Revenue Cycle Analyst

Father Joe's Villages; San Diego (CA); On-site; USD 41,000 - 55,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Retirement plan

Paid time off

Professional development opportunities

Job summary

Father Joe's Villages seeks a Revenue Cycle Analyst to ensure accurate billing for ECM, Recuperative Care, and CalAIM services. You will review clinical docs, code, submit claims, and collaborate across teams to resolve denials and improve revenue integrity.

The role supports fixtures in a fast-paced healthcare environment, with opportunities to train junior staff and contribute to workflow enhancements in EPIC and other billing systems.

Qualifications

• Bachelor's degree in Health Information Management or Healthcare Administration or related field
• Experience with Medi-Cal/Medicaid billing or CalAIM services preferred
• Experience with electronic health record and billing systems; EPIC preferred
• CPC, CCS or other billing/coding certification preferred
• Level I: 1 year in medical billing or revenue cycle operations; Level II: 3 years of experience

Responsibilities

• Prepare, review, code, and submit claims for ECM, Recuperative Care, Community Supports, Detox and CalAIM services
• Monitor billing queues, review documentation, ensure timely submission
• Post payments and reconcile claims to identify discrepancies
• Follow up with payers on unpaid, denied, or pending claims
• Collaborate with clinicians, care managers, and finance staff to resolve issues
• Support billing audits, chart reviews, and updates to workflows
• Provide billing inquiries support to patients, payers and internal staff
• Provide informal training to less experienced staff as appropriate

Skills

Revenue cycle

Medical billing

Claims submission

Denial management

Payer follow-up

EPIC experience

HIPAA compliance

Education

Bachelor's degree in HIM/Healthcare Admin

CPC/CCS certification preferred

Tools

EPIC EHR

Billing software

Job description

Bring your analytical skills, Strengthen operations. Help sustain access to care.As a Revenue Cycle Analyst, you will help ensure the services provided through the Village Health Center are accurately billed, claims are processed, and reimbursements are received. Your work will support the financial sustainability of healthcare programs serving individuals experiencing homelessness, helping ensure resources are available to continue delivering essential care.This is an analytical and operational role within a fast-paced, integrated healthcare environment. Successful analysts are detail-oriented, resourceful professionals who understand the importance of accurate billing, timely claims processing, and effective reimbursement practices. Success in this role means managing billing activities, identifying and resolving claims issues, maintaining compliance with payer requirements, and collaborating across teams to support revenue integrity.We are hiring at the I or II level based on your qualifications:Revenue Cycle Analyst I – Developing LevelRevenue Cycle Analyst II – Experienced LevelThe RolePrepare, review, code, and submit claims for Enhanced Care Management (ECM), Recuperative Care, Community Supports, Detox, and other CalAIM services provided through Village Health Center.Monitor billing work queues, review supporting documentation, and ensure claims are processed accurately and submitted timely in accordance with coding standards and payer requirements.Review clinical documentation, identify missing information, and coordinate with clinical and administrative teams to address billing and documentation needs.Post payments and reconcile claims, encounters, and payments to identify discrepancies, missing payments, and reimbursement issues.Follow up with payers on unpaid, denied, or pending claims and support resolution of billing and reimbursement issues.Monitor billing activity and revenue cycle data to identify trends, recurring issues, and opportunities to improve claims processing and reimbursement.Maintain accurate billing documentation and records within electronic health record (EHR), billing, and payer systems.Collaborate with clinicians, care managers, finance staff, external billing partners, and other stakeholders to resolve billing issues and support clean claim submission.Participate in billing audits, chart reviews, compliance activities, and updates to billing procedures and workflows.Respond to billing inquiries from patients, payers, and internal staff, providing timely and professional support.Support revenue cycle training, workflow improvements, and ongoing efforts to strengthen billing accuracy and operational effectiveness.Provide workflow guidance and informal training to less experienced staff, as appropriate to the level.What You’ll BringBachelor’s degree in Health Information Management, Healthcare Administration, Business, or a related field, or an equivalent combination of education and experience.Experience with Medi-Cal/Medicaid billing or CalAIM-related services preferred.Experience with electronic health record (HER) and billing systems required, experience using EPIC preferred.CPC, CCS, or other relevant billing/coding certification preferred.Knowledge of HIPAA privacy and security requirements.Level I Requires:Minimum of one (1) year of experience in medical billing or revenue cycle operations, preferably in a healthcare setting.Level II Requires:Minimum of three (3) years of progressively responsible experience in healthcare revenue cycle operations, medical billing, and/or coding, including claims submission, denial management, and payer follow-up.Why Father Joe’s VillagesYour contributions to accurate billing, timely reimbursement, and revenue cycle improvements will help support the financial health of the Village Health Center and its ability to continue serving our community.Compensation and BenefitsPay for this position is based on experience, qualifications, and internal equity. The anticipated starting pay range:Revenue Cycle Analyst I: $30.27 - $34.81 per hour.Revenue Cycle Analyst II: $35.16 - $40.43 per hour.Father Joe's Villages offers a comprehensive benefits package, including:Medical, dental, and vision coverageRetirement plan optionsPaid time offProfessional development opportunitiesWellness programsEmployee assistance resources to support health and overall well-beingConditions of EmploymentEmployment is contingent upon successful completion of applicable pre- and post-employment requirements, which may include background checks, health screenings, license or certification verification, and other role-related requirements following a conditional offer of employment.Equal Employment OpportunityFather Joe's Villages is an equal opportunity employer dedicated to building a diverse, inclusive workforce. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, veteran status, or any other characteristic protected by law.