Billing and Denials Analyst

Sarah Bush Lincoln

3d•$22 - $34

About The Position

The Billing and Denials Analyst monitors and analyzes billing trends, claim denials, rejection rates, and reimbursement performance. The role identifies denial patterns and root causes, evaluates opportunities to prevent and correct denials and recover revenue, and reviews denied claims to determine appropriate next steps, including rebilling, appeals, or other resolution. The analyst monitors denial-related financial performance and reports findings to leadership. The position develops and maintains dashboards, reports, and tracking tools to monitor billing and denial performance; prepares summaries and recommendations for leadership, revenue cycle committees, and clinic management; and compares performance across reporting periods and clinic locations to identify improvement opportunities. It also supports standardized workflows and best practices, helps develop corrective action plans for clinics with elevated denial rates, collaborates with providers and clinic and revenue-cycle staff, and serves as backup for the Credentialing Specialist and assists with credentialing projects as needed. This is a full-time position in the Practice Management department, scheduled for 40 hours per week. The stated estimated compensation range is $21.62–$33.51, with pay based on experience and a starting rate of $21.62.

Requirements

High school diploma or equivalent (required).

Responsibilities

Monitor and analyze billing trends, claim denials, rejection rates, and reimbursement performance.
Identify patterns and root causes of denials, including high-dollar denials, recurring trends, and claims at risk for timely filing.
Evaluate denial trends and identify opportunities for prevention, correction, rebilling, appeals, resolution, and revenue recovery.
Review denied claims and determine appropriate next steps.
Monitor denial-related financial performance and report findings to leadership.
Develop and maintain dashboards, reports, and tracking tools to measure billing and denial performance and support process improvement.
Prepare summaries and recommendations for leadership, revenue cycle committees, and clinic management.
Compare performance across reporting periods and clinic locations to identify improvement opportunities.
Develop recommendations for standardized workflows and best practices to prevent avoidable denials.
Assist with corrective action plans for clinics with elevated denial rates.
Collaborate with providers, clinic leaders, registration staff, prior authorization teams, and educators to address denial trends.
Communicate denial trends and process opportunities to the Revenue Cycle Denials/Billing Team.
Research denial data and coordinate denial recovery responsibilities.
Run and disseminate monthly denial reports to appropriate areas.
Serve as backup for the Credentialing Specialist and assist with credentialing projects as needed.
Understand and apply payer coverage, reimbursement, and medical policies.
Assist with special projects and perform other duties as assigned.