Remote Revenue Cycle Analyst – Front-End & Billing

Pathways; Fullerton (CA); Hybrid; USD 85,000 - 95,000; Full time

Benefits offered by this job

Paid vacation days

Insurance options (medical, dental, V

DailyPay

401(k)

EAP

Job summary

Clarvida is seeking a Revenue Cycle Operations Analyst in California (Remote/Hybrid) to optimize front-end revenue cycle performance. You will serve as an SME for eligibility verification, authorization management, and billing readiness across programs, working with clinical and leadership teams.

The role emphasizes data-driven decision making, process optimization, and compliance. A background in healthcare operations with strong Excel skills is required, and travel may be needed.

Qualifications

• Bachelor’s degree in Healthcare Administration, Business Administration, Finance, Accounting, Analytics, Public Health, or related field, or equivalent experience.
• Minimum three years of revenue cycle, billing operations, financial clearance, or related analytical experience.
• Experience interpreting Medi-Cal, Medi-Medi, commercial payer, eligibility, authorization, Share of Cost, and claim readiness requirements.
• Experience analyzing operational data and developing reports, dashboards, and performance metrics.
• Experience with EHR and billing platforms such as IRIS, Avatar, or similar systems.
• Advanced proficiency in Microsoft Excel and reporting tools.

Responsibilities

• Analyze front-end revenue cycle workflows and billing readiness across programs.
• Interpret payer requirements and provide operational guidance.
• Develop, implement, and maintain revenue cycle procedures and controls.
• Prioritize issues and coordinate corrective actions with leadership.
• Review billing errors and trends to identify root causes and improvements.
• Develop KPIs, dashboards, scorecards, and operational reports.

Skills

Analytical thinking

Problem-solving

Independent judgment

Education

Bachelor's degree in Healthcare Administration or related field

Tools

Microsoft Excel

Reporting tools

Job description

Clarvida is seeking a Revenue Cycle Operations Analyst in California (Remote/Hybrid) to optimize front-end revenue cycle performance. You will serve as an SME for eligibility verification, authorization management, and billing readiness across programs, working with clinical and leadership teams.

The role emphasizes data-driven decision making, process optimization, and compliance. A background in healthcare operations with strong Excel skills is required, and travel may be needed.