Objectives:
The Director of Financial Consulting is tasked with developing and executing strategies to identify new projects and associated opportunities. Their responsibilities include building and maintaining positive relationships with current and prospective clients, as well as overseeing, coaching and guiding a team of consultants. They are also responsible for managing the planning, execution and completion of consulting projects, creating tailored solutions for clients, and collaborating with internal and external stakeholders. All of these duties must meet quality, budget and timeline requirements.
Responsibilities:
As a Leader
- Contribute to and execute the consulting team's strategic plans, ensuring alignment with the company’s overall business goals
- Ensure that revenue targets are met or exceeded while controlling costs and optimizing resource allocation
- Lead consulting sales pursuits, writing, gathering, and collaborating on market and sales materials
- Collaborate closely with the Senior Leadership Team (SLT) to develop scalable and sustainable consulting solutions that drive client value
- Establish and maintain strong relationships with clients, stakeholders, and industry partners
- Stay informed about trends and changes in the healthcare consulting industry, adjusting strategies and operations to maintain a competitive edge
As a Consultant
- Provide onsite and/or remote services to clients
- Complete objectives outlined within the scope of the consulting project engagement
- Provide technical assistance via individual or group training as appropriate
- Communicate project status and/or results will be provided in writing consistent with Richter's formats and content
- Compare and evaluate various possibilities and make recommendations for action that consider business implications
- Receive documentation from clients and process information accurately according to payer billing requirements
- Report the status of the project to the client and manager as determined by project engagement
- Maintain thorough documentation of client communications on all aspects of a project
- Maintain client records and Richter work papers in an organized and protected manner consistent with policy and procedure
- Thorough communication or project expectations, including timeframes and results
- Educate and train on technical components and procedures to be followed
- Attend any mandatory meetings
- Stay knowledgeable in state and federal regulations, guidelines, and best practices within the post-acute industry
Qualifications:
- Bachelors' in a business subject (Business Administration or Information Systems is preferred)
- 5-year consulting experience
- Experience in project management
- Thorough knowledge of the field of skilled nursing, home health, and hospice and willingness to keep abreast of advancements
- Knowledge of data analysis and research techniques
- Proficient at understanding client requirements
- Analytical and creative
- A great listener with the ability to communicate with people of diverse disciplines
- Consulting experience with healthcare payers and providers, with a comprehensive understanding of the healthcare landscape
- Strong leadership skills with a history of exceeding revenue retention and sales targets while enhancing client satisfaction
- Experience in driving growth and maintaining robust client relationships in a healthcare consulting division
- Ability to mentor and elevate consulting teams, fostering a growth-oriented mindset
- Established thought leadership within the healthcare sector through publications, speaking events, or significant contributions to industry initiatives
Skills & Abilities:
- Able to gather and accurately document client requirements
- Experience in leading the sales cycle from prospecting to deal closure, with a focus on revenue growth
- Enthusiastic and creative leadership capabilities with the ability to inspire and motivate others
- Excellent interpersonal skills with the capacity to foster strong professional relationships
- Exceptional communication and presentation skills, capable of translating complex concepts and strategies into clear, actionable information
- A service ethic characterized by high energy, a positive attitude, and a commitment to exceed expectations for both clients and team members
- Computer Literate, including Microsoft Word and Excel
- Must write, speak, and interact clearly and professionally using the English language
- Must be able to lift up to 25 pounds and handle the physical duties of the position unless a formal accommodation under ADA has been requested and approved
- Must provide the highest level of customer service to clients, co-workers, and other related parties
- Must be able to deal tactfully with team members, other staff, residents of client facilities, family members, visitors, government agencies, and the public
- Strong client-facing skills
Richter is committed to equal employment opportunity. We will not discriminate against employees or applicants for employment on any legally-recognized basis “protected class” including, but not limited to: race; color; religion; genetic information; national origin; sex; pregnancy, childbirth, or medical conditions; age; disability; citizenship status; uniform service member status; or any other protected class under federal, state, or local law.
The Financial Consultant position is part of the Consulting team. This professional will use their analytical skills to spot weaknesses in client systems or processes and offer recommendations on how to fix those vulnerabilities. The primary focus of this position is on administrative efficiency, legal compliance, workflow, financial processes, and electronic medical records (EMR) support.
Responsibilities:
- Provide onsite and/or remote services to clients
- Complete objectives outlined within the scope of the consulting project engagement
- Provide technical assistance via individual or group training as appropriate
- Communicate project status and/or results will be provided in writing consistent with Richter's formats and content
- Compare and evaluate various possibilities and make recommendations for action that consider business implications
- Receive documentation from clients and process information accurately according to payer billing requirements
- Report the status of the project to the client and manager as determined by project engagement
- Maintain thorough documentation of client communications on all aspects of a project
- Maintain client records and Richter work papers in an organized and protected manner consistent with policy and procedure
- Thorough communication of project expectations, including timeframes and results
- Educate and train on technical components and procedures to be followed
- Attend any mandatory meetings
- Stay knowledgeable in state and federal regulations, guidelines, and best practices within the post-acute industry
Qualifications:
- Bachelor's in a business subject (Business Administration or Information Systems is preferred, but not essential)
- Post-acute financial management experience: Skilled Nursing, Home Health, Hospice
- 1-year consulting experience
- Experience in project management
- Thorough knowledge of the field of skilled nursing and willingness to keep abreast of advancements
- Knowledge of data analysis and research techniques
- Excellent organizational and coordination skills
- Proficient at understanding client requirements
- Analytical and creative
- A great listener with the ability to communicate with people of diverse disciplines
Skills & Abilities:
- Computer literate, including Microsoft Word and Excel
- Must write, speak, and interact clearly and professionally using the English language
- Must be able to lift up to 25 pounds and handle the physical duties of the position unless a formal accommodation under ADA has been requested and approved
- Must provide the highest level of customer service to clients, co-workers, and other related parties
- Must be able to deal tactfully with team members, other staff, residents of client facilities, family members, visitors, government agencies, and the general public
- Strong client-facing skills
- Able to gather and accurately document client requirements
Additional Information:
- Reports to: Manager of Financial Consulting
- Status: FT/Non-Exempt
- Work Location: Remote
Richter is committed to equal employment opportunity. We will not discriminate against employees or applicants for employment on any legally-recognized basis “protected class” including, but not limited to: race; color; religion; genetic information; national origin; sex; pregnancy, childbirth, or medical conditions; age; disabilities
The AR Resolution Consultant is part of the Revenue Cycle process team. They facilitate the Richter policies and procedures to affect the accurate and timely billing and collection process of client revenue.
