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NorthBay Health · 2 months ago

Revenue Cycle Management Analyst III

Fairfield, CA

Full-time

Onsite

Mid Level

$37.57/hr - $45.57/hr

3+ years exp

NorthBay Health is an independent, nonprofit health system expanding its footprint in the Napa/Solano Region. The Revenue Cycle Management Analyst III supports revenue cycle operations, ensuring efficient workflows, management of revenue, and compliance with regulations while providing analytical and negotiation support for third-party payer reimbursement contracts.

Health CareHospitalMedical

Responsibilities

Coordinates with other departments including finance, decision support, business office, etc., to develop and generate reporting templates for monitoring and troubleshooting revenue performance

Assist in development and maintenance of revenue cycle reports, dashboards, and key performance indicators (KPI)

May work collaboratively with the appropriate operational leaders to develop provider education strategies to promote complete and accurate clinical documentation and correct negative trends and is able to impart this knowledge to provide and other health team members

Support revenue cycle staff and supports revenue cycle teams as needed

Works with managed care and reimbursement departments to respond to strategic initiatives to optimize patient revenue capture

Review payments for accuracy from contracted payers and management of appeals process with each assigned payer, in both the hospital and clinic setting

Performs contract and reimbursement variance analysis

Performs related administrative duties to ensure the effectiveness and optimum maintenance of the applications

Supports management of projects and workflows reengineering

Runs, reviews, interprets, analyzes and validates Revenue Cycle reports

Possesses the ability to run Revenue Cycle and operations reports in order to answer questions from department/practice managers, physicians, and other Revenue Cycle stakeholders

Takes an active role in new service research and assessment

Assists in quantifying audit outcomes, including revenue realized

Plays a key role in the creation of training manuals and job aids for respective area(s) of expertise

Develops, recommends, and implements new programs and projects as directed by the Revenue Cycle leadership team

Researches, works with large sets of data, reviews, interprets, and follows all relevant policies, procedures, regulations, guidelines and laws and attend mandatory training

Participates in regularly scheduled department meetings, as well as training seminars or sessions as assigned

Plans, organizes and prioritizes workload and processes information at a speed necessary for successful job performance

Adhere to the department’s rules, guidelines, and procedures for lunch and break times, requesting time-off and changes in shift assignment

Is thoroughly familiar with the hospitals facility-wide policy and procedures manuals, the department’s policy and procedure manual and the facility’s fire and safety, as well as emergency preparedness processes and procedures

Communicates in a calm, courteous, and professional manner with co-workers, outside organizations, representatives, or business entities

Other duties as assigned

Maintains a strong working knowledge of all departmental systems, policies, procedures and their impact on other departments

Qualification

Revenue Cycle ManagementDatabase ReportingSQLHealthcare FinanceMS Office ProficiencyAnalytical SkillsProblem-Solving SkillsCommunication SkillsOrganizational SkillsTeam Collaboration

Required

Bachelor's degree in healthcare administration, computer sciences/software development, finance/business, math, or other degree requiring complex data analysis from an accredited university or college; or, in lieu of degree in one of these specified majors, a bachelor's degree in any major plus 3 years' directly related experience in revenue cycle reporting or healthcare finance reporting and analytics

An HFMA Certified Revenue Cycle Rep. (CRCR) certification must be obtained within nine months of hire date

Experience with database reporting and interfaces required

Strong organizational and meeting facilitation skills

Ability to read and interpret regulatory information related to healthcare finance and revenue cycle

Proficient in SQL preferred

MS office applications, especially Excel, PowerPoint, Word, Access proficiency required

Knowledge of internet and government websites required

Ability to communicate effectively in writing for policies, procedures, external communications and internal communications

Ability to work effectively with a variety of personnel with varied backgrounds, education and skills, in a team environment

Ability to effectively manage multiple priorities

Demonstrates the True North values