Revenue Cycle Transformation Specialist

Springfield Clinic; Springfield (IL); On-site; USD 90,000 - 120,000; Full time

Job summary

Springfield Clinic is seeking a Revenue Cycle Transformation Specialist to lead process improvements across billing, coding, patient access and related workflows. You will analyze data, develop project plans, and coordinate teams to drive efficiencies while ensuring compliance with healthcare regulations.

You will report to the Revenue Cycle leadership and work with IT, finance, and clinical staff to track KPIs, resolve issues, and provide training on new processes.

Qualifications

• Proven ability to analyze data and identify trends
• Experience documenting processes and workflows is preferred
• Excellent written and verbal communication skills
• Confidentiality and HIPAA awareness required
• Strong MS Excel skills are required

Responsibilities

• Coordinate revenue cycle improvement projects across multiple departments (billing, coding, patient access, etc.).
• Develop and maintain project plans, timelines, and deliverables.
• Track progress and prepare status reports for leadership.
• Facilitate meetings, document action items, and follow up on tasks.
• Analyze revenue cycle data to identify trends, issues, and opportunities for improvement.
• Assist in implementing new systems, workflows, and process enhancements.
• Ensure compliance with healthcare regulations and payer requirements.
• Collaborate with IT, finance, and clinical teams to support project goals.
• Tracks project progress, identifies bottlenecks, manages risks, and reports status to leadership.
• Maintains project documentation, schedules meetings, prepares agendas, and handles related paperwork.
• Comply with Springfield Clinic incident reporting policy and procedures.
• Adhere to all OSHA and Springfield Clinic training & accomplishments as required per policy.
• Provide excellent customer service and adhere to Springfield Clinic's Code of Conduct and Ethics Standards.
• Perform other job duties as assigned.

Skills

MS Excel

Written & Verbal communication

Attention to detail

Data analysis

Problem solving

Presentation skills

Privacy & HIPAA compliance

Education

Bachelor's degree in health-related field

Project Management experience preferred

Job description

Job Description

The Revenue Cycle Transformation Specialist manages healthcare financial workflows (registration to payment), focusing on improving efficiency, and ensuring compliance by leading RCM projects, analyzing data, coordinating teams, tracking project KPIs, reporting to leadership, resolving complex billing issues, and often training staff on new processes and procedures.

The Revenue Cycle Transformation Specialist manages healthcare financial workflows (registration to payment), focusing on improving efficiency, and ensuring compliance by leading RCM projects, analyzing data, coordinating teams, tracking project KPIs, reporting to leadership, resolving complex billing issues, and often training staff on new processes and procedures.

Job Relationships

• Reports to the applicable Director or Manager, Revenue Cycle

Principal Responsibilities

• Coordinate revenue cycle improvement projects across multiple departments (billing, coding, patient access, etc.).
• Develop and maintain project plans, timelines, and deliverables.
• Track progress and prepare status reports for leadership.
• Facilitate meetings, document action items, and follow up on tasks.
• Analyze revenue cycle data to identify trends, issues, and opportunities for improvement.
• Assist in implementing new systems, workflows, and process enhancements.
• Ensure compliance with healthcare regulations and payer requirements.
• Collaborate with IT, finance, and clinical teams to support project goals.
• Tracks project progress, identifies bottlenecks, manages risks, and reports status to leadership.
• Maintains project documentation, schedules meetings, prepares agendas, and handles related paperwork.
• Comply with the Springfield Clinic incident reporting policy and procedures.
• Adhere to all OSHA and Springfield Clinic training & accomplishments as required per policy.
• Provide excellent customer service and adhere to Springfield Clinic's Code of Conduct and Ethics Standards.
• Perform other job duties as assigned.

Education/Experience

• Bachelor's degree required or equivalent minimum of two (2) years’ experience in health-related field.
• Previous experience in documenting processes and workflows preferred.
• Project Management experience preferred.

Knowledge, Skills And Abilities

• Required to attend in-service classes or workshops relevant to job.
• Confidentiality required.
• Excellent written and verbal communication skills required.
• Extremely strong MS Excel skills required.
• Ability to define problems, collect data, establish facts, and draw valid conclusions.
• Ability to effectively present information and respond to questions from staff and management across the Clinic. Must be detail oriented and able to deliver a high level of accuracy.

Working Environment

• This job operates in a professional office environment.
• Routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

PHI/Privacy Level

• HIPAA1