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Denial Analyst Jobs (NOW HIRING)

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Analyze denial trends, identify root causes, and implement corrective actions * Correct claims and submit resubmissions, reconsiderations, and appeals based on payer requirements and contract terms

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Denial Management Specialist Essential Job Functions · Investigates insurance denials to identify ... Able to analyze EOBs at a claim level · Identifies claims needing correction and forwards to ...

The E/M Denial Research Specialist is responsible for reviewing, analyzing, and resolving Evaluation and Management (E/M) related coding denials to support accurate reimbursement and revenue ...

Additionally, the Analyst will participate in denial analysis and improvement related to clearance activities. This position may have additional duties assigned that are within scope of the role.

Possesses proven analytical and decision-making skills to determine what selective clinical information must be submitted to properly appeal the denial. * Contact payers, via website, payer portal ...

Deploy analytical approach to resolve denials and recognize trends/patterns in order to proactively resolve recurring issues. * Communicate identified denial patterns to management. * Prioritize and ...

Denials Analyst

Birmingham, AL · On-site

$15 - $25/hr

We are currently seeking a Denial Specialist - Epic PB. This operational role is ideal for an individual who thrives in a leadership role, possesses exceptional analytical skills, and has a deep ...

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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?

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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What cities are hiring for Denial Analyst jobs? Cities with the most Denial Analyst job openings:
What are the most commonly searched types of Denial Analyst jobs? The most popular types of Denial Analyst jobs are:
What states have the most Denial Analyst jobs? States with the most job openings for Denial Analyst jobs include:
Infographic showing various Denial Analyst job openings in the United States as of August 2026, with employment types broken down into 85% Full Time, 7% Part Time, 1% Temporary, and 7% Contract. Highlights an 80% Physical, 8% Hybrid, and 12% Remote job distribution.

AR & Denial Prevention Manager

Integrated Pain Management Medical Group, Inc.

Walnut Creek, CA • On-site

$105K - $130K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

This job post has expired today. Applications are no longer accepted.


Job description

The AR & Denial Prevention Manager is responsible for leading end-to-end accounts receivable follow-up, denial prevention & management, and appeals across all service lines within Boomerang Healthcare (BHC). This role oversees AR follow-up for Commercial and Medicare, Litigation Support and Lien Resolution functions, as well as payment posting and appeals teams and plays a critical role in stabilizing and optimizing cash flow.


*This is a remote role. We are only hiring in the following states: AZ, CA, NM, NV, OR, TX and WA.


What you will do:

  • Direct and manage AR follow-up activities across all payer types, including:
  • Workers’ Compensation (fee schedules, direct bill, employer/carrier models)
  • Commercial insurance
  • Medicare
  • Establish AR prioritization strategies by payer, aging bucket, service line, and dollar value.
  • Monitor and drive performance for current AR, 31-60, 61-90, 91-180, and 181+ day buckets.
  • Manage the resolution of holds, missing information, and errors related to claim submission.
  • Partner with finance to support monthly AR reconciliation, variance analysis, and cash forecasting.
  • Provide direct oversight of WC AR and staff
  • Manage litigation-related AR.
  • Oversee lien preparation, submission, tracking, and resolution.
  • Lead denial prevention strategies across all payers.
  • Oversee denial management workflows.
  • Manage appeals and reconsiderations for:
  • Medicare
  • Commercial payers
  • Workers’ Compensation disputes
  • Assumes other responsibilities as appropriate to the position and organizational needs


Qualifications:

  • 5+ years of progressive experience in healthcare revenue cycle management, with direct AR and denial management leadership experience.
  • Strong Workers’ Compensation billing expertise, including litigation and lien resolution.
  • Hands-on experience managing Commercial and Medicare AR and appeals.
  • Demonstrated success in denial prevention and root cause analysis.
  • Experience leading teams in high-volume, multi-payer environment.
  • Strong analytical, organizational, and communication skills.
  • Experience building and managing AR and denial dashboards, reporting tools, and billing platforms.
  • Experience with multiple EHR/ Practice Management systems (IMS, Nextgen, Athena, eClinicalWorks or similar)
  • Accuracy and attention to detail, analytical thinking and problem solving and high integrity and compliance focus
  • Advanced proficiency in Microsoft Excel (e.g., formulas, pivot tables) and solid skills in other Microsoft Office applications


Compensation Range: 

$105,000 to $130,000 Annually

All compensation ranges are posted based on internal equity, job requirements, experience, and geographical locations.



Why You'll Love Working Here:

  • Amazing work/life balance
  • Generous Medical, Dental, Vision, and Prescription benefits (PPO & HMO)
  • 401(K) Plan with Employer Matching
  • License & Tuition Reimbursements
  • Paid Time Off
  • Holiday Pay & Floating Holiday
  • Employee Perks and Discount Programs
  • Supportive environment to help you grow and succeed


Boomerang Healthcare (BHC) is a multidisciplinary and comprehensive team of experienced, committed healthcare providers that treat pain. Our team of doctors approaches each patient with one goal in mind: to help patients return to normal daily activities. We work with our patients to identify the cause of their pain and create a personalized treatment plan, recognizing that no two patients are alike, and neither is their pain. Our providers create a comprehensive care plan, then monitor, manage and coordinate patient access to health services at BHC. 

Boomerang Healthcare strives to be a diverse workforce that reflects, at all job levels, the patients we serve. We are an equal opportunity employer. Boomerang Healthcare is committed to compliance with the American Disabilities Act. If you require reasonable accommodation during the application process or have a question regarding an essential job function, please contact us.


Monday-Friday, 8am-5pm
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