Revenue Cycle Consultant

The ideal candidate will havedeep knowledge of Revenue Cycle modulesincluding Registration Scheduling Charge Services Patient Accounting and Health Information Managementand will play a key role inoptimizing workflows ensuring integration accuracy and supporting end-to-end revenue operationswithin healthcare systems. This is a hands-on role requiring bothtechnical proficiency and strong functional understandingof RCM processes.

What you will do:

Configure and maintain modules related toRegistration Scheduling Billing and Claims.
Develop and managerequired components of the systembased on clinical and financial requirements.
MaintainHealth Plan setup Contractual Discounts andClaim Submission Deadlinesaligned with payer rules and regulatory compliance.
Analyze and streamline RCM workflows to improve operational efficiency and financial accuracy.
Collaborate with functional and technical teams to identify bottlenecks and propose system-based solutions.
Provide expert consulting to business stakeholders on RCM design decisions interdependencies and workflow impacts.
Support and troubleshootintegration between HISand external systems.
Design code and implement enhancements usingJava DiscernDev Custom MPage Development and CCL/Custom Reportingto meet evolving business needs.Collaboration & Client Engagement
Partner with cross-functional teams including Solution Architects and Business Analysts to translate requirements into effective solutions.
Engage with healthcare leadership and finance teams to align system configurations with strategic RCM goals.
Provide post-go-live support optimization and issue resolution for RCM-related functions.

Basic Qualifications:

Bachelors degree inComputer Science Information Technology or related field.

Minimum5 years of experienceinHealthcare Information Systems (HIS)with a focus onRevenue Cycle Management.
Proven expertise inRevenue Cyclemodules (Registration Scheduling Charge Services Patient Accounting HIM etc). Preferred
Experience working withHealth Insurance Post Offices (e.g. Riayati DHPO) including transaction monitoring and troubleshooting.
Hands-on experience withCCL MPage Development DiscernDev and Java programming.
Strong understanding ofhealth plan configuration claim workflows charge capture and discount management.
Excellent analytical problem-solving and documentation skills.
ExcellentEnglish communication skills both verbal and written.

Expected Attributes

Proactive and detail-oriented with a focus on quality and results.
Strong stakeholder management and communication skills.
Passion for healthcare innovation and operational excellence.
Ability to work under pressure handle multiple priorities and meet tight deadlines.
Willingness to travel and support on-site as needed.

Career Level - IC3