Revenue Cycle Management Analyst I
NorthBay Healthcare, Fairfield, CA, United States
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. 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. 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.
Education
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.
Licensure
HFMA Certified Revenue Cycle Rep. (CRCR) certification must be obtained within nine months of hire date.
Experience
Experience with database reporting and interfaces required.
Skills
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.
Interpersonal Skills
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.
Hours of Work
8 hours per day. Consistent attendance and work at the agreed upon hours of work is required.
Compensation
$34 to $41 per hour based on years of experience doing the duties of the role.
Work Location Requirement
This position may be performed onsite or remotely; however, onsite work is preferred based on business needs. Preference will be given to qualified candidates who are able to work onsite and are located within a reasonable commuting distance.
Remote Work Eligibility
This position is open to candidates located within the continental United States. Due to state-specific employment requirements and workers’ compensation regulations, we are unable to support remote work arrangements in the following locations: Washington, Ohio, Wyoming, North Dakota, Puerto Rico, and the U.S. Virgin Islands.
Additional Basic Skill Requirements
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 APCs and other payment methodologies that drive charge master updates.
90‑Day Learning Objectives
Knowledge of the NorthBay computerized financial and clinical systems.
Knowledge of NorthBay’s departments and programs.
Knowledge of billing policies and procedures as they relate to revenue integrity.
Knowledge of revenue cycle management, data development, and interpretation.
Benefits
NorthBay Health offers a comprehensive benefits package based on established eligibility requirements. Benefits may include 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, and market‑based compensation review and increases subject to approval and organizational performance.
Compensation Structure
NorthBay Health uses a structured compensation framework. Staff-level positions use a step‑based system (Steps 1–5) based on years of directly related experience, with Step 5 representing 20 or more years of experience in the role. Manager level and above positions are paid a fixed annual base salary and are eligible for a variable incentive compensation plan. Physician compensation is structured based on specialty and role requirements.
Remote Work Disclosure
NorthBay Health is primarily an onsite organization due to the nature of healthcare. Some roles may allow hybrid or remote work based on business needs. Remote work is not supported in Washington, Ohio, Wyoming, North Dakota, Puerto Rico, the U.S. Virgin Islands, or outside of the United States.
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Education
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.
Licensure
HFMA Certified Revenue Cycle Rep. (CRCR) certification must be obtained within nine months of hire date.
Experience
Experience with database reporting and interfaces required.
Skills
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.
Interpersonal Skills
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.
Hours of Work
8 hours per day. Consistent attendance and work at the agreed upon hours of work is required.
Compensation
$34 to $41 per hour based on years of experience doing the duties of the role.
Work Location Requirement
This position may be performed onsite or remotely; however, onsite work is preferred based on business needs. Preference will be given to qualified candidates who are able to work onsite and are located within a reasonable commuting distance.
Remote Work Eligibility
This position is open to candidates located within the continental United States. Due to state-specific employment requirements and workers’ compensation regulations, we are unable to support remote work arrangements in the following locations: Washington, Ohio, Wyoming, North Dakota, Puerto Rico, and the U.S. Virgin Islands.
Additional Basic Skill Requirements
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 APCs and other payment methodologies that drive charge master updates.
90‑Day Learning Objectives
Knowledge of the NorthBay computerized financial and clinical systems.
Knowledge of NorthBay’s departments and programs.
Knowledge of billing policies and procedures as they relate to revenue integrity.
Knowledge of revenue cycle management, data development, and interpretation.
Benefits
NorthBay Health offers a comprehensive benefits package based on established eligibility requirements. Benefits may include 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, and market‑based compensation review and increases subject to approval and organizational performance.
Compensation Structure
NorthBay Health uses a structured compensation framework. Staff-level positions use a step‑based system (Steps 1–5) based on years of directly related experience, with Step 5 representing 20 or more years of experience in the role. Manager level and above positions are paid a fixed annual base salary and are eligible for a variable incentive compensation plan. Physician compensation is structured based on specialty and role requirements.
Remote Work Disclosure
NorthBay Health is primarily an onsite organization due to the nature of healthcare. Some roles may allow hybrid or remote work based on business needs. Remote work is not supported in Washington, Ohio, Wyoming, North Dakota, Puerto Rico, the U.S. Virgin Islands, or outside of the United States.
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