RUHS Revenue Cycle Analyst II - Finance And Business at County of Riverside in Riverside, California

Job Description:

ABOUT THE POSITION

The County of Riverside's Finance and Business Unit at Riverside University Health System's Public Health Department seeks a Revenue Cycle Analyst II to join our team in Riverside.

This position is responsible for reviewing reports to ensure accuracy and completeness, analyzing data to interpret trends and provide insights that drive decision-making, and compiling and presenting findings clearly and concisely to stakeholders and team members. Additionally, the role involves close collaboration with the HUB Operations Director and Supervising Clinician to coordinate activities, share insights, and support strategic initiatives.

Desired Qualifications:

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  Proficiency in EPIC: Experience with the EPIC electronic health record system and familiarity with CPT codes is essential.


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  Excel Expertise: Advanced skills in Microsoft Excel for data analysis and reporting.


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  Interpersonal Skills: Strong ability to communicate effectively and collaborate with diverse teams.


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  Analytical Skills: Excellent problem-solving abilities and a keen attention to detail.


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  Project Management: Demonstrated experience in managing projects efficiently and effectively.


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  Organizational Skills: Highly organized with the ability to manage multiple priorities and deadlines.

Schedule:
9/80 Day Shift (Possibility for hybrid schedule after training is complete)

Meet the Team!
RUHS Public Health Website

EXAMPLES OF ESSENTIAL DUTIES

• Provide internal technical subject matter expertise; coordinate revenue and recovery unit activities with other units within the department.
• Assist in the department's implementation and oversight of revenue cycle compliance activities relating, but not limited, to: account/service assignment; authorizations; chart documentation; billing; charge entry and reconciliation; contingency planning; supply management; and contract reimbursement.
• Develop and recommend policies and procedural improvements to standardize a comprehensive revenue cycle workflow.
• Assist in developing dashboards and reports with key performance indicators and metrics to support RUHS achieve optimal revenue cycle results; assist revenue cycle managers and staff in developing strategies to improve revenue cycle statistics, reporting capabilities, and overall revenue performance.
• Provide consultation to staff on difficult revenue recovery cases; review and resolve delinquent accounts, billable and unbillable claims, charges, and credit balance accounts; evaluate the accuracy of third party payments.
• Develop, review, analyze, and audit reports relating to revenue cycle processes in order to identify variances and areas of improvement.
• Analyze and interpret existing, new, and proposed state and federal legislation and its potential impact on revenue cycle areas (e.g., billing, claims, and financial reporting).
• Collaborate with team members in the development, implementation, and improvement of internal controls needed to assure and maintain sound billing practices; monitor and maintain a consistent and accurate Charge Description Master that is compliant with regulatory agencies.
• May provide input for legislative analysis on matters related to revenue and recovery work; may perform recovery activities on sensitive or unusual cases.
• Respond to complaints and inquiries for confidential information; may participate in and make recommendations for the selection of new staff.
• Provide initial and ongoing training to staff, as needed; provide input and/or documentation pertaining to employee performance evaluations and/or recommend disciplinary action, while serving in a lead capacity, as assigned by the immediate supervisor.
• Prepare a variety of narrative and statistical reports; may allocate special funds; perform special projects as assigned.

MINIMUM QUALIFICATIONS

Education: Graduation from high school or attainment of a satisfactory score on a G.E.D. test.

Experience: Four years in the performance of collections activities, including gathering financial information, applying skip-tracing techniques, determining and scheduling payments, and determining legal action to be taken on delinquent accounts. In addition to the required experience, one year working in a lead capacity is highly desired. (Education from an accredited college or university with major coursework in business administration or a related field to the assignment may substitute for up to two years of the required experience on the basis of 30 semester or 45 quarter units equaling one year of experience.)

SUPPLEMENTAL INFORMATION
For questions regarding this recruitment please contact the recruiter, Jill Eastman at JEastman@rivco.org

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APPLICATION INFORMATION

Veteran's Preference
The County has a Veterans Preference Policy applicable to new hires. To qualify, upload a copy of your (or your spouse's) Member-4 Form DD-214 indicating dates of service, and a copy of your spouse's letter of disability (if applicable) with your application. For privacy reasons, it is recommended that you remove your social security information from the document(s). A Human Resources Representative will review the materials and determine if you qualify for veterans' preference.The Veterans Preference Policy, C-3 is available here: https://rivcocob.org/board-policies

Reasonable Accommodations
The County of Riverside is committed to providing reasonable accommodation to applicants as required by the Americans with Disabilities Act (ADA) and Fair Employment and Housing Act (FEHA). Qualified individuals with disabilities who need a reasonable accommodation during the application or selection process should contact the recruiter for the position noted above. For additional information and/or to obtain the appropriate form for requesting a reasonable accommodation, please visit the Disability Access Office web page located at: https://rc-hr.com/disability

Proof of Education
If using education to qualify or when requested by the recruiter, upload a copy of any license(s), official/unofficial transcript(s), degrees, and/or related employment documents to your NeoGov account at the time of application and before the closing date. Official or unofficial transcripts will be accepted.

If your education was completed outside of the United States, you will need to provide a copy of your Foreign Education Equivalency evaluation from a member of the National Association of Credential Evaluation Services ( NACES ) or Association of International Credential Evaluators, Inc. ( AICE ).

