Senior Revenue Cycle Consultant
El Segundo, CA - USA
Job Summary
Who We Are:
24 Hour Home Care is a leading provider of home care and community-based services focused on helping individuals live safely and independently. As part of TEAM Services Group a private equity-backed healthcare services organization we combine a mission-driven culture with a commitment to innovation growth and operational excellence.
Work with Purpose. Make a Real Impact.
At 24 Hour Home Care we believe everyone deserves to live safely and independently. Our team makes that possible for the communities we serve. From caregivers to corporate professionals every person on our team plays a direct impact on people lives.
Watch this short video to see the heart behind our work and the impact our teams create every day.
Who You Are:
You are apassionate and performance-driventeam player eager to take on a key role in our companys growth. You embody Team 24s Care & Compete Principles and Competencies:
In the spirit ofOwn(ing) It With Courage we encourage you to check out our Glassdoor Page to learn more about 24 Hour Home Care and to leave a review about your experience:24 Hour Home Care: Glassdoor Page
Sound interestingRead on for more details!
The Role:
The Senior Revenue Cycle Consultant leads the end-to-end revenue cycle driving billing accuracy cash collections and financial performance across Managed Care Medi-Cal CalAIM Veterans Affairs (VA) and other payer programs. This role partners closely with Finance Operations Business Intelligence IT and payer partners to optimize revenue cycle operations implement scalable process improvements and develop a high-performing team while ensuring accurate compliant and efficient reimbursement processes.
Primary Responsibilities
- Lead end-to-end revenue cycle operations including authorizations billing EDI submission payment posting accounts receivable collections denial management and revenue reconciliation across Community Supports programs.
- Improve revenue integrity by reducing denials increasing clean claim performance strengthening billing controls and ensuring compliance with payer requirements and reimbursement guidelines.
- Develop and monitor revenue cycle dashboards and key performance indicators using data and analytics to improve cash collections reduce aging receivables and drive operational decision-making.
- Partner with Operations Finance Business Intelligence IT and payer partners to resolve billing issues implement system enhancements automate workflows and support new payer implementations and acquisitions.
- Lead coach and develop the Revenue Cycle team while establishing standardized processes driving continuous improvement initiatives and fostering a culture of accountability and operational excellence.
This is a hybrid position coming into the El Segundo office 1x per week.
What You Bring to the Table:
Qualifications
- Bachelors degree in Healthcare Administration Business Finance Accounting or a related field preferred.
- 5 years of progressive healthcare revenue cycle leadership experience.
- Strong knowledge of healthcare billing claims management collections denial management payment posting accounts receivable and payer reimbursement processes.
- Experience supporting Medicaid Managed Care CalAIM waiver programs or value-based reimbursement models with demonstrated success improving revenue cycle performance.
- Experience leading teams developing operational reporting and KPIs and partnering cross-functionally to improve financial and operational outcomes.
- Experience with Salesforce Waystar NetSuite Power BI healthcare clearinghouses workflow automation acquisitions or multi-entity healthcare organizations preferred.
Skills
- Revenue cycle management
- Financial analysis and reporting
- Process improvement
- Leadership and coaching
- Problem-solving
- Healthcare compliance
- Cross-functional collaboration
- Data-driven decision making
What We Bring to the Table:
24 Hour Home Care is an Equal Opportunity Employer that is proud of its culture of diversity and inclusion. Individuals seeking employment are considered without regards to race color religion national origin age sex marital status ancestry physical or mental disability veteran status gender identity or sexual orientation. Additionally 24 Hour Home Care will consider qualified candidates with criminal histories in a manner consistent with the law.
Qualified applicants with criminal history will be considered for employment in accordance with California Fair Chance Act and the Los Angeles County Fair Chance Ordinance for Employers ensuring individuals with criminal history have fair and equitable access to opportunities for gainful employment in the unincorporated areas of LA County.
Upon review should criminal history have a direct adverse and negative relationship 24 Hour Home Care will conduct an Individualized Assessment and provide a Preliminary Notice of Adverse Action; specifying the laws or regulations that impose such restrictions. At which point 24 Hour Home Care will review the prospective hires written response and mitigating circumstances before making a final decision. Should withdrawal of a conditional offer of employment be determined 24 Hour Home Care will provide a copy of the Second Individualized Assessment.
Individuals have the right to reach out to the LA County Department of Business and Consumer Affairs to file a complaint or if you require additional information.
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For California applicants: by applying for this position you acknowledge and consent to the collection use and disclosure of your personal information in accordance with our privacy policy and the California Consumer Privacy Act (CCPA).
The expected California Pay Range for this position:
$109000 - $140000 USD
Required Experience:
Senior IC