Billing & Denial Analyst

Deaconess Health System•Evansville, IN

6d•$19 - $27•Remote

About The Position

Join our Team We are looking for a compassionate, caring and dedicated Billing & Denial Analyst to join our team and help us continue our tradition of excellence. Job Overview We are seeking a detail-oriented and results-driven Billing Credentialing Denial Analyst to join our team. This role involves working closely with our credentialing team to identify, analyze, and resolve claim denials. The ideal candidate will have a strong understanding of insurance follow-up procedures, excellent communication skills, and the ability to work independently. Denial Management: Review and analyze denied claims to identify root causes and potential solutions. Research and interpret payer policies and procedures to ensure accurate claim submission. Work closely with the credentialing team to resolve issues related to provider enrollment and credentialing. Develop and implement strategies to reduce denial rates and improve claim reimbursement. Insurance Follow-Up: Timely follow-up on denied claims with insurance payers to expedite resolution. Appeal denied claims as necessary, providing clear and concise documentation to support appeals. Track and monitor the status of all denied claims, ensuring timely resolution. Data Analysis and Reporting: Analyze denial trends to identify patterns and opportunities for improvement. Generate regular reports on denial rates, resolution times, and other key performance indicators. Utilize data analysis tools to identify areas for process improvement and cost savings. Collaboration and Communication: Work collaboratively with the credentialing team, billing team, and other departments to ensure smooth operations. Communicate effectively with insurance payers, providers, and other stakeholders. Participate in meetings and provide updates on denial trends and resolution efforts.

Requirements

Completion of High School or GED required.
Knowledge of health care billing and collection preferred.
Understanding of insurance follow-up procedures required.

Responsibilities

Review and analyze denied claims to identify root causes and potential solutions.
Research and interpret payer policies and procedures to ensure accurate claim submission.
Work closely with the credentialing team to resolve issues related to provider enrollment and credentialing.
Develop and implement strategies to reduce denial rates and improve claim reimbursement.
Timely follow-up on denied claims with insurance payers to expedite resolution.
Appeal denied claims as necessary, providing clear and concise documentation to support appeals.
Track and monitor the status of all denied claims, ensuring timely resolution.
Analyze denial trends to identify patterns and opportunities for improvement.
Generate regular reports on denial rates, resolution times, and other key performance indicators.
Utilize data analysis tools to identify areas for process improvement and cost savings.
Work collaboratively with the credentialing team, billing team, and other departments to ensure smooth operations.
Communicate effectively with insurance payers, providers, and other stakeholders.
Participate in meetings and provide updates on denial trends and resolution efforts.