Healthcare Billing Analyst — Denials & Analytics Lead

Baptistfirst; Montgomery (AL); Hybrid; USD 55,000 - 70,000; Full time

Job summary

Baptist Health is seeking a Billing Coordinator to manage the billing system for the Central Business Office and Physician Business Office, ensuring claims are billed accurately and timely according to payer and regulatory requirements.

The role involves analyzing accounts receivable, payer denials, and trends, providing QA to leadership, and preparing analyses and reports on key hospital and provider-based billing KPIs; collaboration with IT for system upgrades and enrollments.

Qualifications

• High School diploma or equivalent required; degree preferred.
• Minimum 5 years hospital business office experience.
• Knowledge of payer, governmental, and provider-based billing requirements.

Responsibilities

• Manage the billing system for Central and Physician Business Office.
• Review and create edits; analyze accounts receivable, payer rejections, and denials.
• Provide QA to leadership and develop training/job aids.

Skills

Payer regulatory knowledge

Billing system experience

Strong analytical skills

Communication skills

Deadline driven

Education

High School diploma or equivalent

Bachelor's degree preferred

Tools

MS Office

Billing system software

EDI / ERA

ICD-9 / ICD-10 / CPT coding

Job description

Baptist Health is seeking a Billing Coordinator to manage the billing system for the Central Business Office and Physician Business Office, ensuring claims are billed accurately and timely according to payer and regulatory requirements.

The role involves analyzing accounts receivable, payer denials, and trends, providing QA to leadership, and preparing analyses and reports on key hospital and provider-based billing KPIs; collaboration with IT for system upgrades and enrollments.