Role : Business Process Consultant – Billing Architecture & Revenue Operations
Location : Remote (Healthcare Exp Must)
Role Summary
We are looking for a Business Process Consultant to create a structured and defensible documentation framework of current-state billing operations across multiple revenue models. The objective is to produce clear architectural visibility into billing complexity, manual dependencies, and operational risk.
This role focuses on transparency, operational clarity, and documentation excellence—not solution design or automation.
Primary Objectives
- Establish a Master Billing Architecture Overview
- Map parallel billing model lanes
- Identify manual vs. automated steps
- Surface operational risk areas
- Create documentation foundation for future strategic decisions
Scope of Work
Billing Model Documentation
Document the following models in their current operational state:
- Fixed Fee
- PMPM / PEPM (tiered)
- Cost Plus
- Per Visit
- Pass-Through Vendor Billing
- Patient Fees
- Access Fees
- Annual Escalators (as embedded sub-process)
Deliverables
1️⃣ Master Architecture Documentation
- Consolidated billing overview
- Data sources and integration points
- Invoice assembly workflow
- ERP posting process
- Cross-model dependencies
- Manual vs automated overlays
2️⃣ Model-Level Documentation
For each billing model:
Structured Narrative
- Contract triggers
- Effective-date handling
- Source data inputs
- Calculation logic
- Markups and allocations
- Adjustments and credits
- Exception handling
- Reconciliation methodology
Visual Documentation
- Finance / IT / System swimlanes
- Data flow diagrams
- Vendor intake maps
- Markup logic diagrams
- Approval workflows
Required Experience
- 5+ years in billing, invoicing, or revenue operations analysis
- Strong understanding of multi-model billing environments
- Experience documenting complex pricing and contract logic
- Strong SQL capability for validation (SQL Server preferred)
- Experience reconciling billing data using Excel
- Demonstrated ability to document current-state processes without redesigning them
- Strong stakeholder facilitation skills
Nice to Have
- Experience in vendor pass-through operations
- Healthcare or SaaS billing exposure
- Controls and audit documentation mindset
- Experience publishing documentation in structured repositories
- Exposure to ERP-based invoicing environments
Stephen
Lead Talent Acquisition Specialist
Email : stephen@nexwaveinc.com