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Denial Analyst Jobs (NOW HIRING)

Sprinter Health

Denial & Appeal Specialist

Analyze 835 remittance files to identify denial reason codes (CO-4, CO-97, CO-16, PR-96, etc.) and trace root causes back to submission or coding errors * Identify coding-driven denial trends ...

Stanford Health Care

Sr. Denial Specialist (Remote)

$38.91 - $43.82/hr

Conduct root-cause analysis on denied claims to identify opportunities for mitigation and escalation. * Monitor high dollar and complex denial work queues, follow up on denied or underpaid appealed ...

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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 Management Specialist

Denial Management Specialist

Mile Bluff Medical Center

Mauston, WI • On-site

Full-time

Re-posted 5 days ago

Mile Bluff Medical Center rating

6.7

Company rating: 6.7 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

616th of 1,020 rated hospitals

Job description

General Information:

Job title: Denial Management Specialist

Schedule: Full-time, 80 hours per pay period; Monday-Friday, 8:00am - 4:30pm

Weekend rotation: No weekends

Holiday rotation: Paid Holidays

Position Summary:

The Denial Management Specialist position gathers, interprets, and reviews data to assess for root cause analytics to then implement process improvement to reduce denials and write offs to optimize A/R.

Position Responsibilities:

  • Creates Revenue Cycle reports
  • Responsible for collecting, researching and analyzing business and operational data.
  • Provides monitoring and trending of system denials.
  • Works with other departments, including operational, to reduce the dollar amounts of denials and rework.
  • Works denials to resolution.
  • Collaborates with other revenue cycle departments to educate on denial trends.
  • Identifies and monitors process improvement efforts with the revenue cycle.
  • Establishes definitions and criteria for reporting avoidable denials.
  • Attends workshops and seminars to maintain a high level of knowledge and capabilities related to position.
  • Perform other duties as requested.

Position Requirements:

  • High school diploma or equivalent required.
  • AA or 4 years of equivalent experience required.
  • 5+ years of related work experience preferred.
  • Experience working in the medical industry preferred.
  • Exceptional accuracy and attention to detail required.

Knowledge, Skills, & Abilities

  • Intermediate to Expert proficiency with computers is required.
  • Thorough understanding of billing process.
  • Basic understanding of coding.
  • Strong quantitative and analytical competency.
  • Self-starter with excellent interpersonal communication and problem-solving skills.

Job Posted by ApplicantPro

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