Serve as a Revenue Integrity resource for assigned clinical service lines and partner with various stakeholders to improve revenue capture.
Perform end-to-end assessments of workflows to identify opportunities for improvement and implement corrective actions.
Analyze data to identify trends, charging variances, and revenue optimization opportunities while maintaining knowledge of regulations and best practices.
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.
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.
Lead complex hospital and professional billing compliance audits and investigations to identify risks and ensure regulatory alignment.
Analyze billing, coding, and operational data to uncover systemic issues and provide actionable recommendations to leadership.
Serve as a billing compliance subject matter expert, advising cross-functional teams and developing training and policies.
The company is a healthcare organization focused on billing compliance and risk management, providing auditing and advisory services. It offers a remote-first collaborative environment with opportunities to influence policies and work with senior leaders.
Analyze revenue cycle processes and performance data to identify trends and improvement opportunities.
Collaborate with revenue cycle teams to implement process enhancements and monitor KPIs.
Support root cause analysis of denials and inefficiencies to improve financial outcomes.
Beyond Blue Corporation is a nonprofit affiliated with the University of Kentucky, supporting the university's growth through strategic business separation. It fosters a diverse, inclusive, and purpose-driven culture focused on advancing Kentucky's economy and health.
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.
The Wilshire Group is a boutique healthcare consulting firm specializing in revenue cycle, Epic, and healthcare technology solutions. We are a small team of experienced professionals dedicated to improving financial performance for healthcare organizations.