RCM Operations Consultant – Part-Time

Job Description: • Evaluate current billing workflows—from scheduling and documentation review to claims submission and payment posting. • Identify inefficiencies, bottlenecks, rework, or breakdowns in communication. • Recommend and document optimized processes, SOP revisions, and best-practice workflows. • Provide guidance to leadership on how to structure the billing team for improved efficiency and accountability. • Audit processes including copay verification, code selection accuracy, claim creation, payment posting, and management of denials. • Ensure accuracy, compliance, and timeliness throughout the revenue cycle. • Identify patterns of errors, avoidable rejections, or preventable denials. • Provide written audit summaries, assessment reports, and practical implementation recommendations. Requirements: • 5+ years of progressive experience in Revenue Cycle Management (RCM) within the healthcare industry • Strong background in auditing workflows, identifying root causes, and implementing operational improvements • Deep understanding of claims lifecycle, charge posting, payment posting, denial management, and payer rules • Ability to work independently, diagnose operational issues, and provide actionable recommendations • Availability to work PST hours • Experience in mental or behavioral health billing is preferred • Expertise in full end-to-end RCM within multi-provider or multi-location environments is preferred • Familiarity with systems such as TheraNest, EZClaim, and Waystar is preferred • Experience creating SOPs, training, and billing performance dashboards is preferred Benefits: • 100% remote • Part-time engagement • Opportunity to help shape and improve an entire billing operation • Collaborative leadership team committed to real change • Purpose-driven organization supporting mental health access Apply tot his job