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Billing and Denials Analyst
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
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.
High School (Required)
Estimated Compensation Range
$21.62 - $33.51
Pay based on experience
Sarah Bush Lincoln is a prominent non-profit healthcare organization located in downstate Illinois. It operates a two-hospital system, consisting of Sarah Bush Lincoln based in Mattoon, IL which has 150 beds, and SBL Fayette County Hospital based in Vandalia, IL, with 25 beds. The healthcare system also operates more than 57 clinics spread across a 10-county area and stand-alone surgery centers in Mattoon and Effingham, regional cancer center and hospice house. Decisions are made locally which gives the Health System the agility to respond quickly to changing markets.
The organization employs nearly 3,500 people, including a medical staff of approximately 250 members. SBL is known for its contemporary facilities and commitment to providing advanced equipment and services for diagnosis and treatment. Sarah Bush Lincoln has an expanding robotics program, which showcases its dedication to adopting innovative technologies.
The staff at Sarah Bush Lincoln is highly engaged as reflected in the most recent Press Ganey Employee Engagement and Safety Survey. The organization is Magnet designated, which recognizes excellence in nursing. SBL supports career growth, which provides employees with various education funding opportunities.
Beyond its medical facilities, Sarah Bush Lincoln plays an integral role in the community. It actively participates in various activities that promote health, wellness, education, economic development, and housing. The involvement demonstrates the organization’s commitment to the overall well-being and development of the communities it serves.
