Revenue Cycle Management Analyst I

Job Description

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 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.

Qualifications

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: An 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.

Additional Basic Skill Requirements:

The Revenue Integrity Analyst is expected to know these skills when hired into this job:

• 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.

The Revenue Integrity Analyst will be taught and expected to learn the following within the 90-day introductory period:

• 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.

About Us

At NorthBay Health, we are guided by our values: Nurturing Care; Own It; Respect; Build Trust; and Hardwire Excellence. These principles lead us to our TRUE NORTH and inspire us to provide exceptional care.

These values serve as the foundation of everything we do, guiding us to deliver individualized care with integrity and accountability. We are committed to fostering a culture of collaboration, where every team member is valued and empowered to contribute their best to the health and well-being of those we serve.

This is an exciting time to join NorthBay Health.

As an independent, nonprofit health system north of the San Francisco Bay Area, in the Napa/Solano Region, we are expanding our footprint across Solano, Yolo, and Napa counties to meet the evolving needs of our communities. With two acute-care hospitals-including a Level II Trauma Center and a modern maternity unit with a Level III Neonatal Intensive Care Unit (NICU)-along with a comprehensive cancer center, multiple urgent care facilities, and a growing network of primary and specialty clinics, we are investing in the future of care across the region.

NorthBay Health we are home to advanced clinical programs and nationally recognized cardiovascular, neuroscience, and orthopedic services, as well as comprehensive surgical and outpatient specialties. Our commitment to excellence is reflected in our Magnet with Distinction designation for nursing (one of only 12 organizations nationwide) and recognition from U.S. News & World Report as "High Performing" in multiple clinical areas, including maternity care, heart failure, and stroke. NorthBay Medical Center has earned the High Performing designation in maternity care for four consecutive years.

As the only locally governed health system in the region, we remain deeply rooted in our communities while growing into a trusted regional healthcare leader. If you are seeking meaningful work, collaborative teams, and the opportunity to help shape the future of healthcare in Northern California, you will find it at NorthBay Health.

Join us with our commitment to excellence, to achieve our vision to be the trusted healthcare partner of choice for the communities we serve.

To learn more about NorthBay Health's benefits, diversity statement and community please visit https://www.northbay.org/careers/

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