Position Summary
The Revenue Cycle Innovation Specialist is responsible for improving hospital revenue cycle workflows by leveraging Epic and other core operational systems, aligning with payer compliance requirements, and implementing innovative solutions. This role focuses on identifying system inefficiencies and workflow gaps across both front-end and back-end revenue cycle operations, and developing practical, sustainable improvements. The Specialist collaborates cross-functionally with stakeholders to deliver compliant and effective solutions that support organizational goals, operational efficiency, and overall performance across the hospital’s revenue cycle environment.
Essential Functions and Responsibilities Includes the Following:
1. Analyze Current Revenue Cycle Workflows within the hospital, particularly within the Epic system modules including HB (Hospital Billing), ADT (Admissions, Discharges, Transfers), Grand Central, and Prelude and other operational systems.
2. Own the lifecycle of revenue cycle enhancements—from discovery and requirements gathering through testing, implementation, training, and post-go-live support.
3. Identify workflow inefficiencies and propose innovative, streamlined solutions in collaboration with key stakeholders.
4. Collaborate closely with stakeholders, including Revenue Cycle team members, IT personnel, consultants, and end-users, to grasp workflow intricacies and implement workflow & system enhancements.
5. Identify the root causes of claim edits related to registration, charge entry, and coding to support downstream billing accuracy and edit prevention.
6. Work closely with Epic Consultants to ensure build updates are accurately and efficiently implemented.
7. Attend various Governance Committee meetings to keep up to date with Epic changes across the Montefiore Health System.
8. Develop and maintain clear documentation, including workflow guides, tip sheets, and training materials to support end-user adoption.
9. Actively participate in the testing and validation of workflow modifications and system upgrades.
10. Deliver comprehensive training sessions and reeducation to support changes in workflows, Epic updates, and best practices.
11. Stay current with the latest industry trends, Epic functionality, and payer requirements to identify system and workflow innovation opportunities.
12. Conduct regular audits to evaluate workflow effectiveness, identify improvement opportunities, and support reeducation efforts.
13. Serve as a resource to internal stakeholders for guidance on revenue cycle workflows, Epic functionality, and system issue resolution.
14. Troubleshoot workflow and system issues, propose enhancements, and provide timely support to minimize operational disruption.
15. Ensure training documentation and resources are up-to-date and easily accessible to assist users in performing their tasks effectively.
16. Communicate information clearly, both verbally and written, promoting active engagement and collaboration among trainees.
17. Responsible for participating in committees, task forces, and projects as appropriate.
18. Responsible for compliance with hospital and human resources policies and procedures, competency, and education requirements are satisfied as per hospital policy.
19. Ensures the provision of a safe employee/patient environment.
20. Works collaboratively with all levels of the hospital interdisciplinary team and promotes team concepts within their department and hospital wide.
21. Demonstrates positive customer service, fosters positive employee relations, and assures that staff adheres to the Customer Service Behavioral Standards.
22. Is supportive to hospital initiatives and projects and functions as a positive change agent.
23. Promotes a positive and professional image and is a role model, coach, mentor, and resource for staff and peers.
24. Reports to the Sr. Manager of Training & Innovation.
25. Understands and adheres to the WPH Performance Standards, Policies and Behaviors.
26. Performs all other related duties as assigned.
Education & Experience Requirements
• Bachelor’s degree in healthcare administration, Business Administration, or related fields.
• Minimum of 2-4 years of revenue cycle management within a hospital setting or healthcare setting.
• Minimum 3 years of demonstrating strong analytical skills with knowledge of revenue cycle processes.
• Strong understanding of revenue cycle processes and workflows, particularly within the Epic system.
• Proficiency in Epic modules including HB, ADT, Grand Central, and Prelude preferred.
• Proficiency with Microsoft Word, Excel, PowerPoint, Vizio, and Outlook required.
Core Competencies:
• Revenue Cycle Expertise: Strong understanding of hospital-based revenue cycle operations, including registration, billing, coding, and claims.
• Technical Proficiency: Ability to effectively utilize revenue cycle management software, particularly Epic modules such as HB, ADT, Grand Central, and Prelude, to analyze workflows and implement improvements.
• Analytical Skills: Capacity to analyze complex revenue cycle processes, identify inefficiencies, and develop data-driven solutions to optimize workflow efficiency.
• Problem-Solving Abilities: Aptitude for identifying challenges within revenue cycle workflows and devise creative and practical solutions to address them.
• Communication Skills: Ability to convey complex information clearly and concisely in both verbal and written formats, ensuring that end-users and stakeholders understand workflows, system updates, and processes. Skills in fostering collaboration, delivering engaging training sessions, and actively listening to feedback for continuous improvement.
• Documentation Skills: Proficiency in creating detailed workflow documents, tip sheets, training aids, and other documentation to support end-users in understanding and implementing optimized workflows.
• Collaboration and Teamwork: Ability to work effectively within a team environment, collaborating with stakeholders from various departments to achieve revenue cycle goals.
• Adaptability: Flexibility to adapt to changing priorities, technologies, and industry trends within the healthcare revenue cycle realm.
• Attention to Detail: Thoroughness and prevision in analyzing workflows, documenting processes, and implementing improvements to ensure accuracy and efficiency in revenue cycle operations.
• Project Management Skills: Capability to manage multiple projects simultaneously, prioritize tasks effectively, and meet
deadlines in a fast-paced healthcare environment.
• Continuous Learning Development: Commitment to staying abreast of industry best practices, regulatory requirements, and advancement in hospital revenue cycle management to continually enhance skills and knowledge.
Physical/Mental Demands/Requirements & Work Environment
• May be exposed to chemicals necessary to perform required tasks. Any hazardous chemicals the employee may be exposed to are listed in the hospital’s SDS (Safety Data Sheet) database and may be accessed through the hospital’s Intranet site (Employee Tools/SDS Access). A copy of the SDS database can also be found at the hospital switchboard, saved on a disc.
• Must be able to remain stationary 50% of the time.
• Must be able to attend meetings in other locations across the campus.
• Must be comfortable with public speaking.
Primary Population Served
Check appropriate box(s) below:
â˜Neonatal (birth – 28 days) â˜Patients with exceptional communication needs
â˜Infant (29 days – less than 1 year) â˜Patients with developmental delays
â˜Pediatric (1 – 12 years) â˜Patients at end of life
â˜Adolescent (13 – 17 years) â˜Patients under isolation precautions
â˜Adult (18 – 64 years) â˜Patients with cultural needs
â˜Geriatric (> 65 years) â˜All populations
â˜Bariatric Patients with weight-related comorbidities ☒ Non-patient care population
The responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of White Plains Hospital.
Salary Range: $79,737.64- $119,553.33