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Cascadia Healthcare

Skilled nursing and healthcare facility development

Revenue Cycle Support Analyst

Full-TimeUpdated on 10/23/2026
$75.3k - $88k/yr
Mid
Portland, OR, USA
In PersonAdministrative-office work in Portland; travel to multiple locations throughout the Portland Metro area is required.
Medical, Clinical & VeterinaryClinical Support & Patient Administration

About the job

Requirements
  • A minimum of three years supporting or using an electronic health record billing system in healthcare.
  • Knowledge of healthcare regulations, including HIPAA, 42 CFR, Medicare, Medicaid, PPO, and HMO requirements.
  • Knowledge of professional standards, ethical conduct, and accountability expectations in a healthcare environment.
  • Understanding of principles related to person-centered care, safety, and well-being.
  • Ability to work proactively and effectively in a team as well as independently.
  • Strong organizational skills with the ability to prioritize and manage multiple competing demands.
  • Analytical and problem-solving skills, including data analysis and process improvement.
  • Ability to maintain confidentiality and communicate technical information to non-technical audiences.
  • Ability to operate computer hardware and software at a level needed to effectively perform job functions.
  • Ability to travel to multiple locations throughout the Portland Metro area.
  • Ability to perform CPR and properly use AED equipment; certification must remain current. BLS certification training is provided within the first 60 days for client-facing staff, and CPR certification training is provided within 120 days for all other staff.
  • Required credentials, licenses, certifications, and registrations must remain active and in good standing as a condition of employment.
Responsibilities
  • Analyze complex business processes, workflows, data flows, system requirements, resource needs, and feasibility in collaboration with finance leadership and other stakeholders.
  • Design, develop, configure, and implement billing information system solutions and complex electronic health record modules to optimize operational efficiency and maximize use of health information systems.
  • Coordinate with outsourced billing agencies, internal billing staff, clinical teams, vendors, and other stakeholders to support billing operations and system effectiveness.
  • Maintain billing information systems by providing advanced support, troubleshooting system issues, and partnering with electronic health record vendors to ensure optimal performance.
  • Lead system integration, configuration, testing, and implementation activities, including oversight of user acceptance testing and post-implementation feedback processes.
  • Develop, maintain, and document system processes, procedures, and training materials; train staff on advanced electronic health record functionality and best practices.
  • Manage user access by creating, modifying, and removing system accounts in accordance with organizational policies.
  • Support data integrity initiatives through data review, correction, validation, imports, and ongoing reporting improvement efforts.
  • Configure provider records to ensure credential information is accurately transmitted to the billing clearinghouse.
  • Manage and coordinate required federal, state, and county reporting activities.
  • Represent Cascadia Health on stakeholder committees, vendor user groups, and other forums related to electronic health record and billing systems.
  • Serve as the primary subject matter expert for billing system modules, clinical staff credentialing configuration, and charge routing design and maintenance, ensuring accurate translation of clinical services into billing workflows and claims processing.
  • Comply with and implement regulations, policies, and procedures under which the department and program operate.
  • Assist in crisis situations as appropriate, following emergency protocols and procedures.
  • Understand fire regulations and evacuation procedures; participate in regular safety drills in compliance with department policies and procedures.
  • Document and maintain records in a manner that ensures compliance with agency policies and procedures and local, state, and federal regulations.
  • Adhere to mandatory abuse reporting laws, HIPAA, and 42 CFR requirements.
  • Complete annual employee training requirements on a timely basis.
  • Participate in all scheduled staff meetings, supervision sessions, and other departmental and agency meetings.
  • Perform other duties as assigned.
Desired Qualifications
  • Certification in one or more of the following: Epic, OCHIN Epic, or Financial Reporting.
  • Experience with OCHIN Epic, MMIS, or Freshservice Support Management.
  • Behavioral Health, Primary Care, CCBHC, or FQHC billing experience.

About the company

Cascadia Healthcare operates in skilled nursing and healthcare real estate development. It runs skilled nursing facilities to deliver patient care and also develops healthcare facilities as part of its real estate activities, generating revenue from both services and property operations. Its care model centers on providing high-quality nursing services within healthcare facilities, supported by ongoing training and an employee-centric, family-valued culture. The company emphasizes collaboration, frequent team discussions, and partnerships to monitor and improve care quality, with regional focus on the areas it serves. Cascadia’s goal is to deliver quality patient care while growing its network of healthcare facilities through honest hard work and strong partnerships.

Company Size

201-500

Company Stage

Debt Financing

Total Funding

$42.3M

Headquarters

Eagle, Idaho

Founded

2015

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Simplify's Take

What believers are saying

  • Sabra expects Cascadia's 22-property takeover to close in second-half 2026, expanding revenue.
  • Avamere's exit lets Cascadia absorb facilities with existing staffing and resident demand.
  • Cascadia says it will retain staff and keep specialty care unchanged across Oregon and Washington.

What critics are saying

  • Multnomah County filed a $51.01 million wrongful-death suit against Cascadia on July 20, 2026.
  • Oregon inspectors cited Creekside in May 2026 for three deficiencies, including unsafe resident care.
  • Avamere's 129-worker layoffs accompany 26 property transitions, signaling churn and integration pressure through late 2026.

What makes Cascadia Healthcare unique

  • Cascadia's Pacific Northwest footprint spans 61-plus long-term care facilities across five states.
  • Sabra's 2026 transition adds 22 Avamere properties, accelerating regional density fast.
  • White Oak's $42.3 million facility financed growth and working capital in August 2022.

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Benefits

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Paid Vacation
  • 401(k) Retirement Plan
  • Life Insurance
  • Disability Insurance
  • Pet Insurance
  • Professional Development Budget
  • Flexible Work Hours

Growth & Insights and Company News

6 month growth

19%

1 year growth

22%

2 year growth

22%
American Health Care Association / National Center for Assisted Living
Aug 7th, 2023
2023 Gold National Quality Awards Announced

Washington, D.C. - Two Cascadia Healthcare skilled nursing care and rehabilitation centers in Idaho have been recognized with the 2023 Gold - Excellence in Quality award for superior performance in quality care by the American Health Care Association and National Center for Assisted Living (AHCA/NCAL).

Business Wire
Sep 1st, 2022
White Oak Healthcare Finance Provides Financing to Cascadia Healthcare

White Oak Healthcare Finance LLC (“White Oak” or “WOHCF”) acted as sole lender and administrative agent on the funding of a $42.3 million asset-based