Revenue Cycle Management Analyst III; Onsite, Hybrid, Remote

• 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.

At Northbay Health, the Revenue Cycle Management Analyst III, supports revenue cycle operations to ensure efficient workflows, 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.

The Analyst III works independently, manages multiple priorities, and demonstrates strong analytical and customer service skills. This position requires the ability to communicate complex information to front‑line staff, department leaders, and executives while maintaining professionalism and accuracy.

This position is a technical resource, point of contact, and key participant from RCM to develop, test, train, implement and maintains the software associated with departmental functions, including conversions and upgrades. Assists with planning, execution and finalizing projects and utilizes project management tools, process and methodologies within budget and deadlines. Works independently on implementations and A/R systems development to accommodate the addition of key systems service lines.

Responsible for planning, developing, training, implementation, and evaluation of information systems to support ongoing operations and ensure development, evaluation, and ongoing support for all components of Revenue Cycle.

This position is necessary to ensure the accurate flow of data and communication regarding ambulatory revenue. This position works to ensure financial systems and report systems are coordinated relative to data quality, efficiency and data integrity.

• 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…