[Remote] Business Process Consultant - Revenue Assurance (Remote) Job Details | Duke Careers

Remote Full-time
Note: The job is a remote job and is open to candidates in USA. Duke University is seeking a Business Process Consultant for its Patient Revenue Management Organization, dedicated to advancing health through improved revenue cycle processes. The role involves supporting revenue cycle operations, analyzing performance metrics, and identifying opportunities for operational efficiency and improvements.ResponsibilitiesIdentify existing and future revenue cycle-based improvement opportunitiesLead PRMO discussions, evaluations, selections and prioritization of improvement opportunities, including the development of an ROI analysis to better understand and determine potential impact on overall PRMO performanceWork closely with PRMO leadership to understand operational goals and challenges to identify opportunities for enhancementsPerform and prepare regular root cause analysis of performance of the revenue cycle function to identify areas of opportunity utilizing various data systems including Slicer Dicer and TableauResponsible for various standard, recurring reporting functions to support revenue cycle operational business needsAssists revenue cycle senior leaders in working closely with organizational stakeholders to improve financial performance based on analytic findingsMonitor key performance indicators for internal and external partiesCultivates internal relationships to assist in understanding department workflowsProvides analytics for and supports special projects as needed (e.g. new payer policy financial impact)Support investigation into claims/denials patterns, payer policy changes, collection rate shifts, avoidable write-offโ€™s, and payer mix evaluation to optimize payer performanceDevelop analytical models that are well-documented containing advanced formulas and functions that are used to evaluate historical trends, forecast future expectations, or draw conclusionsPoint person for month-end Revenue Cycle Net Revenue ReviewCreate, design, lead, and implement strategies that will reduce AR, improve aging AR, improve net collection rate, eliminate waste through automation or optimization of workflows, reduce denials, and reduce avoidable write-offs, for all areas of the Revenue CycleDevelop, maintain, and enhance knowledge of Revenue Cycle systems and third-party vendors to support recommendations for optimal workflowsLeverage technology and best practices to recommend process improvementsEffectively communicate trends to influence all levels of leadership for process improvementsPartner with leaders and teams to review and establish improvement opportunitiesPerform project management duties to align multi-disciplinary groups across the revenue cycle and clinical departments, corporate finance, DHTS, and hospital service line leadershipCommunicate and track progress of identified issues and action itemsPartner with Operations Improvement on outstanding optimization and automation projectsPromote PRMO strategic vision, mission, and purpose while emphasizing teamwork and resultsCreate and foster a department culture that provides a satisfying and enriching environment in which staff can be developed and retainedInteract with and provide timely verbal/written responses to all stakeholders (patients, providers, payors, and departmental personnel)Acknowledge management requests and emails in a professional, timely mannerAttend meetings and participate in Work Culture initiatives, committees or workgroups, as assignedAccomplish all tasks as assignedSkillsBachelor's degree requiredMinimum of 7 years work experienceExtensive knowledge of Revenue Cycle analytical tools, business intelligence tools and statistical packagesProven experience with Revenue Cycle workflows to include but not limited to overall claims processing spanning the life cycle of the revenue cycle, denials management, insurance follow up, and net collection rate impacts and calculationsExperience can be supplemented with Master's degree with a Masters being equivalent to two years of experienceKnowledge of Epic System (Revenue Cycle Applications)Knowledge of Revenue Cycle operationsAbility to understand revenue cycle operational performance goals/metricsStrong analytical skillsAbility to perform root cause analysis with accuracyAbility to identify and implement optimization opportunities within EpicAbility to investigate and analyze information and provide recommend solutions for identified issuesAbility to develop, implement and oversee project teams comprised of IT and operational resourcesAbility to communicate effectively, both orally and in writingDemonstrate strong interpersonal and communication skillsAbility to work effectively with a wide range of constituencies in a diverse communityAbility to foster a positive work environmentAbility to multi-taskSystems: Epic, MS Office Applications (Word, Excel, Visio, PowerPoint), Kodiak RCAMaster's degree preferredCompany OverviewThe official LinkedIn Page of Duke University It was founded in 2008, and is headquartered in Durham, North Carolina, USA, with a workforce of 10001+ employees. Its website is http://ceint.duke.edu.Company H1B SponsorshipDuke University has a track record of offering H1B sponsorships, with 38 in 2026, 273 in 2025, 227 in 2024, 202 in 2023, 195 in 2022, 148 in 2021, 121 in 2020. Please note that this does not guarantee sponsorship for this specific role.

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