Equal Opportunity Employer
The County of Riverside is an Equal Opportunity Employer. It is the policy of the County of Riverside to provide equal employment opportunities for all qualified persons. All applicants will be considered without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender, gender identity, gender expression, marital status, ancestry, medical condition (cancer and genetic characteristics), genetic information, or denial of medical and family care leave, or any other non-job-related factors.

Pre-Employment
All employment offers are contingent upon successful completion of pre-employment requirements including a criminal background investigation, which involves fingerprinting. (A felony or misdemeanor conviction may disqualify the applicant from County employment). A pre-employment physical examination and background check may be required.

Probationary Period
As an Approved Local Merit System, all County of Riverside employees, except those serving "At Will," are subject to the probationary period provisions as specified in the applicable Memorandum of Understanding, County Resolution, or Salary Ordinance. Temporary and Per Diem employees serve at the pleasure of the agency/department head.

General Information
Current County of Riverside and/or current employees of the hiring department may receive priority consideration. Qualified candidates may be considered for future County vacancies.

Job postings may close without notice based on application volume. Submit your complete application by the recruitment close date; no late applications are accepted. Ensure all relevant experience/education is reflected on your application/resume, as a failure to demonstrate position requirements may disqualify applicants. A description of job duties directly copied from the job classification or job posting will not be considered.

Please read and follow any special application instructions on this posting. Click the 'Apply' link located on this page to submit your application. For additional instructions on the application process, examinations, Veteran's preference, pre-employment accommodation or other employment questions, please refer to our web site, www.rc-hr.com .

If you are experiencing technical problems, you may contact the governmentjobs.com applicant support desk Monday through Friday, 6 am to 5 pm Pacific Time at support@governmentjobs.com or toll-free 1-855-524-5627.

MEDICAL/DENTAL/VISION INSURANCE: A choice of different medical, dental and visions plan are available to elect. The County provides a Flexible Benefit Credit contribution as governed by the applicable SEIU Memorandum of Understanding to contribute towards the cost of these plans.

Note: Employees on assignment through the Temporary Assignment Program (TAP) receive different benefits. See the list here .
MISCELLANEOUS RETIREMENT: County of Riverside has three retirement Tiers through the California Public Employees' Retirement System (CalPERS).

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  Tier I (Classic Member - Formula 3% @ 60): Applicable to current and former County of Riverside local miscellaneous employees hired prior to 08/24/2012 and did not withdraw CalPERS contributions. The employee contribution is eight (8%) percent.


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  Tier II (Classic Member - Formula 2% @ 60): Applicable to local miscellaneous employees 1) hired after 08/23/2012 through 12/31/2012; 2) Previously employed with another CalPERS contracting public agency or a reciprocal retirement system, with a break in service of less than six months between the separation date with the previous employer and the appointment date with the County of Riverside. The employee contribution is seven (7%) percent.


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  Tier III (PEPRA New Member - Formula 2% @ 62): Applicable to CalPERS local miscellaneous new members hired on or after the implementation of the Public Employees' Pension Reform Act of 2013 (PEPRA) which took effect January 1, 2013. Effective July 1, 2023 employee contributions are 7.25% and will increase to 7.75% effective July 1, 2024.
  

A new member is defined as any of the following:

A new hire who enters CalPERS membership for the first time on or after January 1, 2013, and who has no prior membership in any California Public Retirement System.

A new hire who enters CalPERS membership for the first time on or after January 1, 2013, and who was a member with another California Public Retirement System prior to that date, but who is not subject to reciprocity upon joining CalPERS.

A member who first established CalPERS membership prior to January 1, 2013, and who is rehired by a different CalPERS agency after a break in service of greater than six (6) months.

CalPERS refers to all members that do not fit within the definition of a new member as "classic members".

Contribution rates are subject to change based on the County of Riverside annual actuarial valuation.

Note:

This summary is for general information purposes only. Additional questions regarding retirement formulas can be sent to retirement@rivco.org or by calling the Benefits Information Line at (951) 955-4981,
Option 2.

If you have prior service credit with another CalPERS agency or within agencies, please contact CalPERS at (888) 225-7377 to determine which retirement tier would be applicable to you. CalPERS is governed by the Public Employees' Retirement Law. The Retirement Law is complex and subject to change. If there's any conflict between this summary and the law, the law will prevail over this summary.
DEFERRED COMPENSATION: Voluntary employee contribution with a choice between two 457 deferred compensation plan options.

VACATION ACCRUAL (Bi-Weekly Accrual):

0< 3 year = 80 Hours (10 Days)

4< 9 years = 120 Hours (15 Days)

10 or more years = 160 Hours (20 Days)

Maximum Vacation leave accumulation is 480 hours.

SICK LEAVE: Four (4) hours Sick Leave accrual per pay period with unlimited accrual.

HOLIDAYS: Normally 12 paid holidays per year.

BEREAVEMENT LEAVE: Allowed 5 days (3 days are County paid; 2 additional days can be taken from accrued Sick Leave balance).

BASIC LIFE INSURANCE: Equal to one times annual base salary not to exceed $50,000 of term life coverage. Premiums are paid by the County. Additional Supplemental Life plan is available for employee purchase.

DISABILITY: Short-term Disability benefit pays up to a maximum of $461.54 weekly, payable up to a maximum of 52 weeks.

POST RETIREMENT MEDICAL CONTRIBUTION: A monthly contribution is made by the County towards retiree health insurance offered through the County as governed by the applicable SEIU Memorandum of Understanding.

OTHER: There may be other benefit provisions as specified in the applicable Memorandum of Understanding. Please contact the recruiter listed on the job posting directly for more information.

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