Job Search Results for Revenue Cycle Management

Epic Revenue Cycle Integration Project Manager

Lead Revenue Cycle workstreams for a large-scale facility integration within Epic.Coordinate discovery, design, build, testing, and go-live activities across operational and technical teams.Drive... More Epic Revenue Cycle integration efforts, ensuring alignment across front-end and back-end workflows.Manage patient backload activities, including planning, validation, issue resolution, and stakeholder communication.Lead charge testing and validation efforts to ensure accurate revenue capture and system functionality.Partner with Revenue Cycle, IT, Epic, and operational stakeholders to keep project milestones on track.Monitor project timelines, risks, dependencies, and deliverables while providing regular status updates.Facilitate cross-functional meetings and remove barriers impacting project progress.Support go-live readiness planning and coordinate issue resolution leading up to March 2027 implementation.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Denials Specialist (Appeals & Revenue Cycle)

Insight Global is seeking a fully remote Denials Specialist to support a Healthcare AI client. This is a part-time opportunity working approximately 10?20 hours/week where candidates will leverage... More their denials and appeals expertise to evaluate and improve AI-driven denial resolution strategies. This role is highly analytical and requires a strong understanding of payer requirements, denial root causes, and effective appeal strategies across multiple payer types. Laptop and equipment will be provided.Shift Times: Flexible scheduling within Monday-Friday, 9am-8pm PST (can't work weekends)(must be available 10-20 hours/week from 9am-8pm PST // ideal for individuals seeking additional income)Duration: 3-month contract (potential to extend)Responsibilities:? Review denied claims and evaluate AI-generated denial analysis and appeal recommendations? Assess the quality, logic, and persuasiveness of AI-generated appeal strategies across various denial types (medical necessity, authorization, coding, technical, etc.)? Identify discrepancies where AI recommendations diverge from effective real-world denial management practices? Analyze and explain successful appeal strategies, including payer-specific nuances and documentation requirements? Evaluate appealability and determine optimal approach based on denial type, payer guidelines, and supporting documentation? Provide detailed reasoning behind appeal strategies to help improve AI decision-making models? Identify patterns and trends across denials to highlight systemic issues impacting reimbursement? Partner with product and GTM teams to critique presentations and provide subject matter expertise on denial workflows and payer behaviorWe are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Educator of Revenue Operations

A client of Insight Global's is seeking a Revenue Operations Educator I to support the training, onboarding, and professional development needs of a large Revenue Operations department. This... More individual will facilitate virtual training sessions, onboard new teammates, coordinate learning activities, and support ongoing educational initiatives across multiple billing and operational teams. On a daily basis, this person will deliver engaging training programs, track learner progress, maintain training documentation and reporting, partner with operational leaders to identify development needs, and ensure new hires have the resources needed to succeed. They will also support learning projects, analyze training effectiveness, and make recommendations for process improvements. This role requires strong communication skills, attention to detail, and the ability to work independently while collaborating with stakeholders across the organization in a fully remote environment.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Director, Revenue & Enterprise Systems

About the Role:The Director, Revenue & Enterprise Systems is the enterprise owner of all technology platforms that power the revenue cycle, financial operations, HR, procurement, and enterprise... More business functions. This leader is accountable for Oracle Fusion ERP, all RCM applications, and the broader ecosystem of enterprise systems that ensure accurate billing, financial integrity, operational efficiency, and scalable growth.This role leads a high-performing team responsible for system ownership, workflow optimization, automation, data quality, and cross-functional change delivery. The VP partners closely with Revenue Cycle Operations, Finance, HR, Supply Chain, and PMO to modernize processes, accelerate cash, and enable a well-run enterpriseKey Responsibilities:Revenue Cycle Technology?Own RCM applications (claims, eligibility, coding, payments, denials, billing).?Ensure accurate charge capture, compliant workflows, and optimized collections.?Partner with RCM operations to reduce denials and accelerate cash.Oracle Fusion ERP Leadership?Lead configuration, workflows, releases, and optimization of Oracle Fusion.?Manage Finance, Procurement, Supply Chain, CRM, and HR modules.?Standardize enterprise processes (GL, AP/AR, procurement, payroll, onboarding).?Improve usability, adoption, and self-service across back-office functions.?Oversee Oracle and ERP ecosystem vendor relationships and SLAsAutomation & Innovation?Deploy automation and AI across RCM, AP/AR, HR, and operational workflows.?Modernize legacy processes to reduce cycle times and improve accuracy.?Enable analytics for forecasting and operational insights.Change Delivery & Support?Lead enhancements, rollouts, testing, training, and go-lives.?Ensure compliant, well-managed change delivery with PMO partnership.?Oversee Tier 2/3 support and maintain SLAs for performance and uptime.Data Quality & Integration?Ensure data accuracy across billing, finance, HR, and operations.?Maintain master data, structured workflows, and system interoperability.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Educator of Revenue Operations

A client of Insight Global's is seeking a Revenue Operations Educator I to design, develop, and deliver training programs for a large healthcare operations team. This individual will create... More curriculum and learning content, facilitate virtual training sessions, onboard new teammates, provide real-time coaching, and partner with stakeholders to identify development opportunities. They will also track training effectiveness, maintain learning resources, and support continuous improvement initiatives.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Remote Application Owner - Athena Collector

