The Wilshire Group

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πŸ“ United States

🧭 Full-Time

πŸ’Έ 37.87 - 66.28 USD per hour

πŸ” Healthcare

  • Bachelor’s degree in Accounting, Business Administration, Health Administration, Finance, or a related field OR 15 years of direct management experience in hospital receivables within an academic health system.
  • Minimum of 7 years of progressive experience in financial operations or hospital receivables management within a healthcare setting.
  • At least 4 years of direct supervisory or management experience.
  • Strong background in customer service operations within a healthcare business office or revenue cycle setting.
  • In-depth knowledge of the complete revenue cycle process.
  • Proficiency with Epic and call center systems, including metrics and performance dashboards.
  • Understanding of payer contracts and insurance reimbursement practices.
  • Demonstrated success in coaching teams, driving performance, and fostering positive workplace culture.
  • Exceptional interpersonal, communication, and conflict resolution skills.
  • Proven ability to influence and collaborate at all levels of the organization.
  • Manage day-to-day operations of the Customer Service Team for physician billing within Patient Financial Services.
  • Hire, train, mentor, and retain a team of representatives with a high degree of empathy and professionalism.
  • Monitor call center performance using call distribution systems and reporting tools to track and improve team metrics.
  • Ensure timely and effective resolution of patient billing inquiries while upholding quality service standards.
  • Collaborate with cross-functional teams, including registration, coding, billing, and IT to resolve systemic issues and improve processes.
  • Develop and implement training and quality assurance programs to ensure consistent service delivery.
  • Analyze service trends and develop strategies to optimize customer satisfaction and operational efficiency.
  • Maintain a deep understanding of payer contracts, billing regulations, and reimbursement practices.
  • Leverage Epic and other patient accounting systems to support issue resolution and improve transparency.
  • Establish and maintain strong working relationships with internal and external stakeholders, including hospital leadership.
  • Produce and present performance reports, identify areas of improvement, and drive strategic initiatives within the team.

LeadershipSQLCross-functional Team LeadershipCommunication SkillsCustomer serviceReportingTrainingTeam managementProcess improvementFinancial analysisBudget management

Posted 8 days ago
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πŸ“ United States

🧭 Contract

πŸ’Έ 30.0 USD per hour

πŸ” Healthcare

  • Must have experience working/posting PLB’s
  • Experience in Epic systems
  • Daily balancing of cash drawer and conducting daily cash reconciliation
  • Research all insurance payments for any discrepancies according to the facility contracts.
  • Responsible for the medical facility's daily bank deposit, inputting payments, and adjusting data onto patient accounts.
  • Processing electronic remittances
  • Posting all miscellaneous cash receipts corresponding to the general ledger accounts.
  • Assist in daily report tracking of all outside vendors to ensure correct posting of all charges and adjustments.
  • Complete daily credit balance report to ensure concurrent correction of credit balances.
  • Greets and acknowledge each customer.
  • Assist customers with queries.
  • Processes payments and provides receipts for each completed transaction.
  • Post all payments and adjustments to the specified patient encounters in accordance with the current cash posting policy and procedure.
  • Reviews scan documentation to identify contractual amounts, denials, or payment adjustments that require posting to patient's accounts.

Microsoft ExcelCustomer serviceAccountingData entryCustomer support

Posted 8 days ago
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🧭 Contract

πŸ’Έ 197600.0 - 208000.0 USD per year

πŸ” Healthcare

  • Proven senior-level leadership experience in healthcare revenue cycle operations and Epic implementation.
  • Extensive Epic system expertise, including certification(s) in key modules (preferred).
  • Demonstrated success in Epic implementation, optimization, and adoption strategies.
  • Strong ability to collaborate across multidisciplinary teams, including IT, clinical, and business units.
  • Excellent communication, change management, and stakeholder engagement skills.
  • Adept at managing teams, prioritizing initiatives, and delivering measurable results.
  • Must have a Bachelor degree or higher
  • Provide interim, director-level leadership within the Internal Business Consultant team.
  • Act as the primary liaison between Revenue Cycle, Ambulatory Operations, and Epic IT teams.
  • Lead and manage the deployment of Epic core functionalities, including: Online scheduling modules, Dashboards and visual analytics components, Slicer Dicer tools and self-service reporting
  • Translate Epic technical capabilities into clear, operational workflow improvements.
  • Oversee and mentor a team of project managers driving system adoption and optimization.
  • Ensure projects align with organizational goals, timelines, and regulatory standards.
  • Utilize Epic UserWeb and related tools to stay informed on system updates, tips, and best practices.
Posted 15 days ago
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πŸ“ United States

