Remote CA Revenue Cycle Analyst: Front-End & Eligibility

pathways

Anaheim (CA)

Hybrid

USD 85,000 - 95,000

Full time

14 days+
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Benefits offered by this job

Paid vacation days
Sick leave
Paid holidays
Medical, dental and vision insurance
DailyPay
Training, development
401(k)
EAP
Pet insurance
Perks @ Clarvida – national discounts

Job summary

Clarvida is seeking a Revenue Cycle Operations Analyst to support California operations by analyzing and improving front-end revenue cycle performance. You will serve as a subject matter expert on eligibility verification, payer requirements, authorization management, and billing readiness, collaborating with clinical, operational, and leadership teams.

This role focuses on process improvement, data-driven decision making, and training delivery across multiple programs, with travel up to 30% and

Qualifications

  • Bachelor's degree or equivalent required.
  • Minimum three years revenue cycle or related analytical experience.
  • Experience interpreting Medi-Cal, Medi-Medi, and payer requirements.
  • Experience with EHR and billing platforms such as IRIS or Avatar.
  • Advanced proficiency in Excel and reporting tools.

Responsibilities

  • Analyze front-end revenue cycle workflows and billing readiness.
  • Interpret Medi-Cal and payer requirements and provide guidance.
  • Develop and maintain revenue cycle procedures and KPIs.
  • Identify risks and coordinate corrective actions with leadership.
  • Present findings and recommendations to stakeholders.
  • Design training on payer requirements and billing readiness.

Education

Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, Analytics, Public Health

Tools

Excel
Reporting tools

Job description

Clarvida is seeking a Revenue Cycle Operations Analyst to support California operations by analyzing and improving front-end revenue cycle performance. You will serve as a subject matter expert on eligibility verification, payer requirements, authorization management, and billing readiness, collaborating with clinical, operational, and leadership teams.

This role focuses on process improvement, data-driven decision making, and training delivery across multiple programs, with travel up to 30% and

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