Revenue Cycle Optimization Specialist

Berger Health System; Columbus (OH); On-site; USD 90,000 - 130,000; Full time

Job summary

OhioHealth is seeking a Revenue Cycle Optimization Specialist to partner with end users and IT to improve revenue cycle workflows, drive efficiency, and enhance financial performance through technology-driven solutions.

The role collaborates with department stakeholders to identify bottlenecks, design improvements, and support organization-wide initiatives for better patient care and operational excellence.

Qualifications

• Bachelor's Degree required.
• In-depth knowledge of healthcare revenue cycle operations (billing, coding, claims, reimbursement).
• Proficiency with Epic EHR, data tools, and understanding data integration.

Responsibilities

• Analyze revenue cycle systems to identify improvements and efficiency gains.
• Lead process-improvement teams and coordinate with IS and business units.
• Support project management and vendor implementations within Revenue Cycle initiatives.

Skills

Process improvement

Data analytics

Stakeholder engagement

Project management

Education

Bachelor's Degree

Tools

Epic EHR

Excel

Business informatics platforms

Job description

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities.

Job Description Summary

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.

Responsibilities And Duties

• Performance Management: 35% 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.
• Product Owner: 35% 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.
• Project Management: 30% 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, elevate 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. As a High Reliability Organization (HRO), responsibilities require focus on safety, quality and efficiency in performing job duties. The job profile provides an overview of responsibilities and duties and is not intended to be an exhaustive list and is subject to change at any time.

Minimum Qualifications

• Bachelor's Degree (Required)

Additional Job Description

Additional Job Description: SPECIALIZED KNOWLEDGE 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.

Work Shift

• Day
• Scheduled Weekly Hours : 40

Department RC Analytics And Informatics

Join us! … if your passion is to work in a caring environment … if you believe that learning is a life-long process … if you strive for excellence and want to be among the best in the healthcare industry

Equal Employment Opportunity

OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment.

Remote Work Disclaimer

Positions marked as remote are only eligible for work from Ohio.

WE Are Inspired to Do Our Best.

OhioHealth is a nationally recognized, innovative healthcare system delivering world-class patient care in a supportive, professional environment filled with limitless opportunities to learn and grow. We are a unique organization in the healthcare field. Our model system of facilities encompasses a wide scope of expertise and care. For professionals, we are a place where people committed to doing their best are given the tools and resources to accomplish our mission every single day.

OhioHealth is recognized as a Great Place to Work CertifiedTM organization.

The Great Place to Work is a global authority on high-trust, high-performance workplace cultures.

This recognition is one measure of our success in achieving a part of our vision to be an organization "where people want to work."