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Denial Analyst Jobs (NOW HIRING)

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 ...

Workforce Connections

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

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

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

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, 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 ...

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

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 ...

Valley Health Systems

Denial Coordinator

Holyoke, MA

$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 ...

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 July 2026, with employment types broken down into 1% Locum Tenens, 1% Internship, 86% Full Time, 6% Part Time, 1% Temporary, and 5% Contract. Highlights an 82% Physical, 5% Hybrid, and 13% Remote job distribution.
Denial Recovery Analyst | Enterprise Denials

Denial Recovery Analyst | Enterprise Denials

UF Health

Gainesville, FL • Remote

Full-time

Re-posted 14 days ago

Job description

Overview

Work remotely while using your denial management expertise to make a direct impact on healthcare operations.

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Responsible for reviewing technical denial claims, submitting reconsiderations or appeals. Responsible to optimize the financial outcomes of revenue cycle through maintaining a low denial rate and high reimbursement rate at an enterprise level for UF Health.

Initiates a root cause analysis of denied payment through comprehensive means including, but not limited to, research of patient stays and treatment, review of payer contracts, analysis of historical denials, appeals and their outcomes, and emerging trends in payer practices and requirements.

Works to maintain third-party payer relationships, including responding to inquiries, complaints, and other correspondence. Working in conjunction with the Enterprise Technical Denial Assistance Manager and Enterprise Sr. Denial Manager, maintains a strong working relationship with the Enterprise Managed Care Department to escalate and resolve atypical denial issues.

Knowledgeable of state and federal laws that relate to contracts and to the appeals process. Considered a technical denial expert in denial management and ensures all denied claims are accurately worked from a technical/billing perspective.

Working in collaboration with the different Revenue Cycle departments throughout the enterprise to establish best practice solutions to maximize reimbursement and minimize 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