Revenue Cycle Automation and Office Optimization

Job Summary

We are seeking a dynamic and detail-oriented professional to be a part of our Revenue Cycle Automation and Office Optimization initiatives. The goal of the team will be to drive end-to-end identification, prioritization, and realization of automation and process optimization value across the revenue cycle.

In this role, candidates will:

• Maintain automation roadmap and pipeline aligned to financial impact (cost revenue lift)
• Identify, size, and prioritize opportunities across workflows (denials, billing, follow-up, etc.)
• Track value realization, adoption, and performance vs. plan (benefits KPIs)
• Ensure compliance with healthcare regulations
• Develop and implement automation solutions for revenue cycle management processes to improve billing accuracy, reduce denials, and accelerate cash flow.
• Ensure compliance with Medicaid and Medicare regulations, maintaining adherence to all relevant healthcare policies and guidelines.
• Implementing best practices and utilizing technology to enhance productivity.
• Providing guidance, training, and performance feedback to foster a high-performing environment.
• Collaborate with hospital departments and third-party payers to streamline insurance billing processes for health insurance claims.
• Monitor key performance indicators related to revenue cycle efficiency, reporting on progress and recommending strategic improvements.

Candidate requirements:

• Strong revenue cycle SME with cross-functional understanding
• Analytical mindset (comfortable with sizing opportunities, building business cases)
• Process improvement background (Lean, Six Sigma, or similar) with stakeholder influence skills
• Strong knowledge of Medicaid and Medicare regulations governing healthcare billing and reimbursement.
• Deep understanding of health insurance policies, third-party billing procedures, and claims processing workflows.
• Expertise in electronic health records (EHR) management systems and their integration with billing platforms.
• Excellent problem-solving skills with the ability to analyze complex data sets related to revenue cycle performance.
• Effective communication skills for cross-departmental collaboration and staff leadership.
• Familiarity with healthcare technology tools aimed at automating administrative tasks and enhancing operational efficiency.
• Previous experience with management consulting and/or experience working for Epic

Education and certification requirements:

· Bachelor’s degree or equivalent relevant experience

· Certifications - EPIC, HFMA, ASCP, CPC, CISA, CPA, or related healthcare revenue cycle certifications

Join us in transforming revenue cycle operations through innovative automation while fostering a collaborative environment dedicated to excellence in healthcare administration

Pay: $125,000.00 - $175,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Education:

• Bachelor's (Required)

Experience:

• Office automation: 2 years (Required)
• Revenue cycle management: 5 years (Required)
• Epic: 5 years (Required)

License/Certification:

• Epic Certification (Preferred)

Work Location: Hybrid remote in Cleveland, OH 44115

Salary : $125,000 - $175,000