Supports revenue cycle operations to ensure efficient workflows, management, and monitoring of revenue and charges while adhering to federal and state regulations, external payer policies, and coding rules and guidelines.
Provides analytical and negotiation support for third-party payer reimbursement contracts and works closely with other revenue cycle departments to maintain effective workflows and processes.
Evaluates and assists with implementation of systems solutions to enhance accounts receivable automation, performs audits to ensure integrity and quality of billing processes, and supports training on information systems functionality and billing and coding practices.
Responsible for planning, developing, training, implementing, and evaluating information systems that support revenue cycle operations and improve data quality, efficiency, and integrity.
Coordinates reporting, dashboards, KPI development, contract variance analysis, workflow reengineering, and revenue cycle reporting for internal stakeholders.
Education
- Bachelor's degree in healthcare administration, computer science/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.
Certification
- HFMA Certified Revenue Cycle Representative (CRCR) must be obtained within 9 months of hire.
Experience
- Experience with database reporting and interfaces required.
- Strong working knowledge of departmental systems, policies, procedures, and their impact on other departments.
Skills
- Strong organizational and meeting facilitation skills.
- Ability to read and interpret regulatory information related to healthcare finance and revenue cycle.
- Proficiency in SQL preferred.
- Proficiency in Microsoft Office applications, especially Excel, PowerPoint, Word, and Access.
- Knowledge of internet and government websites.
- Strong written and verbal communication skills.
- Ability to work effectively with diverse teams and manage multiple priorities.
NorthBay Health offers a comprehensive benefits package that may include:
- 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 reviews and increases subject to approval and organizational performance
Location
California, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
Yes
Posted
4 weeks ago