Billing and Denials Analyst

Sarah Bush Lincoln Health Systems; Mattoon (IL); On-site; USD 30,000 - 46,000; Full time

Job summary

Sarah Bush Lincoln Health Systems in Mattoon, IL seeks a Billing and Denials Analyst to monitor denial trends, analyze patterns, and support revenue cycle performance. This full-time role focuses on preventing avoidable denials and improving reimbursement outcomes.

You will develop dashboards, track key metrics, and collaborate with providers, registration staff, and leadership to implement corrective actions and standardized workflows.

Qualifications

• High School Diploma required; relevant experience preferred.
• Ability to monitor billing trends and denial rates.
• Experience with denials recovery and corrective actions helpful.

Responsibilities

• Monitor and analyze billing trends, denial rates, and reimbursement performance.
• Identify denial patterns and root causes; develop corrective action plans.
• Prepare dashboards and reports; present findings to leadership.
• Coordinate with clinics, providers, and revenue cycle teams on denial prevention.

Skills

Billing analysis

Root cause analysis

Denials monitoring

Revenue cycle reporting

Education

High School Diploma

Tools

Workday

Job description

Internal Employees: Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding.Billing and Denials AnalystJob DescriptionMonitor and analyze billing trends, claim denials, rejection rates, and reimbursement performance.Identify patterns and root causes of denials.Identify high-dollar denials, recurring denial trends, and claims at risk for timely filing.Evaluate denial trends to determine opportunities for prevention, correction, and recovery of revenue.Review denied claims, determine appropriate next steps, and identify opportunities for rebilling, appeals, or other resolution.Monitor denial-related financial performance and report findings to leadership.Develop and maintain dashboards, reports, and tracking tools to monitor billing and denial performance.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 the development of corrective action plans for clinics with elevated denial ratesCollaborate with providers, clinic leaders, registration staff, prior authorization teams, educators and address denial trends.Department: Practice ManagementHours: Full time, 40 hours/weekRequired: High School DiplomaPay: Based on experience, starting at $21.62ResponsibilitiesAssists with all special projectsand other duties as assigned., Communicate denial trendsand process opportunities tothe Revenue CycleDenials/Billing Team., Develops reporting tools thateffectively measure andmonitor processes throughoutthe denials managementprocess in order to supportprocess improvement., Identifies, analyzes andresearches frequent rootcauses of denials and assistsin the development ofcorrective action plans forresolution of denials., Identifies and pursuesopportunities for improvementin denial performance toprevent future avoidabledenials., Identifies and pursuesopportunities for improvementin denial performance toprevent future avoidabledenials., Researches and analyzesdenial data and coordinatesdenial recoveryresponsibilities., Runs and disseminatesmonthly denial reports toappropriate areas., Serves as backup forCredentialing Specialist andassists with credentialingprojects as needed., Understands and appliespayer coverage,reimbursement and medicalpolicies.RequirementsHigh School (Required)CompensationEstimated Compensation Range$21.62 - $33.51Pay based on experience