Billing and Denials Analyst

10 Sarah Bush Lincoln Health Center; United States; Vor Ort; USD 30.000 - 46.000; Vollzeit

Benefits dieser Stelle

Tuition reimbursement

On-site training and courses

Zusammenfassung

Sarah Bush Lincoln Health Center in the United States is seeking a Billing and Denials Analyst to monitor billing trends, denial rates, and reimbursement performance. The role develops dashboards and reports, collaborates with clinics, and supports denial prevention initiatives.

Required: High School Diploma with experience in denials management; full-time, 40 hours per week. Compensation starts at $21.62 per hour, with a range reflecting experience.

Qualifikationen

• High School diploma required.
• Experience in denials management and revenue cycle is preferred.

Aufgaben

• Assists with special projects and other duties as assigned.
• Communicates denial trends and process opportunities to the Revenue Cycle Denials/Billing Team.
• Develops reporting tools to effectively measure and monitor processes in the denials management process.
• Identifies, analyzes and researches frequent root causes of denials and assists in the development of corrective action plans for resolution of denials.
• Identifies opportunities for improvement in denial performance to prevent future avoidable denials.
• Researches and analyzes denial data and coordinates denial recovery responsibilities.
• Runs and disseminates monthly denial reports to appropriate areas.
• Serves as backup for Credentialing Specialist and assists with credentialing projects as needed.
• Understands and applies payer coverage, reimbursement and medical policies.

Ausbildung

High School Diploma

Jobbeschreibung

Billing and Denials Analyst Job Description Monitor 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 rates Collaborate with providers, clinic leaders, registration staff, prior authorization teams, educators and address denial trends.

Department: Practice Management Hours: Full time, 40 hours/week Required: High School Diploma Pay: Based on experience, starting at $21.62

• Assists with all special projects and other duties as assigned.
• Communicate denial trends and process opportunities to the Revenue Cycle Denials/Billing Team.
• Develops reporting tools that effectively measure and monitor processes throughout the denials management process in order to support process improvement.
• Identifies, analyzes and researches frequent root causes of denials and assists in the development of corrective action plans for resolution of denials.
• Identifies and pursues opportunities for improvement in denial performance to prevent future avoidable denials.
• Identifies and pursues opportunities for improvement in denial performance to prevent future avoidable denials.
• Researches and analyzes denial data and coordinates denial recovery responsibilities.
• Runs and disseminates monthly denial reports to appropriate areas.
• Serves as backup for Credentialing Specialist and assists with credentialing projects as needed.
• Understands and applies payer coverage, reimbursement and medical policies.

Requirements High School (Required) Compensation Estimated Compensation Range $21.62 - $33.51 Pay based on experience

When you come to work for Sarah Bush Lincoln or Fayette County Hospital Long Term Care, you have our commitment to help make this the best work experience of your life. Career development is available through continuing education and on-site training, so come grow with us! We are striving to be the employer of choice in the area. Employees reap the benefit of our work culture which is steeped in professional and personal development programs.

• We have developed a solid benefit package to help retain our employees, while providing them opportunities to grow their careers.
• We support on-site classroom learning programs and internet courses, and we have a generous tuition reimbursement program-- all designed to help staff achieve their goals.