Revenue Cycle Optimization Lead
Oracle · United States
Oracle Health Government Services is seeking a skilled Revenue Cycle Consultant- AR Optimization to join our mission-driven organization. In this role, you will be responsible for conduct in-depth analysis of AR inventory, identify the root causes of backlogs, aging trends, and payer performance issues, and translate those findings into structured, measurable project plans. The ideal candidate will have a solid understanding of HIM and CDI operations, a thorough understanding of federal healthcare regulations and audit requirements, and a demonstrated ability to lead high-performing teams in a highly regulated environment. You will collaborate with cross-functional teams—both internal stakeholders and client partners—so familiarity with in-depth auditing and strategic planning is essential.
Top skills or competencies to be successful:
- Deep expertise in accounts receivable management across multiple payer types, including Medicare, Medicaid, commercial insurance, and managed care
- Strong analytical skills with the ability to interpret large volumes of AR data, identify patterns, and draw actionable conclusions
- Hands-on experience conducting AR audits, root cause analyses, and inventory assessments in complex, high-volume billing environments
- Proficiency in building and managing project plans tied to AR remediation efforts, with experience tracking performance against defined metrics
- Thorough understanding of payer behavior, contract terms, timely filing requirements, and denial management strategies
- Ability to communicate complex AR findings clearly to both operational teams and executive-level client stakeholders
- Experience working in a consulting or client-facing environment with multiple concurrent engagements preferred
- Familiarity with major revenue cycle platforms and AR reporting tools; advanced proficiency in Excel or similar data tools required
- Bachelor's degree in Healthcare Administration, Business, Finance, or a related field; equivalent experience considered
- Minimum of 5 years of hands-on experience in revenue cycle operations, with a significant focus on accounts receivable management and follow-up
- Prior experience in a consulting, advisory, or client-facing capacity strongly preferred
- Experience performing AR inventory audits and building associated remediation or recovery project plans required
- Knowledge of federal and commercial payer guidelines, billing regulations, and AR compliance requirements
- CRCR (Certified Revenue Cycle Representative) or similar revenue cycle certification preferred
- Required travel up to 20%
- US Citizenship is required with an ability to obtain and maintain a government security clearance
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