Revenue Integrity & Denials Analyst

Mary Free Bed Rehabilitation Hospital; Grand Rapids (MI); On-site; USD 60,000 - 78,000; Full time

Benefits offered by this job

Focus on Patient Care

Clinical Variety and Challenge

Family Culture

Trust in Each Other

A Proud Tradition

Job summary

The Billing & Denial Prevention Analyst at Mary Free Bed Rehabilitation Hospital plays a critical role in ensuring accurate, timely, and compliant billing for inpatient and outpatient services. This position requires deep knowledge of payer regulations and billing practices to optimize reimbursement.

You will monitor denials, coordinate with Access and Patient Services to support cash flow and patient financial engagement, and collaborate with teams to resolve claim issues and reduce denial

Responsibilities

• Submits accurate and timely insurance claims using billing software, ensuring compliance with payer regulations and maximizing reimbursement.
• Monitors and follows up on unpaid claims, interpreting denial reasons, identifying root causes, and navigating the appeals process with appropriate documentation.
• Processes insurance rejections and requests for additional information to expedite resolution and payment.
• Analyses denial trends to identify systemic issues and recommend process improvements to leadership.
• Prepares and submits rationales for claim reconsideration requests to improve overturn rates and strengthen cash flow.
• Tracks and reports denial activity in centralized systems to support data-driven decision-making.
• Ensures adherence to HIPAA and all payer/governmental regulations to protect patient privacy and organizational compliance.
• Reviews clinician notes and clinical documentation for completeness and accuracy to support compliant billing and minimize audit risk.
• Researches and communicates changes in billing regulations to leadership, ensuring ongoing compliance and reducing denial exposure.
• Supports patients by explaining balances, offering payment options, and connecting them with financial assistance programs.
• Engages with patients on outstanding balances prior to collections, promoting transparency and reducing bad debt risk.
• Responds to patient inquiries via phone and email with professionalism and empathy.
• Partners with Access and Patient Services teams to identify training needs and improve front-end billing accuracy.
• Collaborates across Revenue Cycle and clinical departments to resolve claim issues and enhance interdepartmental efficiency.
• Develops and maintains strategic relationships with key payers to reduce AR days and improve revenue cycle performance.
• Identifies workflow efficiencies and participate in process redesigns to support departmental financial goals.
• Contributes to team success by performing other duties as assigned.
• Demonstrate excellent customer service and standards of behaviors as well as encourages, coaches, and monitors the same in team members.
• Promote pati

Job description

The Billing & Denial Prevention Analyst at Mary Free Bed Rehabilitation Hospital plays a critical role in ensuring accurate, timely, and compliant billing for inpatient and outpatient services. This position requires deep knowledge of payer regulations and billing practices to optimize reimbursement.

You will monitor denials, coordinate with Access and Patient Services to support cash flow and patient financial engagement, and collaborate with teams to resolve claim issues and reduce denial