About the Role
<p><strong>Billing Analyst </strong></p>
<p>Purpose of the Billing Analyst</p>
<p>Billing Analyst provides strategic oversight, quality control, and client-facing leadership for revenue cycle operations. While offshore billing teams execute day-to-day transactional billing tasks, the onshore analyst is responsible for accuracy, compliance, client satisfaction, escalation management, and overall financial performance of assigned accounts.</p>
<p>This role serves as the bridge between clients, payers, and offshore billing teams.</p>
<p><strong>Key Responsibilities – Higher-Level Functions</strong></p>
<p><em>Oversight & Quality Assurance of Offshore Billing Work</em></p>
<ul>
<li>Review offshore billing output for accuracy, compliance, and completeness prior to client or payer impact</li>
<li>Use Excel to analyze billing data using pivot tables and vlookups (required)</li>
<li>Perform regular quality audits of:
<ul>
<li>Claims submissions</li>
<li>Payment posting</li>
<li>Denial resolution</li>
<li>Appeals and rebilling</li>
</ul>
</li>
<li>Identify trends in offshore errors and provide corrective feedback and process improvements</li>
<li>Approve or return complex claims, denials, and appeals for rework</li>
</ul>
<p><em>Client-Facing Communication & Relationship Management</em></p>
<ul>
<li>Serve as the secondary billing point of contact for assigned clients</li>
<li>Attend client billing calls, and ad-hoc issue resolution meetings</li>
<li>Translate billing data into clear, client-friendly explanations</li>
<li>Address client concerns regarding denials and aging A/R</li>
</ul>
<p><em>Denial Strategy & Revenue Optimization</em></p>
<ul>
<li>Analyze denial trends and root causes across offshore teams</li>
<li>Provide guidance on appeal prioritization</li>
<li>Submission and review of claims for complex clients</li>
</ul>
<p>Training, Guidance & Process Improvement</p>
<ul>
<li>Train offshore teams on client-specific rules, payer nuances, updated workflows and policies</li>
<li>Support onboarding of new offshore staff</li>
</ul>
<p><strong>Onshore billing analysts provide:</strong></p>
<ul>
<li>Client trust and confidence</li>
<li>Financial and compliance accountability</li>
<li>Strategic oversight and decision-making</li>
<li>Clear communication and escalation ownership</li>
</ul>
<p>This role ensures that offshore efficiency is paired with onshore leadership, quality, and client satisfaction.</p>