Senior Specialist, Healthcare Revenue Cycle

About the role

Referral Details We greatly appreciate your referral, and we look forward to reviewing the qualifications of the candidate you've recommended. Here's a brief overview of the process: After you've completed this referral form, your recommended candidate will be directed to apply for the specific role through our website. This step is crucial for Wipfli to remain compliant with federal laws and to ensure a fair and transparent selection process. Once their application is received, our Talent Acquisition team will evaluate their qualifications, including how well they align with the requirements of the role and the broader needs of our organization. Your referred candidate will remain in our candidate database for future opportunities, offering them additional chances to become part of our team. As the referrer, your role in the recruitment process is to bring potential talent to our attention. We ask that you refrain from discussing updates on the candidate's status, out of respect for their personal consideration. Our Talent Acquisition team will provide you with a final update once the candidate has been informed of their application status. Throughout this process, we may reach out to you with questions or additional information to ensure a seamless and effective referral experience. Thank you for your invaluable contribution to our recruitment efforts, and we sincerely appreciate your understanding and support throughout this process. If you would like to read more about referral bonus eligibility, please visit InSite: Responsibilities Responsibilities:  - Manage billing, collections, and accounts receivable activities for healthcare clients, ensuring timely claim submission, follow-up, and payment resolution. - Analyze aging reports, denials, and reimbursement trends to identify root causes and implement process improvements. - Serve as a primary point of contact for clients, providing ongoing communication, status updates, and revenue cycle support. - Prepare, review, and reconcile complex billing transactions, reports, and client deliverables while ensuring accuracy and compliance. - Support outsourced revenue cycle engagements, including billing, collections, payer follow-up, and operational workflows. - Collaborate with domestic and offshore team members to deliver high-quality client service and meet engagement objectives. - Utilize EHR systems, payer portals, clearinghouses, and Microsoft tools to manage revenue cycle operations and reporting. - Provide technical guidance to clients and team members on billing, reimbursement, and revenue cycle best practices. - Ensure adherence to firm policies, quality standards, deadlines, and budget expectations while managing multiple client engagements. Knowledge, Skills and Abilities Qualifications: - High school diploma or equivalent required. - 5+ years of healthcare revenue cycle, billing, collections, or accounts receivable experience. - Experience working with hospitals, physician groups, rural health clinics, FQHCs, behavioral health organizations, or similar healthcare providers. - Knowledge of Medicare, Medicaid, managed care, and healthcare reimbursement processes. - Experience using EHR systems, billing software, clearinghouses, and payer portals. - Strong analytical, problem-solving, and communication skills. - Ability to manage multiple priorities and work independently in a fast-paced environment. Preferred Qualifications: - Associate's or bachelor's degree in a related field. - Experience with Epic, Cerner, Meditech, eClinicalWorks, or similar healthcare systems. - Experience with denial management, root cause analysis, and revenue cycle process improvement. - Previous client-facing or healthcare consulting experience.     Alaina Lister, from our recruiting team, will be guiding you through this process. Visit her LinkedIn page to connect!    #LI-AL1 #LI-Remote Additional Details Additional Details:   Wipfli is an equal opportunity/affirmative action employer. All candidates will receive consideration for employment without regards to race, creed, color, religion, national origin, sex, age, marital status, sexual orientation, gender identify, veteran status, disability, or any other characteristics protected by federal, state, or local laws. Wipfli is committed to providing reasonable accommodations for people with disabilities. If you require a reasonable accommodation to complete an application, interview, or participate in our recruiting process, please send us an email at   Wipfli values fair, transparent, and competitive compensation, considering each candidate's unique skills and experiences. The estimated base pay range for this role is $25.00 to $34.00 an hour, with offers typically not made at the maximum, allowing for future salary increases. The actual salary at the time of offer depends on business related factors like location, skills, experience, training/education, licensure, certifications, business needs, current associate pay, and relevant employment laws.    Individuals may be eligible for an annual discretionary bonus, subject to participation rules and based on a variety of factors including, but not limited to, individual and Firm performance.    Wipfli cares about our associates and offers a variety of benefits to support their well-being. Highlights include 8 health plan options (both HMO & PPO plans), dental and vision coverage, opportunity to enroll in HSA with potential Firm contribution and an Employee Assistance Program. Other benefits include firm-sponsored basic life and short and long-term disability coverage, a 401(k) savings plan & profit share as well as Firm matching contribution, well-being incentive, education & certification assistance, flexible time off, family care leave, parental leave, family formation benefits, cell phone reimbursement, and travel rewards. Voluntary benefit offerings include critical illness & accident insurance, hospital indemnity insurance, legal, long-term care, pet insurance, ID theft protection, and supplemental life/AD&D. Eligibility for all benefits programs is dependent on annual hours expectation, position status/level and location. Wipfli offers flexibility for many positions to be performed remotely; please discuss your work preferences with your recruiter during the interview process.   "Wipfli" is the brand name under which Wipfli LLP and Wipfli Advisory LLC and its respective subsidiary entities provide professional services. Wipfli LLP and Wipfli Advisory LLC (and its respective subsidiary entities) practice in an alternative practice structure in accordance with the AICPA Code of Professional Conduct and applicable law, regulations, and professional standards. Wipfli LLP is a licensed independent CPA firm that provides attest services to its clients, and Wipfli Advisory LLC provides tax and business consulting services to its clients. Wipfli Advisory LLC and its subsidiary entities are not licensed CPA firms.