Revenue Cycle Consultant

About the Role

Join Oracle Health to advance human-centered healthcare by integrating clinical, operational, and financial data for improved decision-making. As a Revenue Cycle Consultant, you will support our ITWorks team by enhancing and maintaining revenue cycle modules, focusing on Registration, Scheduling, Charge Services, Patient Accounting, and Health Information Management within healthcare systems. This role combines hands-on technical tasks with deep functional knowledge of revenue cycle management (RCM) processes.

Key Responsibilities

• Configure and upkeep modules related to patient registration, scheduling appointments, billing, and claim submissions.
• Develop and manage system components aligned with clinical and financial standards.
• Maintain health plan configurations, manage contractual discounts, and enforce claim submission deadlines in compliance with payer policies and regulations.
• Analyze and optimize revenue cycle workflows to enhance operational efficiency and accuracy in financial transactions.
• Collaborate with cross-functional teams to identify challenges and design system-based solutions.
• Provide expert guidance on RCM designs, dependencies, and workflow impacts to business stakeholders.
• Support and resolve integration issues between Hospital Information Systems (HIS) and external platforms.
• Design, code, and implement system improvements using Java, DiscernDev, Custom MPage Development, and CCL/Custom Reporting tools.
• Engage with healthcare leadership and finance to align configurations with strategic revenue cycle goals.
• Offer post-implementation support, including optimization and troubleshooting of RCM functions.

Required Qualifications

• Bachelor’s degree in Computer Science, Information Technology, or a related discipline.
• At least five years of experience working within Healthcare Information Systems with a focus on Revenue Cycle Management.
• Expertise in Revenue Cycle modules such as Registration, Scheduling, Charge Services, Patient Accounting, and Health Information Management.
• Experience with Health Insurance Processing systems (e.g., Riayati, DHPO), including monitoring and troubleshooting transactions.
• Technical proficiency in CCL scripting, MPage development, DiscernDev platform, and Java programming.
• Strong knowledge of health plan configurations, claims processing workflows, charge capturing, and discount management.

Personal Attributes and Expectations

• Fluent English communication skills, both oral and written.
• Excellent analytical thinking, problem-solving capabilities, and thorough documentation skills.
• Willingness to travel and provide onsite support as necessary.
• Proactive, detail-oriented, and quality-focused approach to work.
• Effective stakeholder management and robust communication abilities.
• Demonstrated passion for healthcare innovation and operational excellence.
• Ability to handle pressure, multitask, and meet strict deadlines.

Additional Information

Oracle is committed to equal employment opportunities and inclusivity. The company offers competitive benefits including flexible medical coverage, life insurance, and retirement plans. Oracle encourages workplace diversity and provides accommodations for candidates with disabilities throughout the hiring process upon request. This position is classified as IC3 career level. Oracle integrates AI and cloud technologies to revolutionize healthcare and other industries globally.