Billing and Denials Analyst

sarahbush; United States; On-site; USD 30,000 - 46,000; Full time

Job summary

sarahbush is seeking a Billing and Denials Analyst to monitor and analyze billing trends, denial rates, and reimbursement performance across clinics. The role requires collecting data, tracking key metrics, and surfacing insights that drive revenue integrity and timely filing.

You will collaborate with the Revenue Cycle team to interpret denials and identify root causes, then translate findings into actionable steps.

Qualifications

• High School Diploma required.
• Full-time role with 40 hours/week.

Responsibilities

• Assists with all special projects and other duties as assigned.
• Communicates denial trends and process opportunities to the Revenue Cycle Denials/Billing Team.
• Develops reporting tools that effectively measure and monitor processes in the denials management process 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.
• 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.

Education

High School Diploma

Job description

Internal Employees: Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding.

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.

Responsibilities

• 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)

Job Details

Department: Practice Management

Hours: Full time, 40 hours/week

Required: High School Diploma

Pay: Based on experience, starting at $21.62

Compensation

Estimated Compensation Range $21.62 - $33.51 Pay based on experience