| Remote |
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| Full Time |
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| Ability to obtain & maintain a Public Trust* |
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* US Citizenship and the ability to obtain and maintain the clearance level stated above are required for this specific opportunity. Tria Federal (Tria) is unable to sponsor at this time.
Who We Are:
Tria Federal (Tria) is the premier middle-market IT and Advisory services provider delivering digital transformation solutions to Civilian, Defense, and Intelligence agencies across the federal sector. With a future-forward vision and a mission rooted in service, we bridge capability gaps to help government agencies work faster, grow smarter, and stay nimble in the face of change. Wherever our customers are in their modernization journey, we are the trusted navigator in the path to possible.
Follow us on LinkedIn | #PoweringPossible |
Who You Are:
You are a talented Revenue Cycle Consultant (Staff I) with at least 2 years of experience and a passion for thinking big, taking action, and delivering exceptional results. You are outcome-driven, quality-obsessed, and relentlessly focused on innovation as a value-driver for world-class delivery, client satisfaction, and performance. You’re looking to grow as a professional in a team-oriented environment where you can put your fingerprint on mission-critical projects impacting the citizens we serve.
Military Veterans and individuals with disabilities are encouraged to apply!
About This Role:
Tria Federal (Tria) is seeking a highly motivated and detail-oriented Revenue Cycle Consultant (Staff I) to join our team. As a Revenue Cycle Consultant, you will provide professional consulting services to assist our Defense Health Agency (DHA) client in managing their operational and revenue cycle operations. This individual will play a critical role in supporting our clients with their revenue cycle management needs, focusing primarily on accounts receivable (A/R) management, audit readiness and response, compliance management, and project management support. Responsibilities: - Accounts Receivable (A/R) Management Support:
- Assist in the analysis and reconciliation of A/R data to identify trends, patters, and potential areas for improvement.
- Support the development and implementation of A/R management strategies and best practices.
- Participate in process discussions to highlight areas for improvement and standardization.
- Contribute to the development of reports and presentations summarizing A/R performance.
- Participate in client meetings to discuss A/R findings and recommendations.
- Audit Readiness and Response:
- Assist with the preparation and organization of materials for internal and external audits related to revenue cycle.
- Support the development of clear, concise, and well-supported audit responses to address findings.
- Ensure documentation is accurate, complete and organized in accordance with regulatory guidelines.
- Assist with the development and implementation of corrective action plans to address audit findings.
- Contribute to the development of audit remediation strategies and track implementation progress.
- Compliance Management:
- Support the development implementation of compliance policies and procedures related to revenue cycle activities and internal controls.
- Assist in monitoring compliance with relevant regulations (e.g. Federal, Industry, Financial Managment Regulation, DHA Guidance).
- Participate in compliance audits and reviews to identify areas of risk and potential non-compliance.
- Support the development of training materials and presentations related to compliance.
- Assist with tracking and monitoring of compliance issues and resolutions.
- Project Management Support:
- Assist in the planning, execution, and monitoring of projects.
- Contribute to the development of project plans, timelines, and deliverables.
- Track project progress and identify potential risks and issues.
- Participate in internal and external team meetings and knowledge sharing activities.
- Facilitate communications among project team members, business partners, and client stakeholders.
- Prepare project status reports and presentations.
- Conduct research and analysis of relevant industry trends, regulations, and best practices.
- Maintain a strong understanding of federal healthcare regulations and policies.
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The “Need-to-Have” Skills & Qualifications:
- Knowledge and a working understanding of revenue cycle concepts, business processes, and/or operations within the healthcare industry (commercial or federal).
- Ability to apply principles and practices in revenue cycle management, such as charge capture, coding, billing, reimbursement, denial management, A/R management, and compliance.
- Experience with A/R management, including analysis, process improvement, and standardization.
- AExperience with audit readiness processes, including the preparation of audit materials, development of audit responses, and implementation of corrective action plans.
