Senior Billing Analyst (Remote)

Note: The essential duties and primary accountabilities below are intended to describe the general content of and requirements of this position and are not intended to be an exhaustive statement of duties. Incumbents may perform all or most of the primary accountabilities listed below. Specific tasks, responsibilities or competencies may be documented in the incumbent’s performance objectives as outlined by the incumbent’s immediate supervisor or manager.

Essential Functions:

• Manages invoicing activities, including verifying invoice accuracy, processing billing adjustments, resolving exceptions, and ensuring compliance with established billing processes.

• Leads and reviews the invoicing and data quality work of Billing Analysts, providing guidance and support to promote accuracy and consistency.

• Researches and resolves complex billing discrepancies and invoice issues by partnering with internal departments as needed.

• Creates and analyzes monthly billing and revenue cycle metrics for Revenue Cycle leadership, identifying trends and opportunities for improvement.

• Performs data analysis and prepares ad hoc reports to support business needs and operational initiatives.

• Maintains departmental invoicing procedures and related documentation to support consistent billing practices.

• Identifies opportunities to improve billing processes and supports the implementation of process and system enhancements.

• Provides input on system enhancements by maintaining an understanding of billing processes and user needs to improve system functionality and customer satisfaction.

• Participates in testing and validation of billing system changes and enhancements to ensure accurate billing results.

Supervisory and Managerial Responsibility

• This position does not have supervisory or managerial responsibilities but may lead and review the work of other departmental employees.

Knowledge, Skills & Abilities

Education, Licensure or Certification:

• High school diploma or equivalent required
• Associate’s or bachelor’s degree in business, accounting, healthcare, or equivalent experience is preferred.

Work Experience or Related Experience:

• 5 – 8+ years of progressive billing or revenue cycle experience
• Experience handling complex billing scenarios, system implementations, process improvements, root cause analysis, and cross-functional collaboration.
• Ability to mentor junior analysts and serve as a subject matter expert.
• Durable medical equipment, pharmacy, managed care or other pertinent health care services industry experience is preferred

Specialized Knowledge, Skills & Abilities:

• Must have excellent organization, planning and follow up skills
• Incumbents must be able to prioritize multiple tasks
• Strong analytical skills to review data, identify trends, correlate information, and provide a summary of findings
• Working knowledge of a PC, business and communications software (MS Office) and web-based tools are required
• Intermediate to advanced Excel skills to run, analyze and present data as described required
• A basic understanding of the operations of the durable medical equipment industry and hospice industry is preferred
• The ability to maintain confidentiality of patient information and follow standard operating procedures with regard to patient data to ensure compliance with HIPAA is required.