Community Healthcare Revenue Cycle Management (RCM) Independent Contractor

Apply Description OVERVIEW OF THE ENGAGEMENT: Facktor is a healthcare consulting firm serving mission-driven organizations, including Federally Qualified Health Centers (FQHCs), hospitals, health plans, medical groups, academic programs, IPAs, and foundations. Our client work spans strategic planning, clinic development, financial modeling and management, quality improvement, revenue cycle, and operations, delivered through both interim management and project-based support. Facktor is seeking an experienced Revenue Cycle Management (RCM) Consultant to provide services on a project-by-project basis as an independent contractor. Engagements may include Medicare 519 wrap rate application preparation and submission, revenue cycle assessments, billing and collections optimization, claims analysis, reimbursement improvement, and other targeted revenue cycle initiatives. This opportunity is intended for an established revenue cycle professional operating an independent consulting practice who can quickly assess client needs, work autonomously, and translate complex reimbursement and billing requirements into actionable recommendations and deliverables. CONTRACTOR RELATIONSHIP: This is an independent contractor opportunity. It is not an offer of employment, and the Contractor will not be an employee, partner, agent, or joint venturer of Facktor. Specifically: Services are performed under a written independent contractor agreement and project-specific statements of work that define scope, deliverables, and timelines. The Contractor determines the manner, method, schedule, and location of the work, subject only to deliverable due dates and client-scheduled meetings. The Contractor supplies their own equipment, software, workspace, and internet connectivity. The Contractor is free to provide services to other clients, including other consulting firms, and is not subject to exclusivity. The Contractor is solely responsible for all federal, state, and local taxes, self-employment taxes, insurance coverage, and any professional licensure or certification required to perform the services. The Contractor is not eligible to participate in any Facktor employee benefit plan or program. Facktor does not guarantee any minimum or maximum volume of engagements or hours. WEBSITE: facktorhealth.com OUR CORE VALUES: Better Than Yesterday: We embody a commitment to continuous improvement. "Better Than Yesterday" is our shared philosophy. We strive to elevate ourselves, enhance the experiences of our clients, and contribute positively to our community and team. Each day is an opportunity for progress, and our work reflects a relentless pursuit of excellence. Shoulder to Shoulder: We stand side by side, working towards common goals, and solving problems collectively. "Shoulder to Shoulder" encapsulates our collaborative spirit. Your success is our success, and we support you, not only in triumphs but also during challenges, meeting you where you are with understanding and solidarity. With Heart: We don’t just perform tasks; we make a meaningful difference “With Heart.” While we strive for innovative solutions and drive toward quality results, we lead by caring for our fellow team members, our clients, and our community. SERVICES AND DELIVERABLES: Depending on the statement of work, services may include: Preparing Medicare 519 wrap rate applications, including gathering and validating required data, completing supporting analyses and documentation, and carrying the application through submission. Advising FQHC clients on Medicare reimbursement, PPS/wrap payments, billing requirements, and related revenue cycle considerations. Reviewing and analyzing claims, payments, denials, accounts receivable, reimbursement trends, and other revenue cycle data to identify gaps and opportunities for improvement. Assessing revenue cycle workflows across areas such as patient registration, eligibility, charge capture, coding, billing, claims submission, payment posting, denials, and collections. Conducting targeted audits and reconciliations to identify billing, payment, data integrity, and reimbursement issues. Developing practical recommendations to improve revenue capture, billing accuracy, collections, workflow efficiency, and regulatory compliance. Supporting client implementation of improved revenue cycle processes, policies, workflows, tools, and controls. Producing financial analyses, reports, dashboards, and other client-facing deliverables that clearly communicate findings and recommendations. Coordinating with client finance, revenue cycle, operations, clinical, and IT personnel to gather information, troubleshoot issues, and advance project objectives. Providing revenue cycle subject matter expertise on other Facktor client engagements as defined by an applicable statement of work. REQUIRED QUALIFICATIONS AND EXPERIENCE: Bachelor’s degree from a four-year college or university. Master’s degree preferred; MBA ideal. Significant professional experience in healthcare revenue cycle management, reimbursement, billing, and healthcare finance. Direct, hands-on experience preparing and submitting Medicare 519 wrap rate applications for FQHCs strongly preferred. Strong knowledge of FQHC Medicare reimbursement, including PPS and supplemental/wrap payment methodologies. Prior experience serving FQHCs or other community health centers strongly preferred. Demonstrated experience analyzing healthcare claims, reimbursement, denials, accounts receivable, and other revenue cycle data. Strong understanding of end-to-end revenue cycle processes, including registration, eligibility, coding, charge capture, billing, claims, payment posting, denials, and collections. Advanced Excel and financial/data analysis skills. Demonstrated ability to independently scope and manage defined projects and deliver high-quality work within agreed timelines. Strong problem-solving skills, including the ability to identify root causes and develop practical, implementable solutions. Ability to translate complex reimbursement and revenue cycle concepts into clear recommendations for client leadership. Strong written, verbal, and client-facing communication skills. Experience delivering consulting services across multiple organizations, projects, and competing priorities. Ability to collaborate effectively and responsively with client and Facktor project teams. Interest in supporting non-profit organizations that deliver high-quality care to underserved communities. ENGAGEMENT TERMS: Engagement Type: Project-based revenue cycle consulting services, engaged through individual statements of work. Rate: $75.00-$100.00 per hour, invoiced by the Contractor on a monthly basis in accordance with the independent contractor agreement. Anticipated Effort: Effort varies by project. Comparable engagements have averaged approximately 5-15 hours per week. Facktor does not guarantee a minimum or maximum volume of hours, and the Contractor sets their own schedule. Work Location: Remote. The Contractor determines their own work location. Occasional client travel may be scoped and reimbursed under an applicable statement of work. Benefits: None. As an independent contractor, the Contractor is not eligible for paid time off, sick time accrual, stipends, insurance, or any other Facktor benefit. NON-DISCRIMINATION STATEMENT: Facktor selects and engages independent contractors without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, marital status, amnesty, or status as a covered veteran, in accordance with applicable federal, state, and local laws.