Revenue Cycle Analyst (3518)

Neighbor; San Diego (CA); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Retirement plan options

Paid time off

Wellness programs

Employee assistance resources

Job summary

Father Joe's Villages is seeking a Revenue Cycle Analyst at the San Diego location to ensure accurate billing and timely reimbursement for CalAIM services.

The role involves preparing and submitting claims, reviewing documentation, posting payments, and collaborating across teams to improve revenue integrity. The position offers pathways for Analyst I or II depending on experience and pay scales.

Qualifications

• Bachelor’s degree or equivalent experience in health information management, healthcare administration, business, or related field.
• Experience with Medi-Cal/Medicaid billing or CalAIM services preferred.
• Experience with electronic health record (EHR) and billing systems, EPIC preferred.

Responsibilities

• Prepare, review, code, and submit claims for ECM, Recuperative Care, Community Supports, Detox and other CalAIM services.
• Monitor queues, review docs, ensure timely, accurate submissions per payer requirements.
• Follow up with payers on unpaid/denied claims and resolve billing issues.
• Post payments and reconcile claims, encounters, and payments to identify discrepancies.
• Collaborate with clinicians, care managers, finance, and external billing partners to resolve issues.

Education

Bachelor’s degree in Health Information Management, Healthcare Administration, Business, or a related field

Tools

EPIC

Job description

Revenue Cycle Analyst (3518)# Revenue Cycle Analyst (3518)PMC - Paul Mirabile Center - San Diego, CA 92101## OverviewSalary Range$35.16 - $40.43 HourlyPosition TypeFull Time## DescriptionBring 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 Level Revenue Cycle Analyst II – Experienced Level The Role * Prepare, 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.## QualificationsWhat You’ll Bring * Bachelor’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 Villages Your 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 Benefits Pay 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 coverage* Retirement plan options* Paid time off* Professional development opportunities* Wellness programs* Employee assistance resources to support health and overall well-beingConditions of Employment Employment 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 Opportunity Father 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.