Consultant II, Revenue Cycle (SNF)

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Job Summary:
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:

• Lead business development efforts for revenue cycle consulting opportunities within skilled nursing and long-term care organizations.
• Lead client engagements and develop tailored solutions to improve SNF revenue cycle performance, reimbursement, and operational efficiency.
• Conduct comprehensive assessments of SNF revenue cycle functions, including admissions, payer authorization, MDS-driven reimbursement, billing, collections, and denials management.
• Analyze revenue cycle workflows, identify process improvement opportunities, and implement best practice solutions to improve financial outcomes.
• Utilize electronic health record (EHR), billing, and revenue cycle systems to evaluate performance, identify trends, and support client recommendations.
• Lead change management initiatives and support clients through the implementation and adoption of revenue cycle improvements.
• Monitor industry regulations, reimbursement methodologies, and payer requirements impacting skilled nursing providers and recommend appropriate operational responses.
• Manage project execution by tracking progress, mitigating risks, maintaining documentation, and ensuring successful completion of client engagements.
• Develop and deliver presentations, training, and educational programs to strengthen client knowledge and support long-term performance improvement.

Qualifications:

• 3+ years of experience in skilled nursing, long-term care, or post-acute revenue cycle operations.
• Strong knowledge of SNF reimbursement methodologies, including Medicare Part A, Medicare Part B, Managed Care, Medicaid, PDPM, billing, collections, denials, and appeals.
• Experience analyzing and optimizing revenue cycle workflows, processes, and financial performance.
• Knowledge of revenue cycle key performance indicators (KPIs), benchmarking, and data analysis.
• Experience with SNF electronic health record (EHR), billing, and revenue cycle management systems.
• Project management, consulting, or client-facing experience preferred.
• Excellent verbal, written, presentation, and relationship management skills.
• Ability to develop and deliver training and education to operational and revenue cycle teams.
• RHIA, CRCR, CPC, or other applicable Revenue Cycle credential preferred.

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:
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 [email protected].
Wipfli values fair, transparent, and competitive compensation, considering each candidate's unique skills and experiences. The estimated base pay range for this role is $60,000 to $81,000, 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.