Revenue Cycle Transformation Specialist

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