Payer Denials & Revenue Integrity Analyst

Bryan College Of Health Sciences; Lincoln (NE); On-site; USD 60,000 - 75,000; Full time

Job summary

Bryan College of Health Sciences is seeking a Billing Denials Analyst to monitor payer denials, variances and underpayments, ensuring system goals are met. You will analyze data, prepare routine reports, communicate findings, and identify root causes to drive revenue cycle improvements.

Key duties include preparing appeals, resolving disputes with payers, and advising on contract reimbursement and regulatory changes. Minimum of three years in hospital/professional insurance billing preferred.

Qualifications

• High school diploma or equivalent required; college coursework in accounting/insurance preferred.
• Minimum three years of insurance billing experience in hospital or professional setting.
• Knowledge of CPT/ICD-10 coding and third-party payer requirements.

Responsibilities

• Monitor payer denials, variances and underpayments; identify root causes.
• Prepare and analyze reports on third party payer activity; communicate findings.
• Complete appeals and manage payer communications to resolve issues.
• Advise on reimbursement contracts and regulatory changes impacting payments.
• Collaborate with Patient Financial Services and Finance to improve processes.

Skills

Analytical skills

Attention to detail

Communication skills

Time management

Education

High school diploma or equivalent

One year college coursework in accounting or insurance

Tools

CPT coding

ICD-10 coding

Revenue coding

DRG coding

APC coding

EAPG methodologies

Job description

Bryan College of Health Sciences is seeking a Billing Denials Analyst to monitor payer denials, variances and underpayments, ensuring system goals are met. You will analyze data, prepare routine reports, communicate findings, and identify root causes to drive revenue cycle improvements.

Key duties include preparing appeals, resolving disputes with payers, and advising on contract reimbursement and regulatory changes. Minimum of three years in hospital/professional insurance billing preferred.