Revenue Cycle Optimization Specialist

Ohio Health•Columbus, OH

46d

About The Position

Revenue Cycle Optimization Specialists serve as key liaisons between end users and IT, driving the enhancement of revenue cycle workflows through process improvement, system design, and the implementation of innovative technologies. In alignment with OhioHealth's strategic vision, they lead and support initiatives that optimize operational efficiency and financial performance through the use of technology. These specialists actively engage with stakeholders across departments to identify challenges, define solutions, and contribute to both departmental and enterprise-wide improvement efforts.

Requirements

Bachelor's Degree (Required)
Must have in-depth knowledge of healthcare revenue cycle operations-including billing, coding, claims, and reimbursement-paired with expertise in health informatics and data analytics.
Should be proficient with Epic EHR, data tools (Excel, and business informatics platforms), and understand clinical and financial data integration.
Familiarity with regulatory compliance (e.g., HIPAA, CMS), process improvement methodologies (e.g., Lean, Six Sigma), project management and system optimization is also essential.

Responsibilities

Analyzes revenue cycle existing systems, primarily Epic EHR, to identify areas for improvement and efficiency gains.
Provides support to optimize the use of revenue cycle systems through development and refinement of tools, workflows, processes, structures, and best practices to enhance end user satisfaction, staff productivity and financial outcomes.
Gathers and analyzes data to support fact findings, process improvement and system optimization opportunities.
Identifies and contributes to strategies to manage change and encourages change adoption.
Works collaboratively with Information Services associates to capture improvement data and to bridge communication between IS and improvement project teams.
Serves as lead member of process improvement teams, providing expertise in revenue cycle workflows and system design to support workflows.
Works closely with revenue cycle staff, operational leadership, and Information Technology staff to clarify needs, prioritize requests, recommend technology design and workflow plans while executing changes and adaptations to revenue cycle and operational technology.
Manages multiple priorities/requests at a time and can ascertain by working with operational leadership the priorities.
Assist with end user acceptance testing for revenue cycle applications.
Leads organization prioritization meetings to assist operational managers with priorities.
Provides support in the collaboration with individuals or departments to identify practical solutions both electronic and non-electronic to system problems.
Communicates updates for upgrades and enhancements of Revenue Cycle systems.
Provides consultative services to customers and application and development teams as to workflow processes and technological solutions.
Provides support in response to user problems and questions regarding functionality, operations, input/output, reporting and general operating procedures.
Map out the revenue cycle process to understand current workflows and identify bottlenecks.
Understands technical capabilities and operational practices to interpret the needs of operations into a technical design or redesign a process for continued improvement.
Leads and/or participates in goal deployment and projects that range from small to large in scope, risk, and impact.
Facilitates demand management and collaborates with leaders and end-user to align priorities, track demand progress, escalate issues, and create decision documentation as applicable to frame decision dialogue and support.
Assist in implementation of third-party vendors that support Revenue Cycle
Acts as project coordinator for focused improvement events and drives deliverables to an end date.
Delivers on set deadlines, assigned responsibilities, and monitors and summarizes progress of multiple projects in unison.