Sr Consultant w/Medical Billing, Claims & Collections processes exp for Brightree Healthcare SW Co -Northeast Atlanta/Lawrenceville, GA
Senior Consultant
BACKGROUND
Brightree LLC (www.brightree.com) is the market-leader and the fastest growing provider of mission-critical Internet-hosted business management solutions for Home Medical Equipment (HME), Durable Medical Equipment (DME), Orthotics & Prosthetics (O&P) and Sleep Therapy markets. Founded in 2002, Brightree was the first “Software as a Service” (“SaaS”) solution developed specifically for the HME/DME markets, fully automating the unique workflows and complex requirements of the industry. The combination of its intuitive, easy-to-use Internet-hosted software and its superior customer support and professional services has driven it to a market-leading position. Since 2005, the company has grown from 12 to 420 employees and from 60 to 2,400 healthcare provider customers. In 2011 Brightree’s revenues grew 57%. The company is exceeding both P&L and new business goals for 2012.
Independent surveys establish Brightree as the fastest growing business management solution in the HME/DME industry, outpacing all competitive products combined. Through Brightree’s SaaS platform healthcare provider customers file insurance plan claims in excess of $10 billion annually. Brightree has built an excellent reputation for world-class customer service as it supports in excess of 50,000 users. Brightree’s solution boasts a 99.99% uptime.
Brightree is headquartered in Lawrenceville, GA and employs a team of over 400. The company received a significant investment from Battery Ventures in 2008 with the intention of using the new capital to accelerate organic growth, consolidate the markets it serves today, and expand into complementary healthcare markets. Brightree was recognized in 2008, 2009, 2010, and again in 2011 as one of Georgia’s fastest-growing private companies.
OPPORTUNITY
HME/DME is a market anticipating high levels of growth due to factors such as (a) the aging U.S. population; (b) increasing complexities in the billing and claims process; and (c) the pressures that Medicare and other payers are placing on healthcare providers/hospitals to move patients to home-based care.
Brightree is a profitable company with significant competitive advantages and a reputation for addressing the needs of its current $1.2B niche provider market. The market is dominated by independent providers (most are <$10M in revenue) for whom Brightree’s solutions can dramatically improve cash flow and increase profitability when compared to providers’ existing, outdated legacy products.
For instance, these independent providers typically rely upon labor-intensive billing, claims and collections processes. With increasing Medicare, Medicaid and commercial payer reimbursement cuts and complexities, moving to Brightree’s efficient SaaS platform can mean the difference between profit and loss for providers. Brightree is the only solution on the market today that can handle the complexities of electronic claims processing automatically through its centralized platform (via direct high-speed Internet (FTP) connection) thus saving enormous amounts of time. Brightree’s SaaS model permits providers to seamlessly connect to thousands of payers from one single connection point. Consequently, and importantly to providers, the Brightree solution enables providers to get paid more quickly than competitive solutions because of the direct and automated transmission of claims.
Brightree prides itself on providing world-class customer support and professional services, including an e-Claims Concierge. In cases where a claim has not been processed or has been denied, Brightree acts as the 1st line of support in quickly identifying where the issue is and resolving it. This is in contrast to the arduous task providers’ face without Brightree, where they must track where the bottleneck or problem is themselves and sort through complicated and bureaucratic processes.
THE POSITION
This position is responsible for supporting Brightree customers through the delivery of onsite and offsite consulting services, which an emphasis on process analysis, design, and training. Duties may include: project kick off and system setup, project management, order-to-cash and supply chain process analysis and redesign, revenue cycle management consulting and organizational change management and user training. This position will play an important role in facilitating the on-time, on-budget adoption of Brightree solutions (i.e., Order Management and Billing, Point of Sales / Point of Delivery, Document Imaging, Insurance Eligibility Verification via Passport, eClaims/ ERAs/Portal via Capario, eFax via J2, ePurchasing, IVR). The position will work closely with client business leaders and Brightree staff to facilitate initiatives aimed at reducing audit risk and driving down costs through automation, operational efficiencies and innovation to increase customer value and satisfaction.
PRIMARY DUTIES
• Delivers consulting services while working closely with Brightree Project Managers to ensure adherence to project plans and timelines for on-time, on-budget go lives
• Utilizes process streamlining methodologies to reduce order management cycle times and increase cash velocity
• Assists in building client capabilities by training, coaching, and mentoring client personnel
• Facilitates the sharing of agreed best practices and standardization across the business
• Targets a 60% monthly client billable utilization rate
• Proactively identifies project risks and monitors and reports results throughout the process
• Updates Salesforce.com, SharePoint and other required systems with project status, time/expense and project documentation
• Identifies add-on implementation services that provide client value
• Maintains statistical rigor and delivers significant financial and voice of customer results
• Employs organizational change management applications to manage human risks
• Proactively stays informed and educated on new releases and enhancements as well as industry changes
KEY SELECTION CRITERIA
• Experience selling and providing healthcare software consulting services.
• A deep understanding of medical insurance billing and the reimbursement relationships between patients, providers, and insurance carriers.
• In-depth experience in Medicare billing through experience in the healthcare industry.
• Bachelor’s Degree (BA/BS) from a four-year college or university.
• Solid finance and accounting skills required to communicate effectively with corporate officials.
• Proven process analysis and improvement methods skills with demonstrated business benefits.
• Strong Excel skills needed to support exporting and analysis of data.
• Experience leading cross-functional teams in order to achieve milestones while also being able to communicate effectively with client’s leadership teams.
• Strong facilitation and presentation skills
• Ability to build and promote organizational change management initiatives
• Adaptive in an ambiguous, fast-growing business environment; ability to manage multiple clients simultaneously
• Flexible and adaptable in process analysis and problem-solving approach
• Able to work throughout the organization with diverse groups -- vertically and horizontally
• Intermediate understanding of Microsoft Office products including Project, Visio and Powerpoint
• Creative and innovative problem-solver
• Ability to travel as much as 85-90%
OTHER PERSONAL CHARACTERISTICS
• A person who values integrity and honesty above all else.
• A highly motivated, seasoned, energetic and mature financial executive, with high confidence in his/her superior professional skills.
• A person with strong intellectual capabilities who can hold their own, argue their point, and stand up for what they believe in. A “quick study”. A creative thinker who is willing to challenge conventional wisdom.
• A person who can balance functional experience with an entrepreneurial attitude illustrated by a high level of focused energy, drive, ambition, adaptability and a track record of successful problem solving.
• A resilient and committed executive with a flexible and adaptable, open and straight-forward operating style; non-political and non-bureaucratic; someone with a natural and effective consultative approach who will gain the trust and respect of individuals at all levels.
• A hands-on, lead from the front, involved executive with excellent interpersonal skills. An appreciation of people as a company’s most important asset.
• An individual who can operate under pressure, adapt to rapid change, and keep things in perspective.
• Has a passionate commitment for the business.
Apply through the link on Careers page
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