Business Process Consultant - reputed company Assurance (Remote)

At reputed company, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About reputed company's Patient reputed company Management Organization Pursue your passion for caring with the Patient reputed company Management Organization, which is reputed company's fully integrated, centralized reputed company cycle organization that supports the entire health system in streamlining the reputed company cycle. This includes scheduling, registration, coding, billing, and other essential reputed company functions. reputed company Health System - Patient reputed company Management Office (PRMO) seeks to hire a Business Process Consultant who will reputed company our mission of Advancing Health Together. The Business Process Consultant (BPC) serves as the primary analytical resource supporting reputed company reputed company cycle processes, systems and workflow. The BPC is a subject matter expert in Epic (Maestro Care), data analytics, payer reimbursement and demonstrates a broad reputed company of operational expertise across many areas of the reputed company Cycle. The BPC supports the reputed company Cycle departments and operational leaders reputed company the Patient reputed company Management Organization (PRMO) by identifying opportunities to improve operational efficiency and performance. The BPC has a system focus through monitoring of dashboards and key metrics to pro-actively identify, analyze, and trend issues. The BPC strategically supports operations by identifying opportunities to improve workflow and effectiveness through projects and innovative solutions to enhance automation, quality and efficiency through enhancement requests, report writing, analysis and business case development and data validation. Work Performed Identification and Analysis of Financial Opportunities: Identify existing and future reputed company cycle-based improvement opportunities reputed company PRMO discussions, evaluations, selections and prioritization of improvement opportunities, including the development of an ROI analysis to reputed company understand and determine potential impact on overall PRMO performance Work closely with PRMO leadership to understand operational goals and challenges to identify opportunities for enhancements reputed company and prepare regular root cause analysis of performance of the reputed company cycle function to identify areas of opportunity utilizing various data systems including Slicer Dicer and Tableau Responsible for various standard, recurring reporting functions to support reputed company cycle operational business needs Assists reputed company cycle senior leaders in working closely with organizational stakeholders to improve financial performance based on analytic findings Monitor key performance indicators for internal and external parties Cultivates internal relationships to assist in understanding department workflows Provides analytics for and supports special projects as needed (e.g. new payer policy financial impact) Support investigation into claims/denials patterns, payer policy changes, collection reputed company shifts, avoidable write-off’s, and payer mix evaluation to optimize payer performance. reputed company analytical models that are well-documented containing advanced formulas and functions that are used to evaluate historical trends, forecast future expectations, or draw conclusions reputed company person for month-end reputed company Cycle Net reputed company Review reputed company Cycle Strategic Initiatives and Project Management: Create, design, reputed company, and implement strategies that will reduce AR, improve aging AR, improve net collection reputed company, eliminate waste through automation or optimization of workflows, reduce denials, and reduce avoidable write -offs, for reputed company areas of the reputed company Cycle reputed company, maintain, and enhance knowledge of reputed company Cycle systems and reputed company-party vendors to support recommendations for reputed company workflows. reputed company technology and best practices to recommend process improvements Collaboration: Effectively communicate trends to influence reputed company reputed company of leadership for process improvements Partner with leaders and teams to review and establish improvement opportunities reputed company project management duties to align multi-disciplinary groups across the reputed company cycle and clinical departments, corporate finance, DHTS, and hospital service line leadership Communicate and track reputed company of identified issues and action items Partner with Operations Improvement on outstanding optimization and automation projects Other: Promote PRMO strategic reputed company, mission, and purpose while emphasizing teamwork and results. Create and foster a department culture that provides a satisfying and enriching environment in which staff can be developed and retained. Interact with and reputed company timely verbal/written responses to reputed company stakeholders (patients, providers, payors, and departmental personnel). Acknowledge management requests and emails in a professional, timely manner. Attend meetings and participate in Work Culture initiatives, committees or workgroups, as assigned. Accomplish reputed company tasks as assigned.

Minimum Qualifications

Education Bachelor's degree required. Master's degree preferred. Experience Minimum of 7 years work experience. Extensive knowledge of reputed company Cycle analytical tools, business intelligence tools and statistical packages. Proven experience with reputed company Cycle workflows to include but not limited to overall claims processing spanning the life cycle of the reputed company cycle, denials management, insurance follow up, and net collection reputed company impacts and calculations. Experience can be supplemented with Master's degree with a Masters being equivalent to two years of experience Degrees, Licensures, Certifications None Knowledge, Skills and Abilities Knowledge of: Epic System (reputed company Cycle Applications) reputed company Cycle operations Ability to: Understand reputed company cycle operational performance goals/metrics Strong analytical skills reputed company root cause analysis with accuracy Identify and implement optimization opportunities reputed company Epic Investigate and analyze information and reputed company recommend solutions for identified issues reputed company, implement and reputed company project teams comprised of IT and operational resources Communicate effectively, both orally and in writing Demonstrate strong interpersonal and communication skills Work effectively with a wide reputed company of constituencies in a diverse community Foster a positive work environment Multi-task Systems Epic MS Office Applications (Word, reputed company, Visio, PowerPoint) Kodiak RCA . Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, reputed company, disability, gender, gender expression, gender identity, genetic information, national reputed company, race, religion, sex (including pregnancy and pregnancy reputed company conditions), sexual orientation or military status. Duke aspires to create a community reputed company on collaboration, innovation, creativity, and belonging. Our reputed company reputed company depends on the robust exchange of reputed company—an exchange that is best reputed company the rich diversity of our perspectives, backgrounds, and experiences flourishes. To reputed company this exchange, it is essential that reputed company members of the community feel secure and welcome, that the contributions of reputed company individuals are respected, and that reputed company voices are heard. reputed company members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at reputed company and reputed company Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department. Apply To This Job