment or action.
• Reading, speaking, writing, and understanding English.
• While performing the duties of the job, the employee is regularly required to sit for long periods of time; stand and walk; use hands to finger, handle or feel; reach with hands and arms.
• This position requires a virtual home-office environment, working remotely.
• The role routinely uses standard office equipment such as computers and mobile devices.
• Travel is required to support OCHIN's business requirements for Go-Live installations or training which may require travel by air, vehicle, or train.

Work Location and Travel Requirements

OCHIN is a 100% remote organization with no physical corporate office location. Employees work remotely from home and many of our positions also support our member organizations on-site for new software installations. Nationwide travel is determined based on OCHIN business needs. Please inquire during the interview process about travel requirements for this position.

Work from home requirements are:

• Ability to work independently and efficiently from a home office environment
• High Speed Internet Service
• It is a requirement that employees work in a distraction free workplace
• Travel will be required nationally based on business requirements for OCHIN

We offer a comprehensive range of benefits. See our website for details: Careers | OCHIN.org

COVID-19 Vaccination Requirement

To keep our colleagues, members, and communities safe, OCHIN requires all employees-including remote employees, contractors, interns, and new hires-to be vaccinated with a COVID-19 vaccine, as supported by state and federal public health officials, as a condition of employment. All new hires are required to provide proof of full vaccination or receive approval for a medical or religious exemption before their hire date.

Equal Opportunity Statement

OCHIN is proud to be an equal opportunity employer. We are committed to building a team that represents a variety of backgrounds, perspectives, and skills for the benefit of our staff, our mission, and the communities we serve.

As an Equal Opportunity and Affirmative Action employer, OCHIN, Inc. does not discriminate on the basis of race, ethnicity, sex, gender identity, sexual orientation, religion, marital or civil union status, age, disability status, veteran status, or any other protected characteristics. All aspects of employment are based on merit, performance, and business needs.

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