Revenue Cycle Performance Analyst — Remote/CA

Clarvida

Anaheim (CA)

Hybrid

USD 85,000 - 95,000

Full time

3 days ago
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Benefits offered by this job

Medical, dental, and vision insurance
401(k)
DailyPay
Training and development opportunities

Job summary

Clarvida is seeking a Revenue Cycle Operations Analyst in California (Remote/Hybrid) to optimize front-end revenue cycle performance across programs. You will serve as a subject matter expert on eligibility verification, payer requirements, and billing readiness while collaborating with operational, clinical, and leadership teams.

The role emphasizes data-driven decision making, process improvement, and reducing billing and compliance risks, with opportunities to design KPIs and dashboards for

Qualifications

  • Bachelor's degree or equivalent combination of education and experience in a related field.
  • Minimum three years of revenue cycle, billing operations, or related analytical experience.
  • Experience interpreting Medi-Cal, eligibility, and payer requirements.
  • Experience with EHR and billing platforms such as IRIS, Avatar, or similar systems.

Responsibilities

  • Analyze front-end revenue cycle workflows and eligibility verification across multiple programs.
  • Interpret payer requirements and provide operational guidance.
  • Develop and maintain revenue cycle procedures, controls and best practices.
  • Identify risks and coordinate corrective actions with leadership.
  • Review billing errors and clearance trends to find root causes and improvements.
  • Develop KPIs, dashboards, and operational reports.
  • Present findings and recommendations to leadership.
  • Deliver training on payer requirements and billing readiness standards.
  • Collaborate with clinical, operational, and billing teams to improve workflows.

Skills

Excel proficiency
Data analysis
Analytical thinking
Process improvement
Independent judgment

Education

Bachelor's degree in Healthcare Administration or related field

Tools

IRIS
Avatar
Power BI

Job description

Clarvida is seeking a Revenue Cycle Operations Analyst in California (Remote/Hybrid) to optimize front-end revenue cycle performance across programs. You will serve as a subject matter expert on eligibility verification, payer requirements, and billing readiness while collaborating with operational, clinical, and leadership teams.

The role emphasizes data-driven decision making, process improvement, and reducing billing and compliance risks, with opportunities to design KPIs and dashboards for

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