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Revenue Cycle Integrity Analyst

Community Medical Center
  • Fresno, CA
    6 days ago

    Job Description

    Overview

    Opportunities for you!

    • Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek
    • Free Continuing Education and certification
    • Tuition reimbursement, education programs and scholarships
    • Vacation time starts building on Day 1, and builds with your seniority
    • Free money toward retirement with a 403(b) and matching contributions
    • Great food options with on-demand ordering
    • Free parking and electric charging

    Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.

    We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page.

    Responsibilities

    Patient Access Management: Responsible for designing, developing, validating and delivering curricula and/or workflows pertaining to various systems and support learning through in house and online learning for CMC staff using the systems that support management of processes, such as registration, scheduling, document management, Epic and cash collection. Responsible for assessing on-going competency, using learning tools and methodologies. Responsible for resolving system and registration related billing errors in Epic.

    Revenue Cycle Training: Responsible for providing training support for all aspects of the revenue cycle work processes including many of the supporting systems. Designing, developing, validating and delivering curricula for end user training, including a comprehensive custom Revenue Cycle Department on-boarding programming and on-going revenue education, competency and quality assessments, to accomplish continuing revenue professional development for all Revenue Cycle staff: UM, Admitting, PFS, Revenue Management, Patient Access, Pre-Arrival and Denials Recovery.

    Role Responsibilities & Day-to-Day

    • Scope: Supports the entire organization end-to-end from front-end (registration/patient access) to back-end (billing/AR/compliance).
    • Core Tasks:
    • Reviewing accounts, monitoring AR days, and analyzing quality assurance / productivity metrics.
    • Investigating process or system hiccups when spikes occur in AR days or billing.
    • Collaborating closely with clinical and revenue cycle operations.
    • Acting as a liaison to IT for upgrades, maintenance, and support items (payers, plans, charges).
    • Participating in projects as a resource, handling documentation, workflow testing, and education.

    Scheduling / Hours: Generally, Monday through Friday, 8:00 AM to 5:00 PM (with schedule flexibility depending on project needs and IT support).

    Qualifications

    Education:

    • Bachelor''s degree in Accounting, Business Administration or related field and two (2) years of experience in healthcare.
    • Five (5) years of experience in Revenue Cycle Management, such as Patient Access, Health Information Management or Patient Financial Services may be substituted in lieu of education and experience.

    Experienc:

    • 2 years of experience in healthcare required

    • EPIC Revenue Cycle proficiency and/or credentialed/certification preferred

    • Experience working with formal methodology such as Continuous Improvement, Lean, Six Sigma, or Business Process Management preferred

    Disclaimers

    • Pay ranges listed are an estimate and subject to change.• If any bonuses are noted, they are only applicable to external hires meeting criteria.

    Numbers & Facts

    LocationFresno, CA

    Skills

    • Accountingunmatched
    • Accounts Receivableunmatched
    • Billingunmatched
    • Business Administrationunmatched
    • Business Process Managementunmatched
    • Continuous Improvementunmatched
    • Customer Support/Serviceunmatched
    • Diversityunmatched
    • Document Managementunmatched
    • Documentationunmatched
    • Educational Testingunmatched
    • Epic Cadence (Scheduling)unmatched
    • Financial Servicesunmatched
    • Health Information Managementunmatched
    • Healthcareunmatched
    • Lean Six Sigmaunmatched
    • Medical Recordsunmatched
    • Onboardingunmatched
    • Patient Care Denialsunmatched
    • Process Managementunmatched
    • Quality Metricsunmatched
    • Quality of Careunmatched
    • Revenue Analysisunmatched
    • Revenue Managementunmatched
    • Scholarshipunmatched
    • Systems Administration/Managementunmatched
    • Technical Trainingunmatched
    • Training/Teachingunmatched
    • Training/Teaching Curriculumunmatched
    • Tuition Reimbursementunmatched
    • User Interface/Experience (UI/UX)unmatched
    • eLearningunmatched

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