Tria Federal is hiring a
Revenue Cycle Consultant

Summary

Tria Federal is seeking a highly experienced Revenue Cycle Consultant (Senior) to join their team. The role involves assisting a Department of Defense client in managing operational and revenue cycle operations. The candidate should have at least 7+ years of experience, knowledge of revenue cycle concepts, business processes, and/or operations within the healthcare industry, and proficiency in Microsoft Office.

Requirements

• Knowledge and a working understanding of revenue cycle concepts, business processes, and/or operations within the healthcare industry (commercial or federal)
• Ability to apply principles and practices in revenue cycle management and revenue integrity, such as charge capture, coding, billing, reimbursement, denial management, and compliance
• Ability to use various software applications and tools to perform revenue cycle and integrity functions, such as Electronic Health Record systems (Oracle/Cerner MHS GENESIS Patient Accounting Module (CPAM)), billing/claim solutions/systems (Electronic Claims Clearinghouse (SSI), 3M 360 Encompass Institutional & Professional Coding, Claim Scrubber Edits (Alpha ii), Dentrix Billing, Patient Statements/Letters (RevSpring)), and data analytics tools/repositories (Excel, Power BI, SAS, Tableau, HealtheAnalytics)
• Ability to analyze and interpret complex data, processes, and reports related revenue cycle and integrity
• Ability to identify and resolve issues and problems related to revenue cycle and integrity
• Ability to collaborate and communicate effectively with team members, clients, business partners, and other various stakeholders involved in revenue cycle and revenue integrity
• Ability to succeed in a dynamic team environment and produce deliverables in tight timeframes
• Excellent oral, written, and interpersonal skills
• Microsoft Office proficiency (Excel, Word, PowerPoint)

Responsibilities

• Demonstrates knowledge of the client organization, strategic goals, governance structure, and overall client environment
• Identifies problems, develops solutions, and implements changes to ensure processes, procedures, and operations are aligned with client’s business operations
• Conducts research and analysis to identify market and other macro trends that impact client business operations, and shares knowledge both internally and externally, as appropriate
• Demonstrates ability to effectively work independently and in a team environment
• Works effectively with cross-functional teams, stakeholders, and team members to ensure that everyone is working towards the same goals and objectives
• Actively participates within project team(s) and engages with team members to ensure project objectives and client needs are met. Provides support and guidance as needed to ensure quality work products

Preferred Qualifications

• Experience within the Military Health System (MHS) environment and requisite knowledge of revenue cycle operations
• Knowledge of MHS billing and coding policies and regulations
• Experience with the Oracle/Cerner Electronic Health Record (EHR), Patient Accounting Module (CPAM), Health Analytics, ideally in the MHS environment

Benefits

Top-tier benefits package to invest in your physical, mental, and financial health and wellness