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Denial Management Analyst Jobs (NOW HIRING)

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 ...

Westerkamp Group LLC

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 ...

Westerkamp Group LLC

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 ...

Westerkamp Group LLC

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 ...

Akron Children's Hospital

Coding Denial Specialist

Akron, OH · On-site +1

$18 - $23/hr

Reviews EPIC work queues daily for Denial management and makes necessary and appropriate coding ... Develops suggestions for coding and documentation process improvements, based on denial analysis ...

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How much do denial management analyst jobs pay per year?

As of Jun 13, 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. They analyze denial patterns, communicate with healthcare providers and insurance companies, and use billing software to improve reimbursement processes. Strong attention to detail and knowledge of insurance policies are essential for this role.

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 Financial Officer (CFO), and Chief Operating Officer (COO) 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?

For a Denial Management Analyst, the top five medical billing denials typically 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 under the patient's insurance plan, and duplicate claims. Addressing these common denials requires strong attention to detail, knowledge of billing regulations, and effective use of billing software to reduce claim rejections and improve reimbursement rates.

What jobs pay 2000 a day?

Some high-paying roles like Denial Management Analysts in healthcare or finance can earn around $2,000 per day, especially with specialized skills, certifications, and experience. These positions often require advanced knowledge of billing, coding, or financial analysis and may involve working in high-pressure environments or consulting settings.

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
Remote - PFS Denial Nurse Auditor

Remote - PFS Denial Nurse Auditor

Mosaic Life Care

Saint Joseph, MO • On-site, Remote

Full-time

Posted 6 days ago

Mosaic Life Care rating

6.4

Company rating: 6.4 out of 10

Based on 61 frontline employees who took The Breakroom Quiz

632nd of 872 rated healthcare providers

Job description

Job Description
The PFS Denials Auditor works under the supervision of the manager of PFS Denials. The PFS Denials Auditor is responsible for completing, appealing, tracking, and reporting clinical denial reviews to determine the appropriate actions for post-billing denials. This Individual will combine clinical, financial, and regulatory knowledge and skill to reduce financial risk and exposure caused by payer denials for rendered services. The PFS Denials Auditor has highly developed knowledge and skills in areas of: Medical Necessity, Authorizations, Experimental/Investigational denials, payer audits and filing appeals as well as Government and Non-Government payor requirements with Denial Management.
Responsibilities
  • Completes clinical review of appropriate post-claim denials; prepares clinical discussion and appeal letters for denied accounts.
  • Consults clinical and hospital appeal guidelines; provides appeal direction using payer guidelines to appropriate departments via monthly denials meetings.
  • Ensures compliance with all federal, state, and local regulations governing rendered patient services and reimbursement.
  • Reviews and analyzes specific audit information and provides education to other caregivers both internal and external to the PFS Denial Management team. Identifies, and initiates clinical and hospital quality improvement initiatives focused on improving both quality indicators and outcomes.
  • Responds to all internal and external requests for information, data, and/or education specific to clinical and hospital Denial Management.
  • Collaborates with Revenue Cycle, Admissions, Coding, and other departments as needed to answer clinical questions specific to denial management. Seeks consultation from appropriate departments as required to expedite clinical review of potential denials.
  • Research industry best practices and recommends process improvements to leadership.
  • Participates in the review of workflow processes. Recommends and participates in the implementation of process improvements.
  • Recommends policies which support the direction of the Denials Management Team to improve and reduce denials.
  • Responsible for other miscellaneous duties assigned by PFS