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Denial Analyst Jobs (NOW HIRING)

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Denial Specialist

Saint Louis, MO · Remote

$22.47/hr

Coordinate data collection, analysis, and reporting related to the denial process. * Monitor compliance and turnaround time (TAT) logs for all notifications. * Fax denial letters to providers. * Make ...

Westerkamp Group

PB Denial Specialist - EPIC

Lisle, IL

$18.50 - $23.75/hr

Key Responsibilities: - Identify, analyze, and trend common denial reasons (e.g., medical necessity ... lack of authorization, coding errors, timely filing, incorrect modifiers). - Develop and implement ...

Westerkamp Group

PB Denial Specialist - EPIC

LA · Remote

$19.25 - $24.50/hr

Key Responsibilities: - Identify, analyze, and trend common denial reasons (e.g., medical necessity ... lack of authorization, coding errors, timely filing, incorrect modifiers). - Develop and implement ...

Westerkamp Group

PB Denial Specialist - EPIC

TN · Remote

$19.25 - $24.50/hr

Key Responsibilities: - Identify, analyze, and trend common denial reasons (e.g., medical necessity ... lack of authorization, coding errors, timely filing, incorrect modifiers). - Develop and implement ...

Westerkamp Group

PB Denial Specialist - EPIC

TX · Remote

$19.25 - $24.50/hr

Key Responsibilities: - Identify, analyze, and trend common denial reasons (e.g., medical necessity ... lack of authorization, coding errors, timely filing, incorrect modifiers). - Develop and implement ...

Westerkamp Group

PB Denial Specialist - EPIC

KY · Remote

$19.25 - $24.50/hr

Key Responsibilities: - Identify, analyze, and trend common denial reasons (e.g., medical necessity ... lack of authorization, coding errors, timely filing, incorrect modifiers). - Develop and implement ...

Westerkamp Group

PB Denial Specialist - EPIC

GA · Remote

$19.25 - $24.50/hr

Key Responsibilities: - Identify, analyze, and trend common denial reasons (e.g., medical necessity ... lack of authorization, coding errors, timely filing, incorrect modifiers). - Develop and implement ...

Westerkamp Group

PB Denial Specialist - EPIC

AL · Remote

$19.25 - $24.50/hr

Key Responsibilities: - Identify, analyze, and trend common denial reasons (e.g., medical necessity ... lack of authorization, coding errors, timely filing, incorrect modifiers). - Develop and implement ...

Westerkamp Group, LLC

PB Denial Specialist - EPIC

Lisle, IL · On-site

$30.37 - $45.56/hr

Key Responsibilities: - Identify, analyze, and trend common denial reasons (e.g., medical necessity ... lack of authorization, coding errors, timely filing, incorrect modifiers). - Develop and implement ...

Valley Health Systems

Denial Coordinator

Holyoke, MA · On-site

$20.57 - $30.69/hr

Reviews all denial accounts for categorization, level of appeal, special requirements for ... Strong analytical, organizational and time management skills required * Ability to learn quickly ...

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Denial Analyst information

What are the key skills and qualifications needed to thrive in the Denial Analyst position, and why are they important?

To thrive as a Denial Analyst, you need analytical skills, knowledge of healthcare claims processing, and a background in medical billing or health administration. Familiarity with claims management software, EHR systems, and certifications such as Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS) are highly beneficial. Attention to detail, problem-solving abilities, and strong written and verbal communication help Denial Analysts excel in reviewing and resolving claims issues. These skills ensure effective identification and correction of reimbursement denials, supporting timely revenue recovery for healthcare organizations.

What is a Denial Analyst job?

A Denial Analyst is responsible for reviewing and analyzing medical insurance claims that have been denied or rejected by insurance companies. They investigate the reasons for denials, identify patterns, and work with billing teams, healthcare providers, and insurance companies to resolve issues and recover payments. Denial Analysts also help implement process improvements to reduce future claim denials and ensure compliance with insurance policies and regulations. Their role is critical in optimizing revenue cycle management and improving reimbursement rates for healthcare organizations.

