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NorthBay Health · 3 months ago

Revenue Cycle Management Analyst I

Fairfield, CA

Full-time

Onsite

Entry Level

$34/hr - $41/hr

3+ years exp

NorthBay Health is an independent, nonprofit health system expanding its footprint across the Napa/Solano Region. They are seeking a Revenue Cycle Management Analyst I to manage and monitor revenue and ensure compliance with regulations while providing analytical support for third-party payer contracts.

Health CareHospitalMedical

Responsibilities

Responsible for the management and monitoring of revenue, charges, and revenue cycle internal and external customers to ensure established goals are met while adhering to federal and state regulations, policies of external payers, coding rules and guidelines

Exercise independent decisions using analytical and problem-solving skills

Provides critical analytical and negotiation support with respect to third party payer reimbursement contracts

Works closely with the analysts in the other Revenue Cycle Management Departments to ensure effective workflow and process

Maintains strong working knowledge of operational policies and procedures related to accounts receivable management as well

Responsible for evaluating, recommending and assisting with implementation of systems solutions to enhance the automation of accounts receivable management

Performs audits designed to ensure integrity, quality and control over the billing processes

Assists with training and education on the information systems functionality and billing and coding practices

Qualification

HFMA Certified Revenue Cycle RepDatabase reportingSQLMicrosoft ExcelHealthcare finance knowledgeMeeting facilitationOrganizational skillsProject managementCommunication skillsTeamwork

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

Strong project management capabilities

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 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

Ability to communicate clearly and effectively, both in listening, talking and writing

Proficiency in use of Microsoft applications including Excel, Access and Word

PC literate; this includes accessing bulletin boards or eligibility files, websites, and shared drives and folders on the NorthBay network to utilize/edit forms, on-line reports, etc

Ability to relate cordially with co-workers, employers, patients, providers and others

Knowledge of all key data elements (CPT, HCPCS, Rev Codes) and data flow of all elements within the Charge Master and other related files

Knowledge of claims processing and remittance data

Knowledge of Medicare regulations

Knowledge of APC's and other payment methodologies that drive charge master updates