Duke University · 1 month ago
Business Process Consultant - Revenue Assurance (Remote)
United States
Full-time
Remote
Senior Level
7+ years expDuke Health is committed to compassionate care and is seeking a Business Process Consultant to support its Patient Revenue Management Organization. The role involves serving as the primary analytical resource for revenue cycle processes, identifying opportunities for operational efficiency, and implementing strategies to enhance performance.
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Responsibilities
Identify existing and future revenue cycle-based improvement opportunities
Lead PRMO discussions, evaluations, selections and prioritization of improvement opportunities, including the development of an ROI analysis to better 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
Perform and prepare regular root cause analysis of performance of the revenue 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 revenue cycle operational business needs
Assists revenue 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 rate shifts, avoidable write-off’s, and payer mix evaluation to optimize payer performance
Develop analytical models that are well-documented containing advanced formulas and functions that are used to evaluate historical trends, forecast future expectations, or draw conclusions
Point person for month-end Revenue Cycle Net Revenue Review
Create, design, lead, and implement strategies that will reduce AR, improve aging AR, improve net collection rate, eliminate waste through automation or optimization of workflows, reduce denials, and reduce avoidable write-offs, for all areas of the Revenue Cycle
Develop, maintain, and enhance knowledge of Revenue Cycle systems and third-party vendors to support recommendations for optimal workflows
Leverage technology and best practices to recommend process improvements
Effectively communicate trends to influence all levels of leadership for process improvements
Partner with leaders and teams to review and establish improvement opportunities
Perform project management duties to align multi-disciplinary groups across the revenue cycle and clinical departments, corporate finance, DHTS, and hospital service line leadership
Communicate and track progress of identified issues and action items
Partner with Operations Improvement on outstanding optimization and automation projects
Promote PRMO strategic vision, 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 provide timely verbal/written responses to all 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 all tasks as assigned
Qualification
Required
Bachelor's degree required
Minimum of 7 years work experience
Extensive knowledge of Revenue Cycle analytical tools, business intelligence tools and statistical packages
Proven experience with Revenue Cycle workflows to include but not limited to overall claims processing spanning the life cycle of the revenue cycle, denials management, insurance follow up, and net collection rate impacts and calculations
Experience can be supplemented with Master's degree with a Masters being equivalent to two years of experience
Knowledge of Epic System (Revenue Cycle Applications)
Knowledge of Revenue Cycle operations
Ability to understand revenue cycle operational performance goals/metrics
Strong analytical skills
Ability to perform root cause analysis with accuracy
Ability to identify and implement optimization opportunities within Epic
Ability to investigate and analyze information and provide recommend solutions for identified issues
Ability to develop, implement and oversee project teams comprised of IT and operational resources
Ability to communicate effectively, both orally and in writing
Demonstrate strong interpersonal and communication skills
Ability to work effectively with a wide range of constituencies in a diverse community
Ability to foster a positive work environment
Ability to multi-task
Experience with Epic
Experience with MS Office Applications (Word, Excel, Visio, PowerPoint)
Experience with Kodiak RCA
Preferred
Master's degree preferred
Company
Duke University
Duke University is a private research university providing undergraduate and postgraduate education in medicine and other disciplines.
10001+ employees
H1B Sponsorship
Duke University has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (274)
2024 (232)
2023 (202)
2022 (195)
2021 (148)
2020 (121)
Funding
Current Stage
Late StageTotal Funding
$71.15MKey Investors
North Carolina Biotechnology CenterUS Department of EnergyGlaucoma Research Foundation
2023-02-17Grant· $0.11M
2022-09-19Grant
2022-03-09Grant· $0.05M
Leadership Team
Barry Myers
Professor and Director
Dan Ariely
Professor
Recent News
2026-01-11
2025-12-18
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