Role Overview
Revenue Cycle Build Team Member will support implementation of the Cúram Electronic Health Record (EHR) system across UPMC Ireland, focusing on configuration, testing, and validation of revenue cycle applications such as patient registration, scheduling, insurance verification, charge capture, coding, billing, claims, denials, and collections.
General Accountabilities
Assist the Revenue Cycle Workstream Lead in delivering the Revenue Cycle workstream, collaborating on stakeholder coordination, milestone tracking, workflow documentation, system configuration, and end‑user experience support.
System Design & Workflow Support
* Serve as subject matter expert for revenue cycle operations in MEDITECH Expanse, including registration, scheduling, insurance verification, charge capture, coding, billing, claims, denials, and collections.
* Assist in designing and validating revenue cycle workflows, working closely with analysts and operational leaders.
* Review and provide feedback on system functionality related to charge master, billing rules, claims processing, payment posting, and reconciliation.
* Support system configuration to align with payer requirements, billing guidelines, and financial policy.
* Collaborate with clinical, financial, and technical teams to ensure charge integrity and reimbursement accuracy.
Implementation Support, Testing & Data Validation
* Assist in system configuration, data migration validation, and integration with existing enterprise resource planning (ERP) platforms.
* Participate in testing activities for revenue cycle modules, including integrated testing and user acceptance testing (UAT).
* Help identify and troubleshoot issues in collaboration with IT, finance, and clinical workstreams.
* Support validation of interfaces between MEDITECH and third‑party systems.
* Assist in validating statutory, management, and operational reporting requirements.
* Support change management efforts by addressing workflow impacts, practice changes, and documentation requirements.
* Contribute to go‑live readiness and stabilization efforts, including real‑time issue resolution and workflow adjustments.
* Support standards development processes and engage with revenue cycle SMEs during design and optimization discussions.
* Ensure compliance with regulatory and financial standards as directed.
* Assist in coordinating cross‑functional implementation activities, including billing, coding, registration, scheduling, and finance teams.
* Document decisions, risks, and issues during workgroup meetings.
* Act as a liaison between revenue cycle staff and the implementation team, escalating issues as needed.
* Assist in developing and delivering training materials for revenue cycle and relevant clinical end‑users.
* Provide hands‑on support during go‑live and stabilization phases.
* Support the training team in delivering education on revenue cycle workflows.
* Contribute to the handover process by supporting training delivery to the future EHR BAU team.
Documentation & Governance
* Maintain accurate project documentation, including current and future state maps, risk/issue logs, and change logs.
* Prepare materials for governance processes, such as the Business Design Forum and senior management meetings.
* Track key performance indicators (KPIs) for revenue cycle readiness, adoption, and post‑go‑live performance.
* Document lessons learned and continuous improvement initiatives.
* Ensure compliance with statutory and regulatory requirements related to finance, revenue cycle, clinical safety, and digital health.
Qualifications & Experience
Required Qualifications
* Bachelor's degree in health information management, healthcare administration, finance, or a related field. Equivalent experience will be considered.
* Minimum 3 years of experience in revenue cycle operations in a healthcare setting.
* Familiarity with healthcare billing, coding, reimbursement models, and compliance standards.
* Strong teamwork, communication, and problem‑solving skills with the ability to work across clinical and operational teams.
Preferred Qualifications
* At least 2 years of experience supporting or leading system implementations (preferably MEDITECH or similar ERP/EHR platforms).
* Experience as a user of MEDITECH Expanse Revenue Cycle modules or equivalent major EHR systems.
* Familiarity with clinical‑to‑financial workflow alignment and charge integrity.
* Knowledge of clinical decision support, change management methodologies, and regulatory requirements.
* Training in process improvement methodologies (e.g., Lean) or project management.
Equal Opportunity Statement
UPMC is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Compensation and Benefits
* Competitive pay, including base salary, performance‑related pay, and premium pay where applicable.
* Fully paid maternity and paternity leave for new parents.
* Competitive pension plan.
* Company‑funded death in service benefit 3 times.
* Critical illness cover for all employees up to age 66.
* Enhanced annual leave up to a maximum of 27 days.
* Flexible working opportunities to support work around external family commitments.
* Rewards for performance that support the goals and mission of UPMC through the annual ACES program.
* Opportunities for continued learning and advancement at UPMC.
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