🧭 Full-Time

πŸ” Healthcare

  • 10+ years of experience in Epic IT, healthcare operations, revenue cycle management, and Epic system optimization.
  • Strong background in patient access, scheduling, real-time eligibility, authorization management, and financial counseling.
  • Proven ability to lead large-scale projects and manage cross-functional teams.
  • Expertise in change management, process improvement, and workflow optimization.
  • Experience collaborating with IT teams to implement system enhancements and resolve operational issues.
  • Strong analytical skills with experience developing dashboards and reporting tools.
  • Excellent communication and leadership abilities, with a track record of fostering client relationships.
  • Act as an operational liaison for consulting projects focused on reducing patient access-owned denials, improving workflows, and implementing new technology.
  • Lead project management efforts for multi-hospital healthcare organizations, including change management, process improvement, and subject matter expertise.
  • Develop and execute patient access service line strategies, including implementation materials and innovation-focused initiatives.
  • Provide business development support to drive client engagement and expand consulting services.
  • Collaborate with IT and operational leadership to optimize work queues, registration processes, and scheduling efficiency.
  • Lead initiatives to improve authorization procurement processes and real-time eligibility verification.
  • Mentor analysts and project teams to enhance technical build capabilities and operational knowledge.
  • Develop and configure dashboards, reports, and operational tracking tools to support key performance metrics.

Project ManagementBusiness DevelopmentData AnalysisProcess improvementChange Management

Posted 3 months ago
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🧭 Contract

πŸ’Έ 85.0 - 100.0 USD per hour

πŸ” Healthcare

  • Minimum of 5 years of experience in revenue cycle operations with a focus on financial clearance and workflow optimization.
  • Experience in call center and registration operations, with demonstrated success in improving workflows and outcomes.
  • Strong operational knowledge of Epic.
  • Advanced understanding of Financial Clearance Work Queue rules and revenue cycle best practices.
  • Proficiency in operational analysis and process improvement methodologies, such as Lean or Six Sigma.
  • Excellent project management skills with the ability to prioritize and manage multiple initiatives simultaneously.
  • Strong interpersonal and communication skills to collaborate effectively with cross-functional teams.
  • Analytical mindset with expertise in data visualization and reporting tools.
  • Analyze, design, and optimize Financial Clearance Work Queue (WQ) rules to maximize performance, compliance, and operational efficiency.
  • Identify opportunities to automate and streamline financial clearance workflows, including eligibility verification, authorization management, and denial prevention.
  • Monitor and analyze WQ metrics, reporting trends and developing actionable insights to improve outcomes.
  • Evaluate current call center workflows and identify areas for optimization to improve responsiveness, patient experience, and first-call resolution rates.
  • Develop and implement strategies to reduce patient wait times and enhance the efficiency of scheduling and registration processes.
  • Collaborate with IT and operations teams to integrate optimization tools and systems into call center operations.
  • Assess front-end registration workflows and recommend process improvements to increase accuracy and efficiency.
  • Partner with training teams to ensure staff understand and adopt new workflows or system updates.
  • Identify opportunities to reduce errors, delays, and redundancies in patient registration processes.
  • Partner with clinical and administrative teams to ensure revenue cycle goals align with organizational priorities and patient care objectives.
  • Act as a liaison between IT, operations, and revenue cycle teams to implement optimization projects.
  • Provide expertise and consultation during the design and implementation of new systems, tools, and workflows related to financial clearance, call center, and registration operations.
  • Regularly report key metrics, including WQ performance, call center efficiency, and registration accuracy.
  • Develop dashboards and tools to track and communicate optimization outcomes to stakeholders.
  • Utilize data-driven insights to refine and iterate on strategies.
Posted 3 months ago
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