Healthcare Consultant Resume Samples

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Healthcare Consultants are analysts working in the healthcare industry and making suggestions on how to improve efficiency. The ideal candidate is able to perform tasks such as identifying problems, examining medical data, analyzing revenues, interviewing staff, and identifying ways of reducing costs. Employers select resumes mentioning qualifications like health management expertise, analytical thinking, attention to details, strong communication abilities, and teamwork. A Master's Degree in healthcare management or a similar field is common experience in most Healthcare Consultant resume examples.

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1

Healthcare Consultant

Work within Patient Financial Services and all levels of the hospital revenue cycle including denials management, write-off prevention, and billing and collections improvement

  • Identify process breakdowns in the hospital billing, collections, and cash posting processes, and implementing innovative solutions to address new issues that arise
  • Discovered population of aged accounts that needed resolution which helped relieve A/R by $4M
  • Implemented payer escalation process with top insurers resulting in payments of $2M
  • Trained representatives to use our tool resulting in a 47% increase in productivity
Candidate Info
15
years in
workforce
4
years
at this job
BS
Business Administration
2

Healthcare Consultant/project Manager

Established work plan for each phase of project and arranged for recruitment and assignment of project personnel.

  • Managed activities and project personnel to ensure project progressed on schedule and within prescribed budget.
  • Reviewed status reports prepared by project personnel and modified schedules/plans as required.
  • Prepared project reports for management, clients and others.
  • Consulted with clients to determine their needs and priorities.
  • Detailed knowledge of Medicare, Medicaid, Managed Care, HMO's, PPO's, Workers Compensation and BC/BS insurances.
Candidate Info
14
years in
workforce
2
years
at this job
Technology
3

Healthcare Consultant

Collaborated with Community Health Centers to help form an IPA to obtain managed care contracts

  • Developed comprehensive Provider Manuals
  • Created robust quality goals and metrics for physician groups and health plans.
  • Established comprehensive Bonus Criteria for physicians meeting strict financial and quality goals
  • Managed Care IPA development
Candidate Info
14
years in
workforce
2
years
at this job
BA
Journalism
4

Healthcare Consultant

Assumed an interim management role responsible for a large operational staff and $600M in receivable across all healthcare payers.

  • Engaged CFOs of all 21 hospitals within the Health System and Leadership staff at various Payers to increase cash flow.
  • Led operations and strategic directions with full responsibility for bottom-line factors, including long range planning. Financial Analysis, P & L Management and Client Relations.
  • Staff Management -select and hired an exceptional staff. Provided comprehensive professional development and succession planning to ensure reaching challenging operational goals.
  • Exceeded Monthly Collection Goals for consecutive months.
Candidate Info
19
years in
workforce
8
months
at this job
BS
Healthcare Management
MA
Accounting
5

Healthcare Consultant Independent

Worked for numerous corporations and organizations as a contracted employee, providing support for various out of state hospitals with reimbursements and accounts receivable assistance. Developed extensive project management and skill sets in the following areas:

  • Follow-up, collections, cash posting, adjustments, write-offs in addition to reconciliation.
  • Increased revenue through loss prevention and cash acceleration and denial management methodology
  • Resolved patient financial issues by establishing payment plans, in addition to financial assistance, for Hospice patients and their families.
Candidate Info
16
years in
workforce
16
years
at this job
Insurance Course
Medical
6

Senior Associate, Healthcare Consultant

Served as the primary relationship manager for portfolio of 14 hospital and health system clients; worked with client team to enhance revenue cycle performance through data-driven process improvement and risk mitigation

  • Launched 7 new clients in fall 2013; conducted web-based product instructional sessions, performed initial data assessment, and presented recommended action plan to senior leadership and staff to attain buy-in for ICD-10 preparation
  • Managed project timelines and ensuring that clients generated significant value from partnership with the Advisory Board
  • Educated executives and staff on ICD-10, clinical documentation, RAC programs, and revenue impact topics; identified areas of opportunity and risk to prioritize strategies within long-term plan
  • Analyzed operational, clinical, and financial performance and diagnosed issues/causes to provide recommendations and drive
Candidate Info
5
years in
workforce
9
months
at this job
BA
Anthropology & International Peace Studies
MBA
Healthcare, Marketing
7

Independent Healthcare Consultant

for new coverage area for Managed Care Plan

  • Developed and maintained referral relationships between physicians and Radiology Group
  • Developed and implemented marketing strategies to recruit Providers into local transportation IPA
  • Developed and maintained relationships with Insurance Companies on behalf of Provider offices. Including all phases of contracting, credentialing, and problem resolution
  • Insurance claim resolution for Providers and insured individuals
  • Managed all aspects of regulatory audit for Insurance Company
Candidate Info
20
years in
workforce
13
years
at this job
BA
Business Administration
8

Hotline Specialist / Healthcare Consultant

  • Collected information, researched inquiries, responded to customers and field representatives and recorded all data for these calls and e-mails coming in for the hotline in an Access database
  • Provided current and accurate coding and reimbursement information to customers and field representatives from both professional/physician and an outpatient hospital perspectives
  • Performed detailed ICD-9 and CPT audits with deliverables to the client
  • Provide coding and coding support to various customers as needed
  • Extensive experience with Microsoft Office products including Word,
  • Ability to multi-task. Extremely organized and self-motivated
Candidate Info
22
years in
workforce
5
years
at this job
9

Independent Healthcare Consultant, New Jersey

Consulted as a Healthcare subject matter expert to the client, a patient advocacy company.

  • Formulated scope and objectives document for the system (patient advocacy portfolio).
  • Served as a primary liaison between business team, users, and technical personnel to assure that application
  • Documented and performed workflow analysis on the business area processes, systems, information flows,
Candidate Info
9
years in
workforce
2
years
at this job
BA
Bachelor of Arts
MA
Master of Arts
10

Independent Healthcare Consultant

  • Facilitated project assistance for designated healthcare organizations.
  • Evaluated office operations of a medical practice. Developed and implemented action initiatives and streamlined recommendations in the areas of policy and procedures that resulted improved customer service and quality care.
  • Secured physicians for healthcare marketing firm conducting pharmaceutical studies.
  • Researched and investigated contacts within nursing and medical education departments at numerous hospitals and outpatient centers.
  • Developed and implemented strategic telemarketing protocol to enhance company sales of educational products.
Candidate Info
3
years in
workforce
2
years
at this job
BS
Human Services
MS
Public Service Administration / Health Administration

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