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Denial Management Analyst Jobs (NOW HIRING)

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

Denials Analyst

Birmingham, AL · On-site

$15 - $20/hr

Westerkamp Group, LLC is an Accounts Receivable Management company focused on hospital and professional billing and collections. We are currently seeking a Denial Analyst. This operational role is ...

Denials Analyst

Houma, LA · On-site

$15 - $25/hr

... role, possesses exceptional analytical skills, and has a deep understanding of Epic PB ... Your dual expertise in denial management and Epic PB functionality will be critical in optimizing ...

Denials Analyst

Lisle, IL · On-site

$15 - $25/hr

... role, possesses exceptional analytical skills, and has a deep understanding of Epic PB ... Your dual expertise in denial management and Epic PB functionality will be critical in optimizing ...

Denials Analyst

Birmingham, AL · On-site

$15 - $25/hr

... role, possesses exceptional analytical skills, and has a deep understanding of Epic PB ... Your dual expertise in denial management and Epic PB functionality will be critical in optimizing ...

The Denials Management Analyst is responsible for analyzing denials data, creating payor metrics ... Assisting with the coordination of denial and review activities and materials for committee ...

Epic HB Claims Analyst

Tampa, FL · On-site

$60 - $65/hr

Support denial management initiatives, revenue integrity projects, and reimbursement optimization ... Mentor junior analysts and provide subject matter expertise on Epic Revenue Cycle applications.

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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:
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 Management Clerk - Remote

Med-Metrix

Garden City, NY • On-site, Remote

$16 - $19/hr

Other

Re-posted yesterday


Med-Metrix rating

6.9

Company rating: 6.9 out of 10

Based on 21 frontline employees who took The Breakroom Quiz

278th of 485 rated business services


Job description

Job Purpose
The Denials Management Clerk supports the Denial Management Department in the denials process for client hospitals. In this role, the Denials Management Clerk gathers and disseminates information from hospitals, physicians, and insurance companies pertaining to referred claims denied.
Duties and Responsibilities
  • Manually enter new cases referred from clients into database as needed
  • Update database with information gathered from correspondence
  • Set follow-up reminders in Outlook
  • Review daily reports for updates and due dates
  • Send updates on document requests received throughout the day
  • Send documentation to insurance carriers via portals, email, mail or fax
  • Work within gAIge to update daily tasks assigned on work queue
  • Log into all hospital applications and insurance carrier portals every two weeks
  • Submit appeals, correspondence, and medical records via carrier portals
  • Scan and label correspondence received daily via mail, email, or fax
  • Navigate hospital applications to obtain balances, charges, and UB documents
  • Download reports from portals for updates
  • Assist with the outgoing mail process
  • Scan documents into database
  • Assist patients with questions related to statuses of their accounts
  • Other duties as assigned
  • Use, protect, and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
  • Understand and comply with Information Security and HIPAA policies and procedures at all times
  • Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties

Qualifications
  • High School Diploma or equivalent
  • Must be courteous and possess a strong work ethic, with the ability to work in a fast-paced environment
  • Proficient in Microsoft Office applications
  • Have strong organization and time-management skills
  • Ability to learn proprietary databases and systems, gAIge, Epic, Eagle, Epremis, Medi-Tech
  • Strong interpersonal skills, ability to communicate well at all levels of the organization
  • Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
  • High level of integrity and dependability with a strong sense of urgency and results oriented
  • Excellent written and verbal communication skills required

Working Conditions
  • Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.
  • Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
  • Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
  • Work Environment: The noise level in the work environment is usually minimal.

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.

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