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
Internal Responsibilities
Responsibilities:
- Perform comprehensive analysis of AR inventory, including aging buckets, payer mix, denial patterns, underpayments, and collection trends across client accounts
- Conduct in-depth audits of AR inventory to identify root causes of backlogs, payment delays, boluses, and systemic billing or follow-up failures
- Develop detailed, data-driven project plans based on audit and analysis findings, including clear timelines, ownership assignments, and performance targets
- Monitor and measure the performance of AR remediation initiatives against established benchmarks, reporting progress to internal and client stakeholders on a routine basis
- Evaluate payer performance across commercial, government, and managed care contracts, identifying trends in denials, slow pay, and underpayment activity
- Partner with client billing, follow-up, and collections teams to implement workflow adjustments that address identified AR deficiencies
- Provide actionable recommendations to client leadership on AR prioritization strategies, staffing alignment, and process improvements
- Document audit methodologies, findings, and remediation outcomes in a clear and organized manner suitable for client review and internal reporting
- Serve as an ongoing advisory resource for clients on AR best practices, payer-specific strategies, and collections optimization
- Collaborate with internal project management and technical teams to ensure that system data and reporting tools accurately reflect AR status and trends
External Responsibilities
Responsibilities:
- Perform comprehensive analysis of AR inventory, including aging buckets, payer mix, denial patterns, underpayments, and collection trends across client accounts
- Conduct in-depth audits of AR inventory to identify root causes of backlogs, payment delays, boluses, and systemic billing or follow-up failures
- Develop detailed, data-driven project plans based on audit and analysis findings, including clear timelines, ownership assignments, and performance targets
- Monitor and measure the performance of AR remediation initiatives against established benchmarks, reporting progress to internal and client stakeholders on a routine basis
- Evaluate payer performance across commercial, government, and managed care contracts, identifying trends in denials, slow pay, and underpayment activity
- Partner with client billing, follow-up, and collections teams to implement workflow adjustments that address identified AR deficiencies
- Provide actionable recommendations to client leadership on AR prioritization strategies, staffing alignment, and process improvements
- Document audit methodologies, findings, and remediation outcomes in a clear and organized manner suitable for client review and internal reporting
- Serve as an ongoing advisory resource for clients on AR best practices, payer-specific strategies, and collections optimization
- Collaborate with internal project management and technical teams to ensure that system data and reporting tools accurately reflect AR status and trends
