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Denial Management Analyst Jobs (NOW HIRING)

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RN Denial Management Specialist

The mission of the Denial Management Department is to, "Manage denied insurance claims by analyzing medical records, crafting clinical appeals, and collaborating with payers to secure reimbursement ...

New

United Westlabs

Account Analyst Supervisor

Santa Ana, CA · On-site

$65K - $80K/yr

Oversee denial management, appeals, and insurance follow-up activities. * Monitor aging accounts ... Analyze denial trends, payer performance, and reimbursement issues. * Develop and monitor ...

Med-Metrix

$85 - $110/hr

Knowledge of healthcare claims data and denial management workflows preferred * Experience with AWS ... analyses * High level of integrity and dependability with a strong sense of urgency and results ...

New

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How much do denial management analyst jobs pay per year?

As of Sep 3, 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 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 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 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 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.

Is a denial management analyst a stressful job?

A denial management analyst's role can be stressful due to the need to quickly resolve claim denials, meet deadlines, and ensure accurate billing. The job often involves detailed data analysis, communication with healthcare providers and insurers, and working under pressure to minimize revenue loss.
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Denial Management Analyst jobs near you
Infographic showing various Denial Management Analyst job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 14% Part Time, and 2% Contract. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution, with an average salary of $84,961 per year, or $40.8 per hour.

Medical-Denial Management Specialist

Orthopedic Associates of Hartford

Farmington, CT • Hybrid

$19.25 - $25/hr

Full-time

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Description:

Established in 1970, Orthopedic Associates of Hartford, P.C., is one of the areas largest orthopedic practices with office locations throughout greater Hartford.


Our growing practice is currently seeking a Medical-Denial Management Specialist with Epic experience to join our Billing & Collections team in our Farmington, Connecticut business office. This is a hybrid position requiring regular onsite attendance in Farmington, CT. Candidates should/need to be within commuting distance of the office.
The Medical-Denial Management Specialist analyzes and resolves healthcare insurance claim denials by investigating reasons, preparing appeals, communicating with payers, and collaborating with billing staff to ensure proper reimbursement and prevent future denials. Thís role requires strong analytical, communication, and problem-solving skills, along with a thorough understanding of insurance policies, medical terminology, and healthcare billing procedures. The successful candidate will be a team player who is dependable, organized, enthusiastic, and detail oriented. Important to this position is the ability to build relationships with our customers, both internal and external, to promote feedback and timely resolution of outstanding claims. Proficiency in many computer software programs is required as well as an understanding of insurance payment methodologies to insure accurate reimbursement. A positive "can-do" attitude is a must.

Responsibilities include:

  • Following policies and procedures, timely and accurate follow up on claims for the resolution of outstanding balances.
  • Participates in the collection and documentation of claims processing rules.
  • Generates both electronic and hard copy claims for submission.
  • Obtains supporting documentation and other information required to insure acceptance of claim.
  • Interacts and communicates effectively with interdepartmental units when necessary.
  • Documents account information pertaining to claims submission and resolution.
  • Enters demographic data into the billing & collections software.
  • Assumes other duties and responsibilities as needed.

PM22

Requirements:


  • Two years recent experience in medical collections and/or medical billing with result oriented debt collections skills.
  • Familiarity with ICD-10 coding and Federal HIPAA regulations.
  • Computer skills, including Epic, electronic billing, Microsoft Word, Outlook and Excel.
  • Excellent written and verbal communication skills with a professional and courteous telephone manner.
  • High School diploma.

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