Revenue Cycle Consultant

At the company, we put humans at the heart of every conversation. Our mission is to create a human-centric healthcare experience powered by unified global data. The ideal candidate will have deep knowledge of Revenue Cycle modules—including Registration, Scheduling, Charge Services, Patient Accounting, and Health Information Management—and will play a key role in optimizing workflows, ensuring integration accuracy, and supporting end-to-end revenue operations within healthcare systems. This is a hands-on role requiring both technical proficiency and strong functional understanding of RCM processes.

Responsibilities

• Configure and maintain modules related to Registration, Scheduling, Billing, and Claims.
• Develop and manage required components of the system based on clinical and financial requirements.
• Maintain Health Plan setup, Contractual Discounts, and Claim Submission Deadlines aligned with payer rules and regulatory compliance.
• Analyze and streamline RCM workflows to improve operational efficiency and financial accuracy.
• Collaborate with functional and technical teams to identify bottlenecks and propose system-based solutions.
• Provide expert consulting to business stakeholders on RCM design decisions, interdependencies, and workflow impacts.
• Support and troubleshoot integration between HIS and external systems.
• Design, code, and implement enhancements using Java, DiscernDev, Custom MPage Development, and CCL/Custom Reporting to meet evolving business needs.
• Partner with cross-functional teams, including Solution Architects and Business Analysts, to translate requirements into effective solutions.
• Engage with healthcare leadership and finance teams to align system configurations with strategic RCM goals.
• Provide post-go-live support, optimization, and issue resolution for RCM-related functions.

Requirements

• Bachelor’s degree in Computer Science, Information Technology, or related field.
• Minimum of 5 years of experience in Healthcare Information Systems (HIS) with a focus on Revenue Cycle Management.
• Proven expertise in Revenue Cycle modules (Registration, Scheduling, Charge Services, Patient Accounting, HIM, etc.).
• Experience working with Health Insurance Post Offices (e.g., Riayati, DHPO), including transaction monitoring and troubleshooting.
• Hands-on experience with CCL, MPage Development, DiscernDev, and Java programming.
• Strong understanding of health plan configuration, claim workflows, charge capture, and discount management.
• Excellent English communication skills, both verbal and written.
• Excellent analytical, problem-solving, and documentation skills.
• Willingness to travel and support on-site as needed.
• Proactive and detail-oriented with a focus on quality and results.
• Strong stakeholder management and communication skills.
• Passion for healthcare innovation and operational excellence.
• Ability to work under pressure, handle multiple priorities, and meet tight deadlines.