Billing & Denial Analyst

**Join our Team** We are looking for a compassionate, caring and dedicated **Billing & Denial Analyst** to join our team and help us continue our tradition of excellence. **Benefits** We pride ourselves in retaining our top talent by offering work environments that support professional development and personal success. In addition to our robust healthcare and retirement plans, we offer: \- Flexible work schedules - Full time/part time/supplemental - Day/Eve/Night \- Onsite children's care centers (Infant through Pre-K) \- Tuition reimbursement \- Student Loan Repayment Program \- Payactiv-earned wage benefit-work today, get paid tomorrow \- Free access to fitness centers \- Career advancement opportunities **Job Overview** We are seeking a detail-oriented and results-driven Billing Credentialing Denial Analyst to join our team. This role involves working closely with our credentialing team to identify, analyze, and resolve claim denials. The ideal candidate will have a strong understanding of insurance follow-up procedures, excellent communication skills, and the ability to work independently. * **Denial Management:** * Review and analyze denied claims to identify root causes and potential solutions. * Research and interpret payer policies and procedures to ensure accurate claim submission. * Work closely with the credentialing team to resolve issues related to provider enrollment and credentialing. * Develop and implement strategies to reduce denial rates and improve claim reimbursement. * **Insurance Follow-Up:** * Timely follow-up on denied claims with insurance payers to expedite resolution. * Appeal denied claims as necessary, providing clear and concise documentation to support appeals. * Track and monitor the status of all denied claims, ensuring timely resolution. * **Data Analysis and Reporting:** * Analyze denial trends to identify patterns and opportunities for improvement. * Generate regular reports on denial rates, resolution times, and other key performance indicators. * Utilize data analysis tools to identify areas for process improvement and cost savings. * **Collaboration and Communication:** * Work collaboratively with the credentialing team, billing team, and other departments to ensure smooth operations. * Communicate effectively with insurance payers, providers, and other stakeholders. * Participate in meetings and provide updates on denial trends and resolution efforts. **Education and Experience** Completion of High School or GED required. Knowledge of health care billing and collection preferred. Understanding of insurance follow-up procedures required. **Salary and Compensation** We aim to offer a salary that reflects the experience you bring to our team. While the posted range shows the full potential for this role, most offers are made within a range that aligns with typical experience levels for similar positions. HRS M-F 7:00AM-3:30PM Medical Billing