Guidehouse · 6 hours ago
RCMI Senior Solution Technical Expert – Forms & Documentation
United States
Full-time
Remote
Senior Level
$100K/yr - $130K/yr
7+ years expGuidehouse is currently seeking Revenue Cycle Management (RCM) professionals to support their Military Health System client. The role involves leading the development of work products and deliverables, optimizing patient accounting capabilities within an electronic health record, and supporting business development initiatives.
AdviceConsultingManagement Consulting
No H1B
Security Clearance RequiredU.S. Citizen OnlyHiring Manager
Brandon M. Russell
Responsibilities
Performs configuration support and review/update Patient Accounting builds within Oracle Health (Cerner) EHR for insurance verification, claims submission, payment processing, account follow-up, records maintenance, and compliance
Develop a continual improvement process model to establish/improve products, services, and processes related to the sustainment of the MHS GENESIS
Review and make recommendations to improve end-to-end workflows that meet expected outcomes (e.g., clinical needs, data quality) and patient/provider experience
Support data governance, data management, automation/Robotic Process Automation (RPA) activities, security, metadata and user communities
Provide health informatics subject matter expertise in support of the working groups and assist in the response to and management of requests specific to designated care areas
Support solutions/specialties including Dentrix, FirstNet, PathNet, RadNet, PharmNet, Patient Portal, PowerChart Ambulatory, PowerChart Inpatient, and SurgiNet
Assist with the design of clinical workflows that incorporate business functions
Establish ongoing support and feedback mechanisms to collect user input for continuous improvement; leverage LightsOn to make recommendations on process improvements
Support Revenue Cycle activities, such as charge capture, patient access, medical coding, and revenue cycle optimization
Provide health informatics subject matter expertise
Create visual dashboards and presentations using MHS Data; develop slides/analysis using dashboards
Assist with development, maintenance, and iterative improvement of working groups/project teams, including charter development, scheduling working group/project meetings, tracking tasks to completion, and assisting with planning and execution of workshops/summits
Participate in the development and maintenance of a collaborative relationship with VA counterparts
Contribute to Innovation/Academics/Interoperability, such as pilots and use-cases to leverage MHS GENESIS
Develop dashboards and reports based on government-led lead priorities
Lead the development of work products and deliverables; manage recurring tasks and work products
Work with executives and other business leaders to identify opportunities for improvement
Develop slide decks/presentations and Memorandums to/from DoD Senior Leaders
Collaborate with stakeholders to track progress on MHS initiatives to meet legislative and Departmental requirements
Qualification
Required
A bachelor's degree is required; however, seven (7) years of relevant experience may be substituted in lieu of the degree
US Citizenship is required
Must be able to OBTAIN and MAINTAIN a Federal or DoD 'PUBLIC TRUST'; candidates must obtain an approved adjudication of their PUBLIC TRUST prior to onboarding with Guidehouse
Preferred
A minimum of THREE (3) or more years of experience is preferred with direct Oracle/Cerner EHR RCM Solution initial builds, troubleshooting, issue resolution, and system reconfigurations
Possess skill sets to flawlessly perform as technical build and system configuration expertise for MHS GENESIS RCM optimization, reconfigurations, and enhancements to existing and future identified gaps impacting workload and revenue capture
Candidates with an ACTIVE PUBLIC TRUST or SUITABILITY are preferred
Demonstrate ability to oversee and independently develop, implement, and perform validation testing of MHS GENESIS systematic builds within the RCM solution sets
Experience with ticket queuing system issue resolution processes
Professionally interact with identified RCM internal and external functional stakeholders to seamlessly implement resolutions to existing and/or future issues or requirement enhancements/optimizations
Experience with development, modification, optimization, and integration of RCM workflows into clinical workflows. This requirement also involves knowledge of system errors caused by outdated or incorrectly built workflows, with the ability to troubleshoot/identify impacted workflows requiring review and potential medication
MHS business knowledge and experience to support DHA RCM functional stakeholders with Defense Health Agency, Defense Health Networks, and Military Treatment Facility communications, education, and training to expedite enhanced end-user learning and understanding
Experience with educational course material design and build for DHA MHS GENESIS RCM Solution Owner Teams, and intermediate and advanced end user training that includes Edit Failures from the Alpha ii Scrubber and SSI Clearinghouse Scrubber. Identification of missing training components impacting end users' ability to consistently complete encounters in a streamlined and expedited manner
Understanding of the clinical/business workflows and human factors/usability standards
Ability to develop dashboards using data visualization applications such as Tableau or Microsoft Power BI
Knowledge of the use of Microsoft Office Products and related applications
Ability to work with stakeholders to assess potential risks
Ability to translate business requirements into non-technical and technical documents
Demonstrates abilities and success with identifying and addressing client needs: actively participating in client discussions and meetings; communicating a broad range of firm services; preparing concise, accurate documents
Must be organized, self-motivated, and able to multitask in a fast-paced and dynamic work environment
Demonstrated ability to excel both independently and as a team member in a lively, collaborative environment
Possess an acute awareness of organizational cultures and political savvy
Excellent written and verbal communication skills, including the ability to present to executive leadership
Ability to manage deadlines and recurring deliverables
Demonstrated experience with the DoD; Military Health System experience is a plus
Experience with leading small teams, coaching and collaborating with colleagues, providing feedback and guidance on work performance
PMP or CAPM Certification
Certified Revenue Cycle Representative (CRCR)
Knowledge of the healthcare sector, including such domains as public health, provider, and life sciences
Company
Guidehouse
Guidehouse offers consulting services for public and commercial markets with expertise in management, technology, and risk consulting.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$0.75MKey Investors
Mission Daybreak
2023-11-06Acquired
2023-02-16Grant· $0.75M
Leadership Team
Scott McIntyre
Chairman and CEO
Alicia Harkness
Partner
Recent News
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