Full-Time

Revenue Cycle Optimization

Confirmed live in the last 24 hours

The Wilshire Group

The Wilshire Group

11-50 employees

Healthcare consulting for operational improvement

Consulting
Healthcare

Compensation Overview

$85 - $100Hourly

Senior

Remote in USA

Category
Operations Consulting
Consulting

You match the following The Wilshire Group's candidate preferences

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Degree
Experience
Requirements
  • Bachelor’s degree in Healthcare Administration, Business Administration, or a related field.
  • Minimum of 5 years of experience in revenue cycle operations with a focus on financial clearance and workflow optimization.
  • Strong operational knowledge of Epic.
  • Advanced understanding of Financial Clearance Work Queue rules and revenue cycle best practices.
  • Proficiency in operational analysis and process improvement methodologies, such as Lean or Six Sigma.
  • Excellent project management skills with the ability to prioritize and manage multiple initiatives simultaneously.
  • Strong interpersonal and communication skills to collaborate effectively with cross-functional teams.
  • Analytical mindset with expertise in data visualization and reporting tools.
Responsibilities
  • Analyze, design, and optimize Financial Clearance Work Queue (WQ) rules to maximize performance, compliance, and operational efficiency.
  • Identify opportunities to automate and streamline financial clearance workflows, including eligibility verification, authorization management, and denial prevention.
  • Monitor and analyze WQ metrics, reporting trends and developing actionable insights to improve outcomes.
  • Evaluate current call center workflows and identify areas for optimization to improve responsiveness, patient experience, and first-call resolution rates.
  • Develop and implement strategies to reduce patient wait times and enhance the efficiency of scheduling and registration processes.
  • Collaborate with IT and operations teams to integrate optimization tools and systems into call center operations.
  • Assess front-end registration workflows and recommend process improvements to increase accuracy and efficiency.
  • Partner with training teams to ensure staff understand and adopt new workflows or system updates.
  • Identify opportunities to reduce errors, delays, and redundancies in patient registration processes.
  • Partner with clinical and administrative teams to ensure revenue cycle goals align with organizational priorities and patient care objectives.
  • Act as a liaison between IT, operations, and revenue cycle teams to implement optimization projects.
  • Provide expertise and consultation during the design and implementation of new systems, tools, and workflows related to financial clearance, call center, and registration operations.
  • Regularly report key metrics, including WQ performance, call center efficiency, and registration accuracy.
  • Develop dashboards and tools to track and communicate optimization outcomes to stakeholders.
  • Utilize data-driven insights to refine and iterate on strategies.
Desired Qualifications
  • Master’s degree preferred.

The Wilshire Group provides consulting services to healthcare organizations, focusing on improving business and financial operations through Healthcare Information Technology. Their main area of expertise is Revenue Cycle Management, where they help simplify complex workflows and enhance operational productivity. A key service they offer is Epic Implementation, which ensures that the Epic system is installed efficiently for their clients. The Wilshire Group works with a variety of healthcare clients, including hospitals and clinics, and generates revenue through project-based engagements and long-term consulting contracts. Their goal is to transform the operational efficiency of healthcare organizations by leveraging technology.

Company Stage

N/A

Total Funding

N/A

Headquarters

Los Angeles, California

Founded

2007

Simplify Jobs

Simplify's Take

What believers are saying

  • Acquisition of Trifecta Group enhances revenue cycle service offerings.
  • Rising demand for telehealth solutions boosts consulting service needs.
  • Shift to cloud-based IT solutions creates opportunities for seamless transitions.

What critics are saying

  • Competition from larger firms like Deloitte and Accenture threatens market share.
  • Integration challenges with Trifecta Group may lead to operational inefficiencies.
  • Frequent updates to Epic software require continuous training and adaptation.

What makes The Wilshire Group unique

  • Specializes in Epic Implementation for efficient healthcare IT system installations.
  • Focuses on Revenue Cycle Management to improve healthcare operational productivity.
  • Offers comprehensive services including health information management and revenue integrity.

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Benefits

Remote Work Options