We are looking for an Application Owner (formerly called Domain Owner) to support the Ambulatory Patient Accounting space. This is not a build analyst, systems engineer, support analyst, or project... More manager role. The individual will serve as the functional owner responsible for discovery, evaluation, solution design, stakeholder engagement, and governance of ambulatory revenue cycle applications. The primary application owned will be Athena Collector (Athena's revenue cycle/patient accounting platform), which supports the majority of Ascension's ambulatory clinics nationally.Key Responsibilities?Serve as the Application Owner for Ambulatory Patient Accounting applications.?Lead discovery efforts for new requests, enhancements, implementations, and process improvement initiatives.?Partner with operational stakeholders to understand business problems and define requirements.?Evaluate existing application capabilities and recommend solutions.?Collaborate with Solution Architects to develop high-level solution designs.?Provide functional expertise throughout project lifecycles to ensure alignment with approved designs and standards.?Act as the liaison between business stakeholders, architects, and development teams.?Ensure solutions align with enterprise strategy, technical standards, and application roadmap.?Communicate project status, milestones, and timelines to stakeholders.?Guide implementation teams from a functional perspective, but do not perform project management activities.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Account Executive

Insight Global is seeking an experienced Account Executive to join one of our healthcare services clients. This individual will play a key role in developing strategic partnerships with healthcare... More organizations and driving business growth through the sale of Business Process Outsourcing (BPO) solutions. The ideal candidate is a motivated sales professional with a strong background in healthcare BPO, revenue cycle management, and complex solution selling.This position requires exceptional communication, presentation, and critical-thinking skills, as well as the ability to build relationships with decision-makers and guide prospects through the sales cycle from initial outreach to long-term partnership.Key ResponsibilitiesProspect and generate new business opportunities through cold calling and outbound sales efforts.Identify, engage, and establish relationships with prospective healthcare clients.Drive opportunities through the sales funnel, converting leads into long-term customers.Present and communicate BPO service offerings through meetings, presentations, emails, and other client interactions.Educate prospective clients on the benefits and value of outsourcing solutions.Assess client needs, identify challenges, and recommend tailored solutions.Meet and exceed established revenue goals and sales objectives.Gather information regarding project scope, budgets, timelines, and business requirements.Collaborate with internal leadership and operational teams to align client expectations with service delivery.Track, document, and maintain all sales activities within a CRM system.Attend networking events, industry conferences, and client meetings to generate and nurture business relationships.Travel as needed for introductory, discovery, and relationship-building meetings.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Claims Dispute Specialist (NSA)

Insight Global's healthcare client is seeking a Claims Dispute Specialist (NSA) to join their growing Revenue Cycle Management team. This individual will play a critical role in managing complex... More medical claim disputes and arbitration processes related to the No Surprises Act (NSA) and state surprise billing regulations. The ideal candidate will bring a strong healthcare claims background, exceptional written communication skills, and the ability to manage multiple deadlines in a fast-paced, highly collaborative environment. This position offers the opportunity to contribute to a growing initiative focused on maximizing reimbursement outcomes, improving dispute processes, and reducing claim backlog.Key Responsibilities:Manage medical claim disputes and appeals related to the No Surprises Act (NSA) and applicable state surprise billing laws.Review EOBs, claim history, reimbursement data, and supporting documentation to determine dispute eligibility and strategy.Prepare detailed written arguments, notices of offer, and supporting documentation for Independent Dispute Resolution (IDR) submissions.Track and manage multiple claim deadlines to ensure all submissions, responses, and arbitration requirements are completed on time.Investigate claim payments, denials, underpayments, and reimbursement discrepancies through analysis of payer communications, contracts, and clinical documentation.Analyze trends and identify opportunities to improve dispute outcomes, workflows, and reimbursement strategies.Collaborate with revenue cycle, finance, payment management, and practice operations teams to resolve issues and communicate dispute status updates.Maintain accurate records and trackers throughout the dispute lifecycle while ensuring compliance with federal and state requirements.Support a growing claims dispute program by contributing process improvements and best practices. Compensation:$55,000 to $70,000 per year annual salary. Exact compensation may vary based on several factors, including skills, experience, and education.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Epic Govt. Payors Analyst

The Epic Government Payors Contract Configuration Analyst collaborates with the Revenue Cycle Management team to address contract related build issues, and holds primary responsibility for the... More design, build, testing, validation, and ongoing support of the Epic contract management applications. The position requires deep knowledge of reimbursement methodologies of government payors, managed care commercial payors, software functionality and the revenue cycle workflows in Epic.Key Responsibilities:? Interpret Contract Terms: Partner with Director of Payor Solutions Compliance and the team to review and clarify contract language.? Epic System Configuration: Design, build, validate, and support the Epic contract build in alignment with revenue cycle workflows.? System Design & Validation: Participate in design and advanced validation sessions to ensure accurate contract build configuration.? Testing & Documentation: Conduct structured application testing and maintain thorough documentation of results.? Release Management: Review and test new builds and releases prior to production deployment.? Resolve Contract Variances: Troubleshoot and correct discrepancies in contract builds to ensure accuracy and compliance.? Manage Adjustments: Post contractual adjustments promptly and maintain weekly updates on outstanding items and build deficiencies.? Issue Management: Track, update, and resolve contract build issues efficiently.? Training Development: Collaborate with team during peer reviews to establish new workflows as necessary.? Technical Support: Troubleshoot contract build related problems reported by Revenue Cycle Management team as end-users.? Continuous Improvement: Identify and recommend contract build enhancements to optimize performance.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less

Claims/EDI Representative

We are seeking a Revenue Cycle Claims & EDI Specialist to support claim submission and error resolution efforts in a fast-paced healthcare environment. This individual will work Epic work queues,... More investigate and correct registration, follow-up, and EDI-related claim errors to ensure timely claim processing and reimbursement. The ideal candidate has a strong understanding of insurance verification and payer requirements across a variety of specialties and insurance types. This is a fully remote position requiring excellent time management skills and the ability to adapt to changing daily workloads.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.Less