Responsibilities:
- Provides insurance verification, claim submits follow-up, denial management and remit reviews
- Responds to patient billing inquiries
- Handles daily billing calls on behalf of assigned clients/accounts
- Follows up on billing inquiries made after hours
- Follows up on billing concerns from residents, family and staff
- Completes tracking worksheets
- Performs billing and collection functions
- Completes billing and collection efforts on behalf of all payer types
- Performs private or self pay collection procedures
- Performs patient account analysis
- Completes basic bookkeeping functions (census or charge entry, cash application, adjustment processing)
- Generates and submits billing for all pay sources timely and accurately
- Documents billing and collection activity in accordance with Richter's policy and procedure
- Works effectively within client and/or Richter's billing systems
- Communicates and responds to inquiries by client staff, co-workers, and other party representatives
- Performs Accounts Receivable cleanup
- Sets up clean-up spreadsheet (template)
- Prioritizes accounts by age and amount
- Analyzes each account to verify accuracy of balance
- Resubmits and/or follows up on outstanding accounts
- Performs all denial management and collections procedures to obtain payment
- Documents all activities on client AR thoroughly in billing software
- Enters adjustments and write offs in software upon approval from manager
- Reviews Medicare A coins balances cost reports
- Performs other duties as assigned
Qualifications & Requirements:
- High school diploma, Associate's degree preferred
- 3 – 5 years of professional billing experience, preferably in a healthcare environment
- Must possess extensive knowledge of Medicare and Medicaid requirements and procedures, as well as laws, regulations, and guidelines that pertain to healthcare providers
- Must have the ability to make independent decisions
- Must possess the ability to deal tactfully with team members, other staff, residents of client facilities, family members, visitors, government agencies, and the general public
- Must possess the ability to seek out new methods and principles and be willing to incorporate them into existing practices
- Must possess a high degree of attention to detail and best practice as it relates to client data
- Must possess basic computer literacy skills, including Microsoft Excel and Word
Richter is committed to equal employment opportunity. We will not discriminate against employees or applicants for employment on any legally-recognized basis “protected class” including, but not limited to: race; color; religion; genetic information; national origin; sex; pregnancy, childbirth, or medical conditions; age; disability; citizenship status; uniform service member status; or any other protected class under federal, state, or local law.
These roles are part of the Revenue Cycle team. He/she facilitates the Richter policies and procedures to affect the accurate and timely billing and collection process of client revenue.
Job Requirements:
- Completing billing and collection for all third-party payer types, with experience in Medicare, Medicaid, and Commercial billing. Tasks include generating and scrubbing claims, documenting billing and collection activity within client system, performing patient account analysis, problem-solving, and completing denials management activities
- Performing Accounts Receivable management and following-up on all outstanding accounts by prioritizing per Richter methodology
- Prioritizing and managing time to accomplish project goals and expectations
- Identifying and escalating issues, at-risk accounts, database errors, communication, and payers to direct supervisor
Qualifications:
- Minimum of two years of claims processing experience, preferably with Skilled Nursing or Long Term Care billing
- Experience with Electronic Medical Records software, PointClickCare, Waystar Clearinghouse, and e-solutions preferred but not required
- Possess extensive knowledge of third-party payer types, as well as laws, regulations and guidelines that pertain to healthcare providers
- Proficiency in Microsoft Office Suite
- High school diploma, Advanced degree preferred
Why should you choose Richter?
- We offer a competitive starting salary based on experience with excellent benefits including: Medical, Dental, Vision, 401k, Paid Vacation, Sick Leave, Paid Holidays and more!
- We are an industry leader in the post-acute care consulting sector including SNF, CCRC, Home Health and Hospice
- With our continued growth, you will have the opportunity to advance both your skill set and your career journey
- We promote from within!
- You will be provided on-going training and opportunities to expand your skill set that will increase your earning potential
- We offer a team-oriented environment and have created an atmosphere where our employees enjoy coming to work. Our turnover rate is low! A high number of our employees have been with us for more than 5 and 10 years.
Richter is committed to equal employment opportunity. We will not discriminate against employees or applicants for employment on any legally-recognized basis “protected class” including, but not limited to: race; color; religion; genetic information; national origin; sex; pregnancy, childbirth, or medical conditions; age; disability; citizenship status; uniform service member status; or any other protected class under federal, state, or local law.
