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Denial Management Analyst Jobs (NOW HIRING)

Westerkamp Group

PB Denial Specialist - EPIC

Lisle, IL

$18.50 - $23.75/hr

Westerkamp Group, LLC is an Accounts Receivable Management company focused on hospital and ... Key Responsibilities: - Identify, analyze, and trend common denial reasons (e.g., medical necessity ...

Westerkamp Group

PB Denial Specialist - EPIC

TX · Remote

$19.25 - $24.50/hr

Westerkamp Group, LLC is an Accounts Receivable Management company focused on hospital and ... Key Responsibilities: - Identify, analyze, and trend common denial reasons (e.g., medical necessity ...

Westerkamp Group

PB Denial Specialist - EPIC

LA · Remote

$19.25 - $24.50/hr

Westerkamp Group, LLC is an Accounts Receivable Management company focused on hospital and ... Key Responsibilities: - Identify, analyze, and trend common denial reasons (e.g., medical necessity ...

Westerkamp Group

PB Denial Specialist - EPIC

KY · Remote

$19.25 - $24.50/hr

Westerkamp Group, LLC is an Accounts Receivable Management company focused on hospital and ... Key Responsibilities: - Identify, analyze, and trend common denial reasons (e.g., medical necessity ...

Westerkamp Group

PB Denial Specialist - EPIC

GA · Remote

$19.25 - $24.50/hr

Westerkamp Group, LLC is an Accounts Receivable Management company focused on hospital and ... Key Responsibilities: - Identify, analyze, and trend common denial reasons (e.g., medical necessity ...

Westerkamp Group

PB Denial Specialist - EPIC

AL · Remote

$19.25 - $24.50/hr

Westerkamp Group, LLC is an Accounts Receivable Management company focused on hospital and ... Key Responsibilities: - Identify, analyze, and trend common denial reasons (e.g., medical necessity ...

Westerkamp Group

PB Denial Specialist - EPIC

TN · Remote

$19.25 - $24.50/hr

Westerkamp Group, LLC is an Accounts Receivable Management company focused on hospital and ... Key Responsibilities: - Identify, analyze, and trend common denial reasons (e.g., medical necessity ...

Westerkamp Group, LLC

PB Denial Specialist - EPIC

Lisle, IL · On-site

$30.37 - $45.56/hr

Westerkamp Group, LLC is an Accounts Receivable Management company focused on hospital and ... Key Responsibilities: - Identify, analyze, and trend common denial reasons (e.g., medical necessity ...

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Denial Management Analyst information

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How much do denial management analyst jobs pay per year?

As of Jun 9, 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 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 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 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 May 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $84,961 per year, or $40.8 per hour.
Mgr Revenue Cycle Management Denial and Appeals

Mgr Revenue Cycle Management Denial and Appeals

Baylor Genetics

Remote

Full-time

Posted 13 days ago

Job description

The Manager, Denials & Appeals, RCM is responsible for leading denial management, appeal strategy, and reimbursement recovery operations. This role focuses on improving overturn rates, reducing denial volumes, accelerating AR resolution, and maximizing reimbursement outcomes.
The Manager partners closely with Market Access, Billing Operations, Clinical Operations, and Finance to identify denial root causes, implement corrective actions, and ensure compliance with payer requirements and regulatory standards.
KEY RESPONSIBILITIES
Denial Management & Appeals Oversight
  • Lead daily operations for denial management, appeals, and reimbursement recovery workflows.
  • Oversee timely submission of appeals, ensuring accuracy, completeness, and alignment to payer requirements.
  • Manage high-value and complex denial escalations, including payer disputes and medical necessity rejections.

Denial Analytics & Prevention
  • Analyze denial trends, payer behaviors, and root causes to identify systemic issues.
  • Develop and implement denial prevention strategies across front-end, billing, and clinical workflows.
  • Partner with Market Access to address payer policy gaps and recurring denial drivers.

Reimbursement Recovery & AR Optimization
  • Drive recovery of underpayments, denied claims, and aged receivables.
  • Monitor AR performance, turnaround times, and resolution rates to ensure timely reimbursement.
  • Oversee processes for discrepancies, payment variances, and unresolved claims.

Appeal Strategy & Execution
  • Establish standardized appeal templates, documentation standards, and supporting evidence requirements.
  • Ensure appeals are supported by clinical documentation, payer policy alignment, and coding accuracy.
  • Collaborate with Clinical and Coding teams to strengthen appeal defensibility.

Quality, Compliance & Audit
  • Ensure adherence to payer guidelines, CMS regulations, and internal compliance standards.
  • Conduct quality audits on denial handling and appeals submissions.
  • Maintain audit-ready documentation and establish controls for compliance assurance.

Team Leadership & Performance Management
  • Lead, coach, and develop denial and appeals staff.
  • Monitor productivity, quality, and turnaround KPIs; drive performance improvements.
  • Establish training, SOPs, and best practices for consistency and scalability.

Reporting & Continuous Improvement
  • Identify opportunities to improve workflows, reduce manual effort, and increase automation.
  • Collaborate cross-functionally to resolve upstream issues impacting denial volume.

QUALIFICATIONS
Required
  • 6+ years of progressive healthcare RCM experience, including denials, appeals and reimbursement recovery.
  • 2+ years of leadership experience managing denial or AR follow-up teams.
  • Strong expertise in payer appeals processes, denial codes, and reimbursement methodologies.

Preferred:
  • Experience in diagnostic laboratory, genetics, molecular diagnostics, or precision medicine.
  • Strong familiarity with payer medical policies and reimbursement methodologies.
  • Familiarity with Xifin, Quadax, or Telcor RCM platforms.

COMPETENCIES
  • Denial Prevention & Root Cause Analysis
  • Appeals Strategy & Payer Negotiation
  • Data Analytics & KPI Management
  • Operational Leadership
  • Cross-Functional Collaboration

PHYSICAL DEMANDS AND WORK ENVIRONMENT
  • Location: Remote
  • Frequently required to sit; regularly required to talk/hear; regular use of computer and standard office equipment.
  • Office environment with regular interaction across clinical, operational, and commercial stakeholders.
  • Travel Requirements: Occasional travel may be required, such as onsite meetings, vendor or payer sessions, or operational reviews.

EEO STATEMENT
Baylor Genetics is proud to be an equal opportunity employer committed to fostering an inclusive and diverse workplace. We welcome and encourage applicants from all backgrounds to apply. We do not discriminate on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, age, veteran status, disability, genetic information, pregnancy, childbirth, or any other status protected by applicable federal, state, or local law. If you need an accommodation during the application process, please contact our Human Resources team.
Note to Recruiters:
We value building direct relationships with our candidates and prefer to manage our hiring process internally. While we occasionally partner with select recruitment agencies for specialized roles, we do not accept unsolicited resumes from recruiters or agencies without a written agreement executed by the authorized signatory for Baylor Genetics ("Agreement"). Any resumes submitted to Baylor Genetics in the absence of an Agreement executed by Baylor Genetics' authorized signatory will be considered the property of Baylor Genetics, and Baylor Genetics will not be obligated to pay any associated recruitment fees.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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