Role Description
Are you passionate about helping skilled nursing and long-term care organizations improve financial performance and operational effectiveness? As a Consultant II in Wipfli's Healthcare Consulting Practice, you'll partner with clients to assess revenue cycle operations, implement process improvements, optimize reimbursement, and drive measurable results.
Under the direction of a Senior Consultant, the Consultant II independently manages client engagements, delivers high-quality consulting services, and helps clients navigate operational and reimbursement challenges while ensuring exceptional client service.
Responsibilities
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Lead business development efforts for revenue cycle consulting opportunities within skilled nursing and long-term care organizations.
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Lead client engagements and develop tailored solutions to improve SNF revenue cycle performance, reimbursement, and operational efficiency.
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Conduct comprehensive assessments of SNF revenue cycle functions, including admissions, payer authorization, MDS-driven reimbursement, billing, collections, and denials management.
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Analyze revenue cycle workflows, identify process improvement opportunities, and implement best practice solutions to improve financial outcomes.
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Utilize electronic health record (EHR), billing, and revenue cycle systems to evaluate performance, identify trends, and support client recommendations.
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Lead change management initiatives and support clients through the implementation and adoption of revenue cycle improvements.
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Monitor industry regulations, reimbursement methodologies, and payer requirements impacting skilled nursing providers and recommend appropriate operational responses.
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Manage project execution by tracking progress, mitigating risks, maintaining documentation, and ensuring successful completion of client engagements.
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Develop and deliver presentations, training, and educational programs to strengthen client knowledge and support long-term performance improvement.
Qualifications
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3+ years of experience in skilled nursing, long-term care, or post-acute revenue cycle operations.
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Strong knowledge of SNF reimbursement methodologies, including Medicare Part A, Medicare Part B, Managed Care, Medicaid, PDPM, billing, collections, denials, and appeals.
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Experience analyzing and optimizing revenue cycle workflows, processes, and financial performance.
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Knowledge of revenue cycle key performance indicators (KPIs), benchmarking, and data analysis.
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Experience with SNF electronic health record (EHR), billing, and revenue cycle management systems.
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Project management, consulting, or client-facing experience preferred.
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Excellent verbal, written, presentation, and relationship management skills.
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Ability to develop and deliver training and education to operational and revenue cycle teams.
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RHIA, CRCR, CPC, or other applicable Revenue Cycle credential preferred.
Benefits
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8 health plan options (both HMO & PPO plans).
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Dental and vision coverage.
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Opportunity to enroll in HSA with potential Firm contribution.
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Employee Assistance Program.
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Firm-sponsored basic life and short and long-term disability coverage.
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401(k) savings plan & profit share as well as Firm matching contribution.
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Well-being incentive.
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Education & certification assistance.
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Flexible time off.
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Family care leave.
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Parental leave.
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Family formation benefits.
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Cell phone reimbursement.
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Travel rewards.
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Voluntary benefit offerings including critical illness & accident insurance, hospital indemnity insurance, legal, long-term care, pet insurance, ID theft protection, and supplemental life/AD&D.