Back to jobs
New

Revenue Cycle Optimization

Remote

Wilshire hires only the brightest and most experienced professionals in the healthcare revenue cycle management industry.  Wilshire will take the time to get know you and your employment history.  We will then place you in a role that will lead to a path of career success.  

About The Wilshire Group 

The Wilshire Group, a renowned boutique consulting firm in Los Angeles, specializes in revenue cycle optimization and fostering effective collaboration between operational and IT facets.  With a robust track record of aiding over 100 healthcare systems nationwide, our team thrives on professionalism, efficiency, and adaptability.

Our core values- professionalism, efficiency, and flexibility- underscore our commitment to creating an inclusive and dynamic workplace.  We embrace diverse narratives and believe in offering opportunities to exceptional individuals who bring their best to the table.

We are currently offering a contracted interim position at one of US News Best Hospitals 2022-23.  This position caters to top performers seeking a professional environment that acknowledges and values their dedication and proficiency.  While this role doesn’t offer benefits, it presents an opportunity to work within an organization that encourages talented individuals to surpass conventional boundaries.

Join us at The Wilshire Group, a place where talented professionals find a home to showcase their skills and contribute meaningfully to the healthcare landscape.

Why Wilshire? Employee Testimonial

“The number of RCM subject matter experts I get to work with each day is unreal.  Working alongside and as part of this team to help shape the RCM space is exciting.”-Patti Consolver, Director of Business Development 

This is a contracted position for 12+ months.  This positions offers 60% of fee sharing.  Equivalent to $85-$100 per hour.

Job Summary

Position Summary

The Wilshire Group is seeking an experienced Optimization Specialist to lead initiatives that enhance the effectiveness and efficiency of Financial Clearance workflows and operations. This role requires deep expertise in Financial Clearance Work Queue (WQ) rules and optimization strategies, combined with hands-on experience in call center and registration processes from an operational and improvement perspective. The successful candidate will work collaboratively across departments to develop, implement, and refine solutions that improve patient access, streamline revenue cycle processes, and elevate the overall patient and staff experience.

Key Responsibilities

1. Financial Clearance Optimization:

  • Analyze, design, and optimize Financial Clearance Work Queue (WQ) rules to maximize performance, compliance, and operational efficiency.
  • Identify opportunities to automate and streamline financial clearance workflows, including eligibility verification, authorization management, and denial prevention.
  • Monitor and analyze WQ metrics, reporting trends and developing actionable insights to improve outcomes.

2. Call Center Operations:

  • Evaluate current call center workflows and identify areas for optimization to improve responsiveness, patient experience, and first-call resolution rates.
  • Develop and implement strategies to reduce patient wait times and enhance the efficiency of scheduling and registration processes.
  • Collaborate with IT and operations teams to integrate optimization tools and systems into call center operations.

3. Registration Process Improvement:

  • Assess front-end registration workflows and recommend process improvements to increase accuracy and efficiency.
  • Partner with training teams to ensure staff understand and adopt new workflows or system updates.
  • Identify opportunities to reduce errors, delays, and redundancies in patient registration processes.

4. Cross-Departmental Collaboration:

  • Partner with clinical and administrative teams to ensure revenue cycle goals align with organizational priorities and patient care objectives.
  • Act as a liaison between IT, operations, and revenue cycle teams to implement optimization projects.
  • Provide expertise and consultation during the design and implementation of new systems, tools, and workflows related to financial clearance, call center, and registration operations.

5. Reporting and Performance Analysis:

  • Regularly report key metrics, including WQ performance, call center efficiency, and registration accuracy.
  • Develop dashboards and tools to track and communicate optimization outcomes to stakeholders.
  • Utilize data-driven insights to refine and iterate on strategies.

Qualifications

Education:

  • Bachelor’s degree in Healthcare Administration, Business Administration, or a related field.
  • Master’s degree preferred.

Experience:

  • Minimum of 5 years of experience in revenue cycle operations with a focus on financial clearance and workflow optimization.
  • Experience in call center and registration operations, with demonstrated success in improving workflows and outcomes.
  • Strong operational knowledge of  Epic.

Skills and Competencies:

  • Advanced understanding of Financial Clearance Work Queue rules and revenue cycle best practices.
  • Proficiency in operational analysis and process improvement methodologies, such as Lean or Six Sigma.
  • Excellent project management skills with the ability to prioritize and manage multiple initiatives simultaneously.
  • Strong interpersonal and communication skills to collaborate effectively with cross-functional teams.
  • Analytical mindset with expertise in data visualization and reporting tools.

Work Environment

  • Remote
  • 15% travel
  • Fast-paced healthcare setting requiring adaptability and collaboration.

 

 

Wilshire is honored that you have taken the time to review/apply to our open position.  We will now take the time to review your experience and be in touch with you soon.

Apply for this job

*

indicates a required field

Resume/CV*

Accepted file types: pdf, doc, docx, txt, rtf

Cover Letter

Accepted file types: pdf, doc, docx, txt, rtf

Education

Select...
Select...
Select...
Select...
Select...

Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey. Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiring process or thereafter. Any information that you do provide will be recorded and maintained in a confidential file.

As set forth in The Wilshire Group’s Equal Employment Opportunity policy, we do not discriminate on the basis of any protected group status under any applicable law.

Select...
Select...
Race & Ethnicity Definitions

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection. As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categories is as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.

Select...

Voluntary Self-Identification of Disability

Form CC-305
Page 1 of 1
OMB Control Number 1250-0005
Expires 04/30/2026

Why are you being asked to complete this form?

We are a federal contractor or subcontractor. The law requires us to provide equal employment opportunity to qualified people with disabilities. We have a goal of having at least 7% of our workers as people with disabilities. The law says we must measure our progress towards this goal. To do this, we must ask applicants and employees if they have a disability or have ever had one. People can become disabled, so we need to ask this question at least every five years.

Completing this form is voluntary, and we hope that you will choose to do so. Your answer is confidential. No one who makes hiring decisions will see it. Your decision to complete the form and your answer will not harm you in any way. If you want to learn more about the law or this form, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

How do you know if you have a disability?

A disability is a condition that substantially limits one or more of your “major life activities.” If you have or have ever had such a condition, you are a person with a disability. Disabilities include, but are not limited to:

  • Alcohol or other substance use disorder (not currently using drugs illegally)
  • Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, HIV/AIDS
  • Blind or low vision
  • Cancer (past or present)
  • Cardiovascular or heart disease
  • Celiac disease
  • Cerebral palsy
  • Deaf or serious difficulty hearing
  • Diabetes
  • Disfigurement, for example, disfigurement caused by burns, wounds, accidents, or congenital disorders
  • Epilepsy or other seizure disorder
  • Gastrointestinal disorders, for example, Crohn's Disease, irritable bowel syndrome
  • Intellectual or developmental disability
  • Mental health conditions, for example, depression, bipolar disorder, anxiety disorder, schizophrenia, PTSD
  • Missing limbs or partially missing limbs
  • Mobility impairment, benefiting from the use of a wheelchair, scooter, walker, leg brace(s) and/or other supports
  • Nervous system condition, for example, migraine headaches, Parkinson’s disease, multiple sclerosis (MS)
  • Neurodivergence, for example, attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, dyslexia, dyspraxia, other learning disabilities
  • Partial or complete paralysis (any cause)
  • Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema
  • Short stature (dwarfism)
  • Traumatic brain injury
Select...

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.