What does a senior billing analyst do?
Senior billing analyst responsibilities
Here are examples of responsibilities from real senior billing analyst resumes:
- Lead the requirement gathering effort from key customers for development of new JAVA applications and for troubleshooting customer issues.
- Range of knowledge in CPT, ICD-9, HCPCS codes and other billing standards.
- Forecast, prepare, and analyze cash flow, DSO, and bad debt reserve
- Monitor compliance to corporate financial and legal policies and (Sarbanes-Oxley law) SOX compliance.
- Maintain invoice files and supporting documentation as required for audits and in accordance with SOX requirements.
- Prepare certification of medical necessity and prior authorization forms for Medicaid reimbursement and follow through on appeals when applicable.
- Complete daily tally, communication logs, benefit updates, medical policy reviews and review policies and procedures using SharePoint applications.
- Upload invoices utilizing WAWF, GSA and MOCAS.
- Submit invoices via WAWF, EDI, customer websites, and email.
- Post payer denials and transfer A/R balance to the appropriate party as per payer EOB and/or appeal deny claim.
- Review medical records for CPT-4, ICD-9 and modifier accuracy, re-code as necessary.
- Review claim denials, EOB's and various reports/charts for accuracy and assist with development for product pricing and provider credentialing/contracting.
- Maintain accounting files and reconciliation reports for HMO contacts.
- Maintain all HMO billing for large contract medical group.
- Create process to reconcile gift card/credit card reconciliation after conversion to PeopleSoft including bringing reconciliation current.
Senior billing analyst skills and personality traits
We calculated that 7% of Senior Billing Analysts are proficient in Reconciliations, SQL, and Financial Reports. They’re also known for soft skills such as Organizational skills, Math skills, and Communication skills.
We break down the percentage of Senior Billing Analysts that have these skills listed on their resume here:
- Reconciliations, 7%
Coordinated major projects and high volume reconciliations, reported to Finance Director daily.
- SQL, 7%
Created automated reporting for required functional areas using Precision.BI and Crystal Reports over SQL Server data warehouse.
- Financial Reports, 5%
Prepared and analyzed financial reports, maintained general ledger.
- Billing Issues, 5%
Processed and reviewed interim facility statements along with assisting collection center with billing issues.
- Process Improvement, 5%
Established process improvements which facilitated effective and efficient use of third party invoice processing system for management of billing function.
- Epic, 5%
Take patient co-pays and prior balance payments at time of service; record in Epic and issue receipts.
"reconciliations," "sql," and "financial reports" are among the most common skills that senior billing analysts use at work. You can find even more senior billing analyst responsibilities below, including:
Organizational skills. One of the key soft skills for a senior billing analyst to have is organizational skills. You can see how this relates to what senior billing analysts do because "financial clerks must be able to arrange files so they can find them quickly and efficiently." Additionally, a senior billing analyst resume shows how senior billing analysts use organizational skills: "received feedback on billing systems from the organizational heads, reviewing and implementing suggestions. "
Math skills. Another soft skill that's essential for fulfilling senior billing analyst duties is math skills. The role rewards competence in this skill because "the job duties of financial clerks includes calculating charges and updating financial records." According to a senior billing analyst resume, here's how senior billing analysts can utilize math skills in their job responsibilities: "coded documents according to company procedures, and checked figures, postings, and documents for data entry and mathematical accuracy"
Communication skills. This is an important skill for senior billing analysts to perform their duties. For an example of how senior billing analyst responsibilities depend on this skill, consider that "financial clerks should be able to explain policies and procedures to colleagues and customers." This excerpt from a resume also shows how vital it is to everyday roles and responsibilities of a senior billing analyst: "participated in significantly increasing efficiency by centralizing telecommunication billing procedures. ".
The three companies that hire the most senior billing analysts are:
- Ernst & Young60 senior billing analysts jobs
- Change Healthcare16 senior billing analysts jobs
- Guidehouse14 senior billing analysts jobs
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Compare different senior billing analysts
Senior billing analyst vs. Rater
The duties of a rater depend on one's line of work or industry of employment. Typically, it is their responsibility to rate products, services, or systems according to criteria or a set of standards, ensuring quality and compliance to regulations. There are also instances when a rater must maintain records of all transactions, assess documents, and report to managers or supervisors should there be any issues or concerns. Furthermore, a rater must also have an understanding of the task's objectives, including the company's policies and regulations.
While similarities exist, there are also some differences between senior billing analysts and rater. For instance, senior billing analyst responsibilities require skills such as "reconciliations," "sql," "financial reports," and "billing issues." Whereas a rater is skilled in "esl," "insurance policies," "informed consent," and "clinical trials." This is part of what separates the two careers.
The education levels that raters earn slightly differ from senior billing analysts. In particular, raters are 13.5% more likely to graduate with a Master's Degree than a senior billing analyst. Additionally, they're 3.0% more likely to earn a Doctoral Degree.Senior billing analyst vs. Biller
Billers are medical professionals who are responsible for translating health care services into medical claims to be submitted to insurance companies. These billers are required to obtain patient medical records and interpret them to determine the billable units and services. They must manage all aspects of the medical billing process and make necessary contacts with insurance payers or patients to ensure maximum reimbursements. Billers must also provide services that are associated with internal and external customer billing and payment processing operations.
Each career also uses different skills, according to real senior billing analyst resumes. While senior billing analyst responsibilities can utilize skills like "reconciliations," "sql," "financial reports," and "process improvement," billers use skills like "patients," "customer service," "medical billing," and "math."
Billers earn a lower average salary than senior billing analysts. But billers earn the highest pay in the manufacturing industry, with an average salary of $42,377. Additionally, senior billing analysts earn the highest salaries in the finance with average pay of $72,026 annually.Average education levels between the two professions vary. Billers tend to reach similar levels of education than senior billing analysts. In fact, they're 4.8% less likely to graduate with a Master's Degree and 3.0% less likely to earn a Doctoral Degree.Senior billing analyst vs. Medical insurance biller
A billing and insurance coordinator is responsible for coordinating with employees from different departments of an organization for billing and insurance processing purposes. Billing and insurance coordinators sort mail for distribution to appropriate personnel, performing administrative and clerical duties as needed, managing and releasing of invoices under the manager's supervision, and responding to employees' inquiries and concerns. A billing and insurance coordinator must be highly analytical, as well as have excellent knowledge of the insurance disciplines and processes to assist the employees with their payments and benefits.
Some important key differences between the two careers include a few of the skills necessary to fulfill the responsibilities of each. Some examples from senior billing analyst resumes include skills like "reconciliations," "sql," "financial reports," and "process improvement," whereas a medical insurance biller is more likely to list skills in "patients," "medical terminology," "appeals," and "home health. "
Most medical insurance billers achieve a lower degree level compared to senior billing analysts. For example, they're 6.4% less likely to graduate with a Master's Degree, and 0.5% less likely to earn a Doctoral Degree.Senior billing analyst vs. Billing and insurance coordinator
Types of senior billing analyst
Updated January 8, 2025
