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Denial Management Analyst Jobs (NOW HIRING)

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

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

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

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

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

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 ...

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Denial Management Analyst information

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How much do denial management analyst jobs pay per year?

As of Aug 11, 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 August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 14% Part Time, and 3% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $84,961 per year, or $40.8 per hour.

Denial Recovery Analyst | Enterprise Denials - Durbin Park

UF Health

Saint Johns, FL • On-site

Full-time

Re-posted yesterday

Job description

Overview
Work remotely while using your denial management expertise to make a direct impact on healthcare operations.
Work Style: Remote
Location Requirement: Must reside in Florida or Georgia
FTE: Full-Time (1.0 FTE)
Responsible for reviewing technical denial claims and submitting reconsiderations and appeals to ensure accurate and timely reimbursement. Optimizes financial performance within the revenue cycle by maintaining low denial rates and maximizing recovery across the enterprise.
Conducts root cause analysis of denied payments through comprehensive review of patient encounters, payer contracts, historical denial trends, and appeal outcomes. Maintains strong relationships with third-party payers, responding to inquiries, disputes, and correspondence.
Collaborates with Enterprise Technical Denial Assistance leadership and Managed Care to escalate and resolve complex denial issues while ensuring compliance with state and federal regulations. Serves as a subject matter expert in denial management, partnering with revenue cycle teams to implement best practices that improve reimbursement and reduce organizational write-offs.
Responsibilities
Key Responsibilities
  • Identify, prioritize, and resolve denied claims, including initiating timely appeals and reconsiderations.
  • Interpret and apply payer contract terms to ensure accurate claim resolution and reimbursement.
  • Conduct internal and external correspondence clearly, professionally, and in compliance with organizational standards.
  • Review and take appropriate action on EOBs, denial letters, appeal determinations, and documentation requests in a timely manner.
  • Meet productivity and quality standards, including managing an average of 60 accounts per day while maintaining a 98% accuracy rate.
  • Manage and work multiple payer workqueues, including Medicare, Medicaid, government, commercial, and Medicare Advantage plans.
  • Research and resolve denials related to eligibility, registration, billing errors, missing information, authorizations, and documentation requests.
  • Initiate, track, and follow up on appeals to prevent timely filing denials and maximize reimbursement opportunities.
  • Evaluate accounts and drive resolution using remittance advice, denial codes, payer portals, and payer communications.
  • Identify payer-specific denial trends and escalate findings to leadership with actionable recommendations for root cause analysis.
  • Collaborate with coding, billing, clinical, and revenue cycle teams to improve workflows and reduce future denials.
  • Review payer policies, reimbursement guidelines, and communications to remain current on regulatory and industry changes.
  • Proactively identify and resolve at-risk accounts receivable to minimize revenue loss and ensure compliance with contractual deadlines.
  • Maintain detailed account documentation and ensure all actions are accurately recorded within designated systems.
  • Support organizational revenue integrity initiatives through denial prevention, reimbursement optimization, and process improvement efforts.
  • Serve as a subject matter resource for denial resolution, payer requirements, and reimbursement best practices.

Qualifications
Minimum Qualifications
• High School Diploma or GED required
• Minimum of four (4) years of experience in billing, insurance follow-up, collections, or denial management within a hospital or clinical setting
Preferred Qualifications
• Associate's degree or higher in a health or business-related field
• Experience in coding, medical record review, auditing, or insurance-related functions
• Experience supporting data governance and security policies
• Strong skills in report and dashboard development
• Ability to monitor BI tools and recommend process improvements

Apply