Operational Specialist

About the Role

We have an exciting opportunity to join our team as an Operational Specialist (Process Improvement). Reporting to the Manager, Revenue Cycle Operations, the Operational Specialist supports hospital A/R process improvement efforts and escalation resolution through detailed analysis, workflow execution, and operational support. This role focuses on reviewing accounts, supporting resolution of complex billing issues, and assisting with implementation of workflow improvements identified through escalations and operational review. The Operational Specialist works within established frameworks and escalation paths, contributing to issue resolution and process consistency while building advanced hospital A/R expertise.

Responsibilities

• Support investigation and resolution of assigned hospital A/R accounts and billing escalations under the guidance of Senior Specialists or management
• Perform detailed account reviews to identify billing errors, payer issues, or workflow gaps contributing to delayed or incorrect resolution
• Execute defined process improvement activities, including workflow updates, job aid revisions, and validation of operational changes
• Participate in workflow observation, side-by-side shadowing, and data review to support identification of improvement opportunities
• Assist with testing and validation of workflow or system changes impacting hospital billing and A/R processes
• Maintain accurate documentation and tracking of assigned work, escalations, and outcomes
• Escalate complex, high-risk, or unresolved issues to Senior Specialists or management with clear findings and supporting detail
• Performs other duties as assigned

Personal Characteristics

• Clear and professional verbal and written communication skills
• Strong attention to detail with the ability to follow defined workflows and escalation protocols
• Ability to manage multiple assigned tasks while meeting deadlines
• Willingness to learn and apply hospital billing and A/R concepts in a fast-paced environment
• Collaborative approach with the ability to work effectively with peers and leadership
• Demonstrates accountability, reliability, and professionalism

Patient Experience and Access

• Supports a respectful and consistent patient experience by applying CARES principles during billing-related interactions
• Communicates clearly with patients and internal partners regarding billing questions, next steps, and follow-up expectations
• Applies the LEARN model when supporting resolution of patient billing concerns, escalating as appropriate
• Partners with Patient Access Center and Central Billing teams to support timely resolution and reduce patient confusion
• Identifies recurring patient-impacting issues and shares observations with leadership to support continuous improvement

Qualifications

• Associate’s Degree
• 1-3 years of relevant work experience or equivalent combination of training and relevant work experience

Pay

The salary range for the role is $61,288.35-$80,136.00 Annually. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need.

Job ID: 1158417_RR00000000