Consultant II, Revenue Cycle (SNF)
About the role
As a Consultant II in Wipfli's Healthcare Consulting Practice, you'll partner with skilled nursing and long-term care organizations to assess revenue cycle operations, implement process improvements, optimize reimbursement, and drive measurable results. Under the direction of a Senior Consultant, you will independently manage client engagements, deliver high-quality consulting services, and help 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.
Requirements
- 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.
Pay
The estimated base pay range for this role is $60,000 to $81,000. The actual salary at the time of offer depends on business-related factors such as 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.
Benefits
- 8 health plan options (both HMO & PPO plans), dental and vision coverage.
- Opportunity to enroll in HSA with potential firm contribution.
- Employee Assistance Program.
- Firm-sponsored basic life and short- and long-term disability coverage.
- 401(k) savings plan & profit share, including 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 benefits including 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.
Schedule
Wipfli offers flexibility for many positions to be performed remotely; work preferences can be discussed with the recruiter during the interview process.