Billing and Denials Analyst
About The Position
The Billing and Denials Analyst analyzes billing performance, identifies trends and root causes of claim denials, and develops strategies to improve reimbursement and reduce preventable revenue loss. The analyst uses financial reports, denial data, payer information, and electronic health record systems to monitor performance, identify opportunities for improvement, and support data-driven decisions that positively affect the organization’s financial performance and patient experience. Department: Practice Management. This is a full-time position scheduled for 40 hours per week on the first shift. The required education is a high school diploma. Compensation is based on experience, with an estimated range of $21.62 to $33.51 and a starting rate of $21.62.
Requirements
- High school diploma or equivalent.
Responsibilities
- Assist with special projects and other duties as assigned.
- Communicate denial trends and process opportunities to the Revenue Cycle Denials/Billing Team.
- Develop reporting tools to measure and monitor processes throughout denial management and support process improvement.
- Identify, analyze, and research frequent root causes of denials, and assist in developing corrective action plans to resolve them.
- Identify and pursue opportunities to improve denial performance and prevent future avoidable denials.
- Research and analyze 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.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
