Remote Revenue Cycle Analyst - Front-End Ops & Analytics

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

Benefits offered by this job

Paid vacation days

401(k)

EAP

Pet insurance

DailyPay

Job summary

Clarvida seeks a Revenue Cycle Operations Analyst in California (Remote/Hybrid) to optimize front-end revenue cycle performance across programs. You will serve as an SME for eligibility verification, payer requirements, authorization management, and billing readiness, partnering with clinical and leadership to drive data-driven improvements.

The role involves developing procedures, monitoring KPIs, and training teams on payer requirements and workflows to reduce risks and support organizational

Qualifications

• Bachelor's degree or equivalent combination of education and experience.
• Three years of revenue cycle or related analytical experience.
• Experience interpreting Medi-Cal, Medi-Medi, commercial payer, eligibility, authorization, Share of Cost.

Responsibilities

• Analyze front-end revenue cycle workflows and eligibility verification across programs.
• Interpret Medi-Cal, Medi-Medi, and payer requirements to provide operational guidance.
• Develop and maintain revenue cycle procedures, controls, and best practices.
• Prioritize revenue cycle 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

Excel

Analytical thinking

Critical thinking

Problem-solving

Eligibility verification

Payer requirements

Authorization management

Billing readiness

Data analysis

Independent judgment

Education

Bachelor's degree in Healthcare Administration / related field

Tools

IRIS

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Job description

Clarvida seeks a Revenue Cycle Operations Analyst in California (Remote/Hybrid) to optimize front-end revenue cycle performance across programs. You will serve as an SME for eligibility verification, payer requirements, authorization management, and billing readiness, partnering with clinical and leadership to drive data-driven improvements.

The role involves developing procedures, monitoring KPIs, and training teams on payer requirements and workflows to reduce risks and support organizational