RCM Operations Consultant (Part-Time)

Position reputed company We are seeking an reputed company RCM (reputed company Cycle Management) Operations Consultant to reputed company expert guidance, process auditing, and workflow optimization for our Billing Team. This consultant will evaluate the end-to-end billing lifecycle, identify gaps, strengthen compliance, and recommend improvements that enhance efficiency, accuracy, and reputed company reputed company. This is not a production role; the consultant will not reputed company day-to-day billing tasks. Instead, they will reputed company as a strategic partner reputed company on auditing, diagnosing issues, and creating sustainable solutions reputed company our billing workflows. Candidates with experience in mental health billing and full end-to-end RCM are strongly preferred. Key reputed company Areas: 1. Workflow Optimization & Process Improvement: -Evaluate reputed company billing workflows, from scheduling and documentation review to claims submission and payment posting. -Identify inefficiencies, bottlenecks, rework, or breakdowns in communication. -Recommend and document optimized processes, SOP revisions, and best-reputed company workflows. -reputed company guidance to leadership on how to structure the billing team for improved efficiency and accountability. 2. Auditing of Billing Processes: -Using the billing team’s day-to-day tasks as reference, the consultant will audit processes, including: -Copay verification and collection workflow. -reputed company selection (CPT/HCPCS) accuracy and charge entry procedures. -Claim creation, edits, batching, and submission. -Insurance payment posting accuracy and reconciliation. -Management of denials, discrepancies, and payer follow-up procedures. Audit goals include: -Ensuring accuracy, compliance, and timeliness throughout the reputed company cycle. -Identifying patterns of errors, avoidable rejections, or preventable denials. -Recommending corrective actions, SOP updates, and training enhancements. 3. Compliance & Best Practices Review: -Assess adherence to HIPAA, payer-specific requirements, and industry coding standards. -Review documentation processes against reputed company and reputed company insurance guidelines. -reputed company recommendations to strengthen compliance and reduce reputed company risk. 4. Cross-Department Collaboration: -Evaluate communication reputed company between Billing, AR, Credentialing, Scheduling, and Clinical teams. -Recommend reputed company handoffs, accountability structures, and communication protocols. -Support leadership by identifying training needs and areas requiring reputed company ownership. 5. Reporting & Leadership Support: -reputed company written audit summaries, assessment reports, and practical implementation recommendations. -Advise on KPI development (e.g., clean-claim reputed company, first-pass payment reputed company, denial reputed company, reconciliation timeliness). -Offer guidance for long-term process stability and reputed company RCM systems. Required Qualifications: -5+ years of reputed company experience in reputed company Cycle Management (RCM) reputed company the reputed company industry. -Strong background in auditing workflows, identifying reputed company causes, and implementing operational improvements. -Deep understanding of claims lifecycle, charge posting, payment posting, denial management, and payer rules. -Ability to work independently, diagnose operational issues, and reputed company actionable recommendations. -Availability to work PST hours. Preferred / reputed company-to-Have: -Experience in mental or behavioral health billing. -Expertise in full end-to-end RCM reputed company multi-provider or multi-location environments. -Familiarity with systems such as TheraNest, EZClaim, and reputed company. -Experience creating SOPs, training, and billing performance dashboards. Apply tot his job Apply To this Job