Revenue Cycle Analyst II (Billing Specialist) - County of Riverside
Moreno Valley, CA 92551
About the Job
The County of Riverside University Health System (RUHS) Medical Center has an opportunity for a Revenue Cycle Analyst II (Billing Specialist) position in Moreno Valley. The incumbent must be d etail and goal orientated, possess strong verbal and written communication skills. Under general supervision, the incumbent will perform the more complex and sensitive revenue recovery work at Riverside University Health System (RUHS); provide administrative and technical support to RUHS' revenue cycle programs and functional areas; may act in a lead capacity over other revenue and recovery and patient accounting staff; and perform other related duties as required.
The Revenue Cycle Analyst II is the journey level classification in the Revenue Cycle Analyst series and reports to a supervisory or manager level position. This class is characterized by serving in a technical advisory role and by the responsibility for the analysis and review of revenue sources to ensure all health services are captured and billed appropriately. Incumbents conduct analytical studies, develop reports to support RUHS' revenue cycle goals, and are responsible for reviewing the work of a revenue and recovery unit engaged in the collection of current and delinquent accounts.
Work schedule:9/80, Monday through Friday, with rotating Friday off
Meet the Team!
The Riverside University Health System is here for you when you or someone you love is in need of help to achieve and maintain a life of whole health wellness and recovery. Can you see yourself here?
EXAMPLES OF ESSENTIAL DUTIES
• Provide ongoing training for Billing and Follow-up practices - Specifically related to Hospital Billing and Collections Run and review Aging reports for outstanding Accounts Receivables.
• Provide resolution for complicated accounts.
• Streamline billing and follow-up workflows.
• Evaluation of employee work performance.
• 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 billing and 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.
Competitive candidates will possess experience utilizing the Epic patient accounting system, a vast understanding of Center of Medicaid Services (CMS) guidelines, and Medicare Part A and B billing and follow-up expertise.
Bilingual:Spanish speaking is preferred, but not required.
Knowledge of:Office management practices and procedures; principles, methods, and techniques used in revenue and recovery work; investigation procedures necessary in collecting delinquent accounts; laws, rules, regulations, and codes pertaining to the legal collection of funds; financial recordkeeping and billing procedures; sources of information used in checking financial conditions, assets, and responsibility; basic rules of evidence and court procedures.
Ability to:Generate and interpret Epic patient accounting system and Clearing House reports; understand and interpret the principles, laws, and legal procedures involved in collections work; gather, analyze, and evaluate data in order to draw logical conclusions and to adopt an effective course of action; establish and maintain records and accounts; prepare clear and concise statistical and narrative reports; communicate effectively under stressful conditions with people from a variety of social, cultural, and economic backgrounds; establish and maintain effective working relationships.
SUPPLEMENTAL INFORMATION
Condition of Employment
In accordance with the California Department of Public Health Order dated August 5, 2021, and amended December 22, 2021, health care facility workers who work in indoor settings where care is provided to patients or where patients have access for any purpose must be vaccinated against COVID-19 as follows: first dose of a one-dose regimen or second dose of a two-dose regimen, by September 30, 2021. Effective March 1, 2022, all healthcare facility workers must have their booster, obtain the booster within 15 days of becoming eligible for one, or a declination form on file for the booster. Consideration may be given to candidates who are in the process of completing their vaccination regimen.
The Order allows for workers to be exempt from the vaccination requirements by providing the facility with a declination form signed by the individual stating either of the following: (1) the worker is declining vaccination based on Religious Beliefs; or (2) the worker is excused from receiving any COVID-19 vaccine due to Qualifying Medical Reasons. Workers who are exempted from the vaccination requirements must observe all other infection control requirements, including face coverings and regular COVID testing at the frequency required by their work site.
A requirement of employment is to provide proof of COVID-19 vaccination, or a completed COVID-19 Vaccination Declination form (filled out by the candidate and their medical provider as appropriate), during the pre-employment process. Failure to submit the required documentation may render a candidate ineligible to move forward in the process.
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: http://dao.rc-hr.com/.
What's Next?
This recruitment is open to all applicants. Applicants who are current County of Riverside employees and/or current employees of the Riverside University Health System employees may be considered first.
Upload a copy of your degree or transcripts as an attachment to your Government Jobs account at the time of application. Competitive experience/education must be reflected on your application/resume.
Qualified applicants may be considered for future vacancies throughout the County. Based on the number of applications received, this posting may close without notice.
For more information regarding the position, please contact the recruiter Letisia Jimenez at (951) 955-5787 or via email at ltjimenez@rivco.org.
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).
- 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.
- 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.
- 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. As of July 1, 2020, the employee contribution is 7.25% and subject to change annually.
A new member is defined as any of the following:
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.