Hospital Billing and Professional Billing Business Process Consultant

Children's Hospital of Philadelphia; Philadelphia (Philadelphia County); On-site; USD 80,000 - 120,000; Full time

Job summary

Children's Hospital of Philadelphia is seeking a Revenue Cycle Business Consultant to optimize workflows and support analytics efforts. The ideal candidate will demonstrate strong analytical and communication skills, along with at least five years of relevant experience. Join us in advancing pediatric care and improving healthcare processes through effective collaboration and data-driven insights.

Qualifications

• At least five years of experience with system design or business consulting.
• EPIC experience preferred.
• Revenue Cycle experience preferred.

Responsibilities

• Support revenue cycle processes across multiple departments.
• Develop and maintain documentation for cross-department processes.
• Create and manage financial and operational reports.

Skills

Analytical Skills

Communication Skills

Database Analysis

Workflow Design

Business Intelligence Tools

Education

High School Diploma / GED

Bachelor's Degree

Job description

SHIFT:

Day (United States of America)

Seeking Breakthrough Makers

Children’s Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation.

At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care—and your career.

CHOP’s Commitment to Diversity, Equity, and Inclusion

CHOP is committed to building an inclusive culture where employees feel a sense of belonging, connection, and community within their workplace. We are a team dedicated to fostering an environment that allows for all to be their authentic selves. We are focused on attracting, cultivating, and retaining talent who can help us deliver on our mission to be a world leader in the advancement of healthcare for children. We strongly encourage candidates of all races, colors, ethnicities, religions, perspectives, sexes, backgrounds, and lived experiences to apply.

A Brief Overview
The Revenue Cycle Business Consultant supports revenue cycle processes that span multiple departments, multiple workflows and systems or supports analytic efforts of the revenue cycle through report development, data quality assurance, process mapping and analysis. The position also supports business process improvement efforts including projects to enhance Epic, automation, quality, and efficiency through report writing, analysis, business case development and data validation


What you will do

• Revenue Process Support, Workflows and Systems
• Develop and maintain written documentation for processes that exist between departments, systems, external vendors and payers.
• Act as a high-level business process consultant between operations, performance improvement and IT for needs that cross boundaries. Implement processes and practices that can adapt quickly to changing organization, business, and payer demands. The position does not replace normal relationships between various departments but rather acts as a compliment to existing relationships to enhance and expedite performance improvement activities.
• Reviews business process, system or other changes that might impact existing workflows and recommends methods to optimize to desired state and improve efficiency. Review system or process architecture in scope of assigned projects.
• Perform business impact reviews of test plans that span across departments, workflows or systems or to assess impact, efficiency and effectiveness.
• Create, optimize, and support the implementation of processes that link closely to system workflows. Determine how these workflows will impact existing staffing, how to continuously refresh and monitor these flows and recommend optimal change management processes.
• Communicate information clearly and create an environment where people can engage in open dialogue and reach effective solutions together to optimize workflow or process.
• Direct cross-functional teams to resolve complex issues related to automated workflows or other complex processes or lead discussions with the business and operational leaders to analyze reporting needs, configure and model data and develop reports using specialized knowledge of reporting applications and software applications.
• Data Reporting and Analysis
• Responsible for creating and managing the financial and operational reports generated on regular and an ad hoc basis using software applications for report writing and data warehousing; provides consultation and assistance to ensure end users and operational reporting needs are met through report development and design.
• Primary liaison to various internal and external user groups within CHOP in terms of revenue cycle data reporting and analysis. Assist revenue cycle leadership, management, and staff in analyzing, interpreting, and presenting data and information to various parties.
• Develop and build reporting solutions that monitor and benchmark cost, utilization and other quality and performance indicators; Act as primary support to senior leadership in accessing relevant data necessary to develop strategic and operational business plans, and process improvements.
• Develop business case analysis to support process optimization and change.
• Perform troubleshooting, problem solving activities related to business intelligence reporting as necessary. Analyze data and reports to understand business impact, correlations/discrepancies, and to propose changes/alternate solutions. Work closely with the Information Technology teams to resolve issues and perform analysis in a timely manner.

Education Qualifications

• High School Diploma / GED Required
• Bachelor's Degree Preferred

Experience Qualifications

• At least five (5) years experience with system design, process workflow design or business/systems consulting. Required
• EPIC experience Preferred
• Revenue Cycle experience Preferred

Skills and Abilities

• Strong analytical and communication skills (Required proficiency)
• Strong computer skills to include database analysis (Required proficiency)
• Statistical software experience (Preferred proficiency)
• Extensive knowledge of workflow and/or system design (Required proficiency)
• Extensive knowledge of analytical tools, business intelligence tools and statistical packages (Required proficiency)

Licenses and Certifications

• EPIC certification - EPIC - - Preferred
• Lean Six Sigma Green Belt (LSSGB) - Lean Six Sigma Green Belt - LSSGB - American Society for Quality - - Preferred

To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, professionals working onsite—at any CHOP location, for any portion of time—must be vaccinated for COVID-19. Learn more.

EEO / VEVRAA Federal Contractor | Tobacco Statement