NorthBay Health is seeking a Revenue Cycle Management Analyst I to support the management and monitoring of revenue, charges, and revenue cycle workflows. This role works with internal and external customers to help ensure goals are met while following federal and state regulations, payer policies, coding rules, and guidelines.
The analyst provides analytical and negotiation support for third-party payer reimbursement contracts, collaborates with Revenue Cycle Management departments to improve workflow, and helps evaluate and implement system solutions that enhance accounts receivable management. The position also performs audits to support billing integrity, quality, and control, and assists with training related to information systems functionality and billing and coding practices.
This position may be performed onsite or remotely, although onsite work is preferred based on business needs. Remote work is available to qualified candidates located within the continental United States, with certain state restrictions.
Education
- Bachelor's degree in healthcare administration, computer sciences/software development, finance/business, math, or another field requiring complex data analysis from an accredited college or university
- In lieu of a degree in one of the specified majors, a bachelor's degree in any major plus 3 years of directly related experience in revenue cycle reporting or healthcare finance reporting and analytics
Licensure / Certification
- HFMA Certified Revenue Cycle Representative (CRCR) certification must be obtained within 9 months of hire
Experience
- Experience with database reporting and interfaces is required
Skills and Knowledge
- Strong organizational and meeting facilitation skills
- Strong project management capabilities
- Ability to read and interpret regulatory information related to healthcare finance and revenue cycle
- Proficiency in SQL preferred
- Proficiency with Microsoft Office applications, especially Excel, PowerPoint, Word, and Access
- Knowledge of internet and government websites
- Knowledge of key data elements including CPT, HCPCS, and revenue codes
- Knowledge of claim processing and remittance data
- Knowledge of Medicare regulations
- Knowledge of APCs and other payment methodologies that drive charge master updates
- Strong written and verbal communication skills
- Ability to work effectively in a team environment and manage multiple priorities
Benefits and Perks
- Medical, dental, and vision insurance
- Life, disability, and long-term care coverage
- Paid time off, including vacation, sick leave, holidays, and bereavement
- 403(b) retirement plan with employer match
- Education reimbursement for eligible roles
- Professional development and training programs
- Employee Assistance Program
- Wellness programs
- Recognition programs
- Shift differentials
- Market-based compensation review and increases subject to approval and organizational performance
Location
California, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
4 weeks ago