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Billing and Denials Analyst

Job Description

The Billing and Denials Analyst is responsible for analyzing billing performance, identifying trends and root causes of claim denials, and developing strategies to improve reimbursement and reduce preventable revenue loss.
The analyst uses financial reports, denial data, payer information, and electronic health record systems to monitor performance, identify opportunities for improvement, and support data-driven decisions that positively impact the organization's financial performance and patient experience

Department: Practice Management

Hours: Full time, 40 hours/week

Shift: 1st

Required: High School Diploma

Pay: Based on experience, starting at $21.62

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)

Compensation

Estimated Compensation Range

$21.62 - $33.51

Pay based on experience