Revenue Cycle Management Analyst I (Onsite, Hybrid, Remote)
About The Position
At Northbay Health, the Revenue Cycle Management Analyst I is 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. The Analyst 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.
Requirements
- 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.
- Demonstrates the True North values. The True North values are a set of value-based behaviors that are to be consistently demonstrated and role modeled by all employees that work at NorthBay Health. The True North values principles consist of Nurture/Care, Own It, Respect Relationships, Build Trust and Hardwire Excellence.
- 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. This also includes ability to copy and paste from host systems to documents.
- 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.
Nice To Haves
- Proficient in SQL preferred.
Responsibilities
- 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 analysts in 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.
- 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.
Benefits
- medical, dental, and vision insurance
- life, disability, and long-term care coverage
- paid time off including vacation, sick leave, holidays, and bereavement
- a 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
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
