Revenue Cycle Management Analyst I (Onsite, Hybrid, Remote)

NorthBay Healthcare Group; Fairfield (CA); Hybrid; USD 65,000 - 90,000; Full time

Job summary

NorthBay Health is seeking a Revenue Cycle Management Analyst I to oversee revenue, charges, and cycle processes, ensuring compliance with federal and state rules. The role involves interpreting regulatory guidance and supporting third‑party payer contracts.

You will collaborate with multiple departments to optimize workflows, participate in system improvements, and assist training on billing and coding practices within a dynamic health‑care environment.

Qualifications

• Bachelor's degree required in healthcare administration, computer sciences/software development, finance/business, math, or related field with strong data analysis background.
• HFMA CRCR certification must be obtained within nine months of hire.

Responsibilities

• Manage and monitor revenue, charges, and revenue cycle activities to meet goals while complying with federal and state regulations.
• Provide analytical and negotiation support for third-party payer reimbursement contracts.
• Collaborate with other Revenue Cycle Management teams to ensure efficient workflow and strong policy adherence.
• Assist with training on systems functionality, billing and coding practices, and AR management.

Skills

Organizational skills

Project management

Regulatory interpretation

SQL proficiency

MS Office suite

Education

Bachelor's degree in healthcare administration, data analytics, or related field

Tools

SQL

Excel

Access

Word

Job description

Work Location Requirement: This position may be performed onsite or remotely; however, onsite work is preferred based on business needs. Preference will be given to qualified candidates who are able to work onsite and are located within a reasonable commuting distance.

Remote Work Eligibility: This position is open to candidates located within the continental United States . Due to state-specific employment requirements and workers’ compensation regulations, we are unable to support remote work arrangements in the following locations: Washington, Ohio, Wyoming, North Dakota, Puerto Rico, and the U.S. Virgin Islands.

At Northbay Health, the Revenue Cycle Management Analyst I is responsible for the management and monitoring of revenue, charges, and revenue cycle internal and external customers to ensure established goals are met while adhering to federal and state regulations, policies of external payers, coding rules and guidelines. Exercise independent decisions using analytical and problem-solving skills. Provides critical analytical and negotiation support with respect to third party payer reimbursement contracts.

The Analyst works closely with the analysts in the other Revenue Cycle Management Departments to ensure effective workflow and process. Maintains strong working knowledge of operational policies and procedures related to accounts receivable management as well. Responsible for evaluating, recommending and assisting with implementation of systems solutions to enhance the automation of accounts receivable management. Performs audits designed to ensure integrity, quality and control over the billing processes. Assists with training and education on the information systems functionality and billing and coding practices.

Education :

• - Bachelor's degree in healthcare administration, computer sciences/software development, finance/business, math, or other degree requiring complex data analysis from an accredited university or college; or , in lieu of degree in one of these specified majors, a bachelor’s degree in any major plus 3 years’ directly related experience in revenue cycle reporting or healthcare finance reporting and analytics.

Licensure :

• - An HFMA Certified Revenue Cycle Rep. (CRCR) certification must be obtained within nine months of hire date.

Experience :

• - Experience with database reporting and interfaces required.

Skills :

• - Strong organizational and meeting facilitation skills. Strong project management capabilities.
• - Ability to read and interpret regulatory information related to healthcare finance and revenue cycle.
• - Proficient in SQL preferred. MS office applications, especially Excel, PowerPoint, Word, Access required.
• - Knowledge of internet and government websites required.

I nterpersonal Skills:

• - Demonstrates the True North values. The True North values are a set of value-based behaviors that are to be consistently demonstrated and role modeled by all employees that work at NorthBay Health. The True North values principles consist of Nurture/Care, Own It, Respect Relationships, Build Trust and Hardwire Excellence. Ability to communicate effectively in writing for policies, procedures, external communications and internal communications. Ability to work effectively with a variety of personnel with varied backgrounds, education and skills, in a team environment. Ability to effectively manage multiple priorities.

Hours of Work:

• - 8 hours per day. Consistent attendance and work at the agreed upon hours of work is required.

Additional Basic Skill Requirements:

The Revenue Cycle Management Analyst I is expected to know these skills when hired into this job:

• - Ability to communicate clearly and effectively, both in listening, talking and writing.
• - Proficiency in use of Microsoft applications including Excel, Access and Word.
• - PC literate; this includes accessing bulletin boards or eligibility files, websites, and shared drives and folders on the NorthBay network to utilize/edit forms, on-line reports, etc. This also includes ability to copy and paste from host systems to documents.
• - Ability to relate cordially with co-workers, employers, patients, providers and others.
• - Knowledge of all key data elements (CPT, HCPCS, Rev Codes) and data flow of all elements within the Charge Master and other related files.
• - Knowledge of claims processing and remittance data.
• - Knowledge of Medicare regulations.
• - Knowledge of APC’s and other payment methodologies that drive charge master updates.

The Revenue Cycle Management Analyst I will be taught and expected to learn the following within the 90-day introductory period:

• - Knowledge of the NorthBay computerized financial and clinical systems.
• - Knowledge of NorthBay’s departments and programs.
• - Knowledge of billing policies and procedures as they relate to revenue integrity.
• - Knowledge of revenue cycle management, data development, and interpretation.