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US

  • Assess current denials processes and analyze denial trends to identify root causes and financial risks.
  • Develop and implement strategies to reduce preventable denials and improve revenue cycle performance.
  • Lead denials-related projects from planning through implementation, coordinating with stakeholders and tracking KPIs.

Revenue Cycle Management Denials Management Project Management Data Analysis Epic

20 jobs similar to Revenue Cycle Denials Consultant-Project Management

Jobs ranked by similarity.

US

  • Own and scale the RCM engine across payer contracting, billing, denials, collections, and reconciliation.
  • Lead the RevOps team and act as the go-to expert on revenue cycle performance.
  • Drive root-cause resolution of denials and build process improvements for audit-ready scale.

Clarity Pediatrics is redefining pediatric chronic care by uniting virtual multi-specialty care for kids with ADHD, allergies, asthma, and obesity. It has raised $25M from top VCs and is scaling after a substantial Series A.

$40,000–$50,000/yr
US

  • Respond to client and team information requests in a timely, professional manner.
  • Communicate with insurance carriers to resolve claim issues and improve cash flow.
  • Contribute to training materials and maintain proactive communication with clients.

Ternium RCM specializes in resolving complex healthcare insurance claim denials and delays, empowering hospitals to focus on patient care. They are a growing team of dedicated professionals committed to optimizing revenue cycles and improving healthcare outcomes.

US 16w maternity 16w paternity

  • Drive strategic pricing, financial modeling, and hybrid billing structures to maximize revenue and growth.
  • Collaborate with the tech team to optimize the RCM tech stack and ensure seamless data integrity.
  • Lead operational quality, denial management, and cross-functional project management for billing workflows.

Pomelo Care is the leading virtual medical practice for women and children, providing proactive, 24/7 clinical care across pregnancy, postpartum, pediatrics, menopause, and perimenopause. The team includes clinicians, technologists, operators, and problem-solvers working together to make high-quality care more accessible for families nationwide.

US

  • Manage billing, collections, and accounts receivable for healthcare clients, ensuring timely claim submission and payment resolution.
  • Analyze aging reports, denials, and reimbursement trends to identify root causes and implement process improvements.
  • Serve as primary client contact, providing ongoing communication, status updates, and revenue cycle support.

Wipfli is a professional services firm providing accounting, tax, and consulting services. They emphasize flexibility, relationships, and employee well-being, with a focus on creating exceptional impact.

US

  • Manage DRG-related payer denials to protect reimbursement and minimize revenue loss.
  • Leverage clinical and coding expertise to produce compliant appeal outcomes.
  • Identify documentation and coding risks pre-claim to strengthen revenue integrity.

Rochester Regional Health is an integrated health services organization serving Western New York and beyond, with nine hospitals and numerous care facilities. It is a large health system focused on leading the evolution of healthcare.

US

  • Lead strategic operational and technology initiatives from planning through go-live, ensuring alignment with objectives and timelines.
  • Drive technology implementations across Patient Access and Pre-Access, including insurance verification and revenue cycle solutions.
  • Monitor key performance indicators to reduce denials, improve point-of-service collections, and optimize cost-to-collect.

The organization is a healthcare revenue cycle management company focused on improving patient access and pre-access operations. It offers a collaborative culture with remote work opportunities and professional development.

United States

  • Respond to patient billing and insurance inquiries via Zendesk, resolve financial questions, and manage payment arrangements with empathy.
  • Work Athena claim hold and denial queues, research claims in payer portals, and coordinate with clinical teams to resolve documentation gaps.
  • Serve as billing and insurance subject matter expert for the Patient Experience team, identify root causes of denials, and support process improvements.

Midi Health is a comprehensive virtual care clinic for women in midlife, focusing on perimenopause, menopause, and midlife health challenges. It is a fast-growing telehealth company with a collaborative, remote-first culture.

US Unlimited PTO

  • Own end-to-end claims and revenue-cycle operations, including claim submission, denials, appeals, and collections across Medicaid and commercial payers.
  • Build and optimize payer-specific billing workflows, including claim configuration, coding, and credentialing.
  • Drive cross-functional execution with Operations, Partner Success, and Finance to improve processes and achieve over $1M in monthly claims.

Jukebox Health partners with health plans to make homes safer and more accessible for older adults and high-needs populations, combining technology with networks of clinicians, suppliers, and installers. Founded by experienced entrepreneurs, Jukebox Health is a fast-growing healthcare services company backed by top venture capital firms like Valtruis and The Home Depot, with a high-trust, collaborative, remote-first culture.

US

  • Provide comprehensive Chargemaster expertise across Hospital Billing and Professional Billing.
  • Analyze charging workflows to identify revenue leakage and optimization opportunities.
  • Collaborate with client teams to assess processes and implement revenue integrity best practices.

The Wilshire Group is a boutique consulting firm in Los Angeles specializing in revenue cycle optimization and collaboration between operational and IT facets. With a track record of aiding over 100 healthcare systems nationwide, our team thrives on professionalism, efficiency, and adaptability.

$185,000–$215,000/yr
US

  • Own RCM end to end for Medicaid and Medicare, from eligibility through claims, denials, and collections.
  • Lead strategy, team building, KPI reporting, and cross-functional collaboration with operations, product, and engineering.
  • Analyze claims data to improve collection rate, manage payer relationships, and ensure billing compliance.

Pair Team is an AI-enabled medical group for Medicaid and Medicare, delivering whole-person care through community-based organizations. It is California's largest complex care provider and is building an AI platform to scale across the safety net.

US

  • Lead and scale a high-performing Revenue Cycle Management team, managing workflows and driving operational excellence.
  • Oversee day-to-day RCM operations with a patient-first approach, optimizing collections and efficiency.
  • Collaborate cross-functionally with Engineering, Credentialing, Customer Experience, and external vendors to support growth.

Nourish is an AI-native digital health system that connects patients with registered dietitians, physicians, medications, lab testing, and AI agents for insurance-covered care. Founded four years ago, it has completed millions of appointments, tripled year-over-year, and partners with health plans covering 200M+ Americans.

US

  • You partner with operations, revenue cycle, and vendors to manage healthcare IT projects from initiation to close.
  • You provide IDX system support, integrate third-party applications, and conduct strategic customer meetings.
  • You ensure consistent workflows and front desk processes to avoid denials and ensure timely referrals.

Dignity Health Medical Foundation is a California nonprofit that provides comprehensive healthcare services through care centers across California. It is an affiliate of Dignity Health, one of the largest health systems in the nation, with a culture focused on purposeful work and staff development.

US

  • Lead and mentor Revenue Cycle Informatics staff, overseeing daily support and project coordination for EHR-related initiatives.
  • Collaborate with departments to implement process improvements, training, and system enhancements for revenue cycle and electronic health record.
  • Provide end-user support and education, manage service tickets, and ensure efficient use of EHR applications.

UnityPoint Health is a healthcare system providing services across Iowa, Illinois, and Wisconsin. They are recognized as a Top 150 Place to Work in Healthcare, with a culture focused on belonging and employee support.

US

  • Lead strategic operational and technology projects from planning through implementation and go-live.
  • Manage multiple concurrent projects while maintaining timelines, deliverables, and stakeholder alignment.
  • Drive implementation of patient access technology solutions and optimize front-end revenue cycle performance.

Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems. The company has won multiple 'Best in KLAS' awards and fosters a culture of collaboration, innovation, and continuous improvement.

United States

  • Contribute to design, configuration, testing, and support of Hospital and Professional Billing solutions.
  • Independently partner with clinical, operational, and technical teams to improve workflows and user experiences.
  • Manage testing, quality, and documentation while supporting implementations and go-live activities.

Our partner is a healthcare technology company looking for an Epic HB/PB Analyst. They offer a full-time remote role supporting critical revenue cycle applications in a complex healthcare environment.

US

  • Manage end-to-end client implementation projects in a remote environment, ensuring efficient and well-coordinated onboarding.
  • Support special projects and strategic initiatives that use automation and AI to streamline workflows and improve scalability.
  • Serve as a subject matter expert, providing guidance and knowledge-sharing to colleagues on complex onboarding processes.

The company specializes in healthcare revenue cycle solutions. It fosters a remote, inclusive culture with a focus on innovation and collaboration.

Global Unlimited PTO

  • Serve as the operational lead and subject matter expert for enterprise client accounts, overseeing accounts receivable and revenue cycle performance.
  • Drive root cause analysis of denied claims, payment variances, and workflow breakdowns to implement corrective actions.
  • Mentor team members, assign workloads, and facilitate training to ensure high-quality client support and operational consistency.

Prompt provides software for outpatient rehab organizations, helping them treat more patients and deliver better care while reducing environmental waste. It is a team of talented individuals committed to solving complex healthcare problems, fostering a culture of smart work and positive impact.

$59,000–$76,500/yr
US

  • Lead and oversee the configuration and setup of new client billing accounts, ensuring full operational readiness and accuracy.
  • Oversee and manage Data and Charge Entry contractors and FTEs supporting team direction and deliverables.
  • Serve as a subject matter expert for front-end RCM processes and system integrations.

Virta Health is on a mission to reverse metabolic disease in one billion people. They have raised over $350 million from top-tier investors and partner with the largest health plans, employers, and government organizations.

US

  • Review and evaluate denied claims using proprietary software to determine correct reimbursement.
  • Research and acquire medical records and supporting documentation for submission to payers.
  • Conduct telephone follow-up with payers to ensure prompt reimbursement.

EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations using an intelligent automation platform. The company has over 24 years of industry expertise, is a multi-year Top Workplaces award recipient, and has been on the Inc. 5000 list for eleven years.

$60,000–$80,000/yr
US

  • Own claims adjudication, denials management, and EDI workflows to ensure accurate payment and compliance.
  • Build reporting dashboards and KPIs to track claims performance and drive process improvements.
  • Collaborate with prior auth, finance, and client teams to close the loop between authorization and payment.

OneImaging is a concierge radiology service that connects patients with a network of over 5,000 vetted providers across 48 states, reducing imaging costs by 60-80%. We are a high-growth company building the infrastructure for fair and transparent medical imaging, with a focus on employer and payer ROI.