- Experience with compliance management, including policy development, monitoring, and risk assessment.
- Ability to anlayze and interpret complex data, processes, and reports related revenue cycle, including A/R data, audit findings, and compliance reports.
- Ability to identify and resolve issues and problems related to revenue cycle, specifically with A/R, audit response, and compliance management.
- Ability to use various software applications and tools to perform revenue cycle management functions, such as:
- Electronic Health Record systems (e.g. Oracle/Cerner MHS GENESIS Cerner Patient Accounting (CPA) RevenueCycle).
- Billing/Claim systems (e.g. Electronic Claims Clearinghouse (SSI), 3M 360 Encompass Institutional & Professional Coding, Claim Scrubber Edits (Alpha ii), Dentrix Billing, Patient Statements/Letters (RevSpring)),
- Data analytics and reporting (e.g. Excel, Power BI, SAS, Tableau, HealtheAnalytics).
- Ability to succeed in a dynamic team environment and produce deliverables in tight timeframes.
- Detail-oriented with commitment to accuracy and quality.
- Excellent oral, written, and interpersonal skills.
- Ability to collaborate and communicate effectively with team members, clients, business partners, and other various stakeholders.
- Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint).
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Professional Certifications: | N/A |
Education: | Bachelor’s degree required, Finance, Business Administration, Healthcare Administration or related field preferred. Masters in Business Administration or related field, ideal. |
Clearance: | Ability to Obtain and Maintain a Public Trust |
Years of Professional Experience: | 2-5 or more years of consulting or healthcare experience required, preferably in a federal consulting environment. |
The “Nice-to-Have” Skills & Qualifications:
- Experience within the Military Health System (MHS) environment and requisite knowledge of revenue cycle operations.
- Knowledge of MHS billing and coding policies and regulations.
- Experience with the Oracle/Cerner Electronic Health Record (EHR), Patient Accounting Module (CPAM), Health Analytics, ideally in the MHS environment.
Why Tria?
What defines the Tria brand is more than just our dedication to excellence in our craft; it’s our incredible team of dedicated, talented, and passionate people that make Tria so exceptional. As people powering possible, we are all partners in our team’s shared success.
As a company that cares about people, we seek to cultivate a culture in which all can thrive personally and professionally. We offer a top-tier benefits package to invest in your physical, mental, and financial health and wellness so that you can be your best self - at work and in life. At Tria, we are growth-minded, entrepreneurial in spirit, and committed to fostering a culture of inclusion and opportunity for all. Whatever your background, your role, your department, or stage in your professional journey, here you will have opportunities to learn new skills, seize new challenges, and advance your career as we grow.
Job Listing: job_20230915161403_RNNPODATWHAUOEDF
Equal Employment Opportunity (EEO):
Tria Federal (Tria) is a Federal Contractor and EEO, OFCCP, VEVRAA, and Affirmative Action Employer.
As an Equal Employment Opportunity provider, Tria follows the protection of federal, state, and local law: Qualified applicants will receive consideration for employment without regard to race, color, creed, religion, age, national origin, marital status, disability, veteran status, sexual orientation, gender identity or expression, marital status, or genetic information.
U.S. Citizenship is required for this specific opportunity as Tria is unable to sponsor at this time. All selected applicants will be subject to a Minimal Background Investigation (MBI) and a government security investigation (when applicable) depending on the specific program and position listed. This includes but is not limited to: meeting the eligibility requirements for access to classified information and the ability to obtain a government-granted security clearance. Individuals may also be subject to a background investigation including, but not limited to: criminal history, employment verification, education verification, drug testing, and creditworthiness.
Qualified individuals with a disability have the right to request a reasonable accommodation. If you are unable or limited in your ability to use or access the Tria careers website as a result of your disability, please request a reasonable accommodation by sending an e-mail to hrhelp@triafed.com or call (703) 229-5888. Include the nature of your request, along with your name and contact information.