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Open nowPosted 16 days ago

Billing and Denials Analyst

Sarah Bush Lincoln241 open roles

Pay
$22 – $34 an hour
Where
Prairie Pavilion 1
Work mode
Remote
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Your applicationOpen nowBilling and Denials AnalystSarah Bush Lincoln · Prairie Pavilion 1

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The clock on this job

Early applications get read.

13.3% of postings close within 7 days. Measured by our own scanner across the market. Sarah Bush Lincoln postings stay open a median of 27 days.

Share of postings closed within
  1. 2.1%1 day
  2. 4.6%3 days
  3. 13.3%7 days
  4. 21.3%14 days
  5. 35.7%30 days
  6. 59.1%60 days
This job: posted 16 days ago

Sarah Bush Lincoln median: 27 days open

The posting

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.

Department: Practice Management

Hours: Full time, 40 hours/week

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

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