Tria Federal is hiring a
Revenue Cycle Consultant

Summary

Tria Federal is seeking a Revenue Cycle Consultant (Staff II) with at least 5 years of experience to join their team. The role involves assisting a Department of Defense client in managing their operational and revenue cycle operations. The candidate should have a Bachelor's degree in Finance, Business Administration, Healthcare Administration or related field and the ability to obtain and maintain a Public Trust clearance.

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, Health Analytics)
• 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)
• Bachelor’s degree required, Finance, Business Administration, Healthcare Administration or related field preferred. Masters in Business Administration or related field, ideal
• 5-7 or more years of consulting or healthcare experience required, preferably in a federal consulting environment

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 participate 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
• Adheres to all established project processes, procedures, and guidelines regarding resources and how to use them. Communicates with leadership regarding resource needs and communicates changes
• Adheres to defined work plans while maintaining all established timelines and deliverable deadlines
• Assists in developing effective internal and external presentations and skillfully helps to facilitate client and internal team meetings
• Ability to meet internal and external deadlines by efficiently managing time, prioritizing tasks, and utilizing available resources
• Accurately documents client communications and shares information with the project team
• Maintains effective communication with client and project team members

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