Revenue Cycle Management Consultant - Rural Healthcare Sector

FLSA Classification - Employment Status: JOB TYPE: Full-time

BENEFITS:

Health insurance through Aetna (premiums partially covered by JFS for employees) $0 cost dental and vision (fully covered for employees at base plan) 100% employer paid life insurance (at base plan) HSA/FSA accounts Retirement plan with 3% company match after 1 year Up to $1,200 in professional development reimbursements per year Company issued laptop Remote work environment Performance reviews and feedback to support you and the team to reflect and grow

LEAD. EMPOWER. INNOVATE.

We’re looking for an experienced Revenue Cycle Management Consultant who plays a key role inoptimizingthe financial performance of healthcare clients by overseeingand supporting in management ofall stages of the revenue cycle—from patient intake and billing to claims submission, denial resolution, and collections. Reporting to the Senior Revenue Cycle Manager, this consultant ensures compliance with healthcare regulations, analyzes end-to-end processes toidentifyinefficiencies, and implements strategies that enhance cash flow and reduce revenue leakage. They bringexpertisein medical coding, billing, and payer contract negotiation,leveragingtools like EHRs and clearinghouses to streamline workflows. The Revenue Cycle Management Consultant alsosupports process improvement initiatives through methodologies such as Lean or Six Sigma, provides guidance on charge master updates, and partners closely with leadership to promote automation and operational excellence, particularly for rural healthcare providers like FQHCs, RHCs, and CAHs.. At JFS, we do things differently. No red tape: If you see a better way—we want you to run with it. Remote flexibility: Lead and grow your team without being stuck in a traditional office grind. Purposeful leadership: Shape systems, coach & mentor, and make a real impact on client success.

ABOUT US:

JFS Consulting is a well-established management consulting firm, founded in 2018, with a strong reputation for delivering tailored, results-driven strategies to businesses across a range of industries. We specialize in supporting rural healthcare hospitals and service-based organizations, JFS offers services such as financial consulting, tax strategy, long-term planning, operational efficiencies and financial transformation, and Fractional and Advisory CFO services.

WHAT YOU’LL DO:

By ensuringaccuratebilling,timelyinsurance claim submissions, and effective collections, the JFS RCMConsulting Supervisorwill help to enhance cash flow and reduce revenue losses.This is performed through coaching clients and helping build client teams to be able tooptimizetheirend-to-endrevenue cycle. Duties (include but not limited to): The JFS RCMConsultantwill display an expert level of knowledge in medical billing, medical coding, and insurance claims management, with the exceptional ability to: Coach and train clients and team members. Develop training plans for clients on different components of the revenue cycle. Evaluate end-to-end revenue cycle operations, including billing and coding processes and procedures. Assignappropriate procedurecodes to medical proceduresrenderedand prepare medical claims for submission to insurance companies, while adhering to regulatory standards. Conduct enhanced ICD-10, CPT, HCPCS, and DRG coding assignment reviews. Identifyreasons and solutions for claim denials. Reviewaccountsreceivables activity with the aim todetermineways to reduce the amount of outstanding reimbursement. Implement workflows toinitiateupfront patientfinancial responsibilityand the collection of outstanding patient balance amounts. Perform reconciliation for claim submission to insurance companies, includingleveragingelectronic tools such as billing software, electronic health records, and clearinghouse automated offerings. Provide guidance on charge description master (CDM) updates and related tasks for healthcare clients. Negotiate managed care contracts and individual requests for provider rate increases to their fee schedules. Solve for process improvement efforts to streamline and promote automation tools, preferably through theutilizationof HIPAA standard electronic healthcare transactions, to enhance efficiency in patient access, registration, insurance verification, and prior authorization workflows. Perform other duties and support tasks as assigned by JFS Management and Executive Leadership.

WHAT YOU BRING:

Experience & Education Certified Professional Coder (i.e., must possess an American Academy of Professional Coders or American Health Information Management Association certification) Inpatient/ Outpatient coding is a must Process Improvement or Change Methodology (e.g., LEAN Six Sigma or other CQI/PDCA applicable certifications, Agile change management, etc.) Skills & Strengths Understanding various process improvement methodologies for RCM workflow enhancements. Working knowledge with rural health providers (as defined by CMS guidelines) including rural health clinics (RHCs), Federally Qualified Health Centers (FQHCs), and critical access hospitals (CAHs) is strongly preferred. Patient registration and insurance verification Healthcare coding and billing (medical and behavioral, etc.) Claims management (denials, clean claims and error rate reduction, aging accounts receivable, clearinghouse transmission, etc.) Payment posting and reconciliation. Patient financial responsibility and collections Revenue cycle compliance and financial reporting Bonus Points Experience working in Critical Access Hospital (CAH) RHC Rural Health Care billing knowledge Ability to multi-task. Work with multiple clients concurrently

WHY JFS?

We’re a team that follows our Core Values. This is your chance to work somewhere that values impact over ego, process over chaos, and people over politics. You’ll thrive in this role if you: Want to grow with the company. Want to have a huge impact in scaling a company. Able to see cascading effects of decisions to spot challenges before they arise. The JFS Core Values below resonate with you and the team you want to join. JFS Core Values: We Coach: We are always looking for ways to help clients with their financial freedom/success. We are obsessed with process and efficiency improvements to help the team and clients. Coaching clients and fellow team members is in your DNA, and we want everyone to rise together. We Think: We think on a micro and macro level when attacking a problem, solving the issue at hand and preventing it from happening in the future. We take it upon ourselves to be resourceful and try to figure out things ourselves, seeking out help when we need to confirm. We Communicate: We are proactive, direct, and open communicators. We provide timely updates to keep the team and our clients informed, using the proper tools. We are proactive and have excellent time & client engagement management. We don't take on more than we can handle and are not afraid to speak up to reprioritize. We act with urgency and stay until they get the job done. We add to the culture and help foster more interaction and human connection to grow relationships internally and externally. We believe transparent and direct feedback is kind as it supports growth and trust with clients and team members alike. We are committed to customer service excellence and building positive relationships with the leadership team, clients, vendors, and staff. We understand that no one person can succeed if we do not all succeed. We believe there is no task too small regardless of our role, always willing to roll up your sleeves to get the job done. Physical Requirements: Travel may be required for off- location meetings, conferences, or events. May require occasional overtime or evening work to accommodate executive schedules, client deadlines, or urgent tasks. Prolonged periods of sitting at a desk while working on a computer. We want our interview process to respect your time as the applicant by being transparent and moving at a reasonable pace. Our goal is to have our application to hire process last no more than 1 month. We also want to provide updates in the process for all applicants, even those we decide not to move forward with. Our hiring steps include: #J-18808-Ljbffr JFS, LLC.