What are some typical challenges faced by Denial Analysts in their daily work?

Denial Analysts often encounter challenges such as navigating complex healthcare regulations, interpreting varied insurance policies, and addressing high volumes of denied claims. Staying up-to-date on payer guidelines and working closely with coding, billing, and clinical teams to resolve inconsistencies is a key part of the role. It's common to manage competing deadlines and work under pressure to ensure appeals are filed promptly. However, overcoming these challenges develops valuable expertise and can open doors to advanced roles in revenue cycle management or healthcare compliance.

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Denial Analyst jobs near you
Infographic showing various Denial Analyst job openings in the United States as of May 2026, with employment types broken down into 55% Full Time, 9% Part Time, and 36% Contract. Highlights an 67% Physical, 1% Hybrid, and 32% Remote job distribution.
Denial Recovery Analyst | Enterprise Denials

Denial Recovery Analyst | Enterprise Denials

UF Health

Gainesville, FL • Remote

Full-time

Posted 5 days ago

Job description

Overview

Denial Recovery Analyst

Turn denials into dollars—drive revenue recovery and optimize financial outcomes across the healthcare enterprise.

???? Work Style: Remote
???? Location Requirement: Must reside in Florida or Georgia
???? FTE: Full-Time (1.0 FTE)

Responsible for reviewing technical denial claims and submitting reconsiderations and appeals to ensure accurate and timely reimbursement. Optimizes financial performance within the revenue cycle by maintaining low denial rates and maximizing recovery across the enterprise.

Conducts root cause analysis of denied payments through comprehensive review of patient encounters, payer contracts, historical denial trends, and appeal outcomes. Maintains strong relationships with third-party payers, responding to inquiries, disputes, and correspondence.

Collaborates with Enterprise Technical Denial Assistance leadership and Managed Care to escalate and resolve complex denial issues while ensuring compliance with state and federal regulations. Serves as a subject matter expert in denial management, partnering with revenue cycle teams to implement best practices that improve reimbursement and reduce organizational write-offs.


Responsibilities
Key Responsibilities
  • Identify, prioritize, and resolve denied claims, including initiating timely appeals and reconsiderations
  • Interpret and apply payer contract terms to ensure accurate claim resolution and reimbursement
  • Conduct internal and external correspondence clearly, professionally, and in compliance with organizational standards
  • Review and take appropriate action on EOBs, denial letters, appeal determinations, and documentation requests in a timely manner
  • Meet productivity and accuracy standards, including working an average of 60 accounts per day with a 98% accuracy rate
  • Manage and work multiple payer workqueues, including Medicare, Medicaid, government, commercial, and Medicare Advantage plans
  • Research and resolve denials related to eligibility, registration, billing errors, missing information, and documentation requests
  • Initiate and follow up on appeals to prevent timely filing denials and ensure optimal reimbursement outcomes
  • Evaluate accounts and drive resolution using tools such as remittance advice, denial codes, and payer communications
  • Identify payer-specific denial trends and escalate findings to leadership with actionable insights for root cause analysis
  • Collaborate with revenue cycle teams across the enterprise to recommend process improvements and prevent future denials
  • Review payer policies and communications to identify risks to reimbursement and stay current on regulatory and industry best practices
  • Proactively identify and resolve at-risk A/R to minimize revenue loss and ensure compliance with contractual deadlines

Qualifications
Minimum Qualifications
  • High School Diploma or GED required
  • Minimum of four (4) years of experience in billing, insurance follow-up, collections, or denial management within a hospital or clinical setting
Preferred Qualifications
  • Associate’s degree or higher in a health or business-related field
  • Experience in coding, medical record review, auditing, or insurance-related functions
  • Experience supporting data governance and security policies
  • Strong skills in report and dashboard development
  • Ability to monitor BI tools and recommend process improvements

Apply