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Denial Management Analyst Jobs (NOW HIRING)

Nationwide Credit & Collection Inc.

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Denial Management Specialist

Oak Brook, IL · Remote

$22 - $25/hr

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 ...

Vital Connect Inc

Denial Management Specialist

CA · Remote

Description Purpose The Denial Management Specialist role belongs to the Revenue Cycle team and is ... Possesses proven analytical and decision-making skills to determine what selective clinical ...

Amerita

Denial Management Specialist / Remote

Englewood, CO · Remote

$18 - $22/hr

Manages and Develops necessary department and executive level reporting * Identifies the root cause ... Demonstrates problem- solving skills related to denial analysis * Demonstrates the willingness and ...

Credence Global Solutions

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AR Follow-up & Denial Management Associate

Richardson, TX · On-site

$18 - $22/hr

The AR Follow-up & Denial Management Specialist is responsible for the timely resolution of unpaid ... Success in this role requires strong analytical skills, payer knowledge, and the ability to manage ...

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How much do denial management analyst jobs pay per year?

As of Jul 18, 2026, the average yearly pay for denial management analyst in the United States is $84,961.00, according to ZipRecruiter salary data. Most workers in this role earn between $65,000.00 and $102,000.00 per year, depending on experience, location, and employer.

What does a denial analyst do?

A denial management analyst reviews insurance claim denials to identify reasons for rejection and works to resolve issues to ensure claims are paid correctly. They analyze billing errors, communicate with insurance companies, and may use healthcare software to track and appeal denied claims, helping improve revenue cycle management.

What are the key skills and qualifications needed to thrive as a Denial Management Analyst, and why are they important?

To thrive as a Denial Management Analyst, you need strong analytical skills, knowledge of medical billing and coding, and an understanding of insurance claim processes, typically supported by a degree in healthcare administration or a related field. Familiarity with revenue cycle management (RCM) software, electronic health records (EHR) systems, and relevant certifications such as Certified Revenue Cycle Specialist (CRCS) is often required. Attention to detail, problem-solving abilities, and effective communication skills are vital for collaborating with providers and payers to resolve claim denials. These skills ensure accurate claims processing, maximize reimbursements, and help maintain the financial health of healthcare organizations.

What is the highest paying job in healthcare management?

In healthcare management, executive roles such as Chief Executive Officer (CEO), Chief Operating Officer (COO), and Chief Financial Officer (CFO) tend to be the highest paying positions, often earning six-figure salaries. These roles require extensive experience, leadership skills, and often advanced degrees like an MBA or healthcare administration certification.

What are some common challenges faced by Denial Management Analysts, and how can they be addressed?

Denial Management Analysts often encounter challenges such as navigating complex insurance policies, identifying patterns in claim denials, and balancing high volumes of cases. To address these, analysts rely on strong analytical skills and effective communication with both internal billing teams and external payers. Staying up-to-date on payer requirements, leveraging denial management software, and fostering collaborative relationships with clinical and coding staff can significantly enhance both efficiency and resolution rates.

What are the top 5 denials in medical billing?

As a Denial Management Analyst, understanding common medical billing denials is essential; the top five include missing or incorrect patient information, coding errors such as outdated or incorrect CPT and ICD codes, lack of pre-authorization or referral, coverage issues like services not covered by insurance, and duplicate claims. Addressing these requires attention to detail, accurate documentation, and familiarity with billing software and payer policies.

How to become a denial specialist?

To become a denial management analyst, candidates typically need a background in healthcare, medical billing, or coding, along with strong analytical and communication skills. Relevant certifications such as Certified Professional Coder (CPC) or Certified Revenue Cycle Representative (CRCR) can enhance job prospects, and familiarity with billing software and insurance claim processes is essential.

What does a Denial Management Analyst do?

A Denial Management Analyst is responsible for reviewing and analyzing insurance claim denials in healthcare settings. They identify patterns or reasons for denials, research solutions, and work with billing departments, payers, and healthcare providers to resolve issues and recover lost revenue. Their work helps ensure accurate billing, improves reimbursement rates, and reduces the number of denied claims over time.

What is the difference between Denial Management Analyst vs Claims Analyst?

AspectDenial Management AnalystClaims Analyst
CredentialsTypically requires a healthcare or insurance-related certification, such as CPC or CCSOften requires a healthcare administration or insurance certification, like CPC or similar
Work EnvironmentWorks primarily in healthcare billing departments, insurance companies, or hospital revenue cyclesWorks in insurance companies, healthcare providers, or third-party administrators
Industry UsageCommonly employed in healthcare revenue cycle management to address claim denialsUsed across insurance and healthcare sectors to analyze claims and resolve issues

Both roles focus on claims processing and reimbursement, but the Denial Management Analyst specializes in identifying and resolving claim denials to improve revenue recovery, whereas the Claims Analyst handles broader claims processing and analysis. The Denial Management Analyst's role is more targeted toward denial prevention and appeals, making it a specialized subset within claims management.

More about Denial Management Analyst jobs
What states have the most Denial Management Analyst jobs? States with the most job openings for Denial Management Analyst jobs include:
What job categories do people searching Denial Management Analyst jobs look for? The top searched job categories for Denial Management Analyst jobs are:
Denial Management Analyst jobs near you
Infographic showing various Denial Management 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, with an average salary of $84,961 per year, or $40.8 per hour.
DENIAL MANAGEMENT ANALYST (225542)

DENIAL MANAGEMENT ANALYST (225542)

Montefiore

Bronx, NY

Other

Posted 17 days ago

Job description

IntroductionTo heal, to teach, to discover and to advance the health of the communities we serve.

To learn more about the “Montefiore Difference” – who we are at Montefiore and all that we have to offer our associates, please click here. 

Overview

City/State:

Bronx, New York

Grant Funded:

No

Department:

NoMgr

Work Shift:

Day

Work Days:

MON-FRI

Scheduled Hours:

8:30 AM-5 PM

Scheduled Daily Hours:

7.5 HOURS

Pay Range:

$49,920.00-$62,400.00

ResponsibilitiesResearches and analyzes denials on a daily basis, identifies root causes, and processes resubmissions/appeals with the goal of overturning the denial and getting paid by the insurance carrier, maximizing revenue for the division.

Requirements

  • Three to five years of progressive experience in appeal/denial management.
  • Preferred Strong knowledge of health plan requirements.
  • Strong analytical, statistical analysis skills required.
  • Strong knowledge of EPIC, Microsoft Excel, Word and PowerPoint skills required.
  • Knowledge of federal, regional and state payer coverage patterns (CMS, fiscal intermediary, and Administrative).
  • Strong organizational and communication skills; professionalism, able to work with all levels of staff.
  • Bachelor's Degree preferred (Certified Professional Coder (CPC)).
  • Associate Degree required (Medical Billing experience).
  • Certified Professional Coder (CPC) required.
  • EPIC Cadence, HB, PB certifications preferred.
  • Knowledge of CPT coding and ICD10 diagnosis required.
  • Ability to work and effectively multi-task in a fast-paced clinic environment with patients with developmental disabilities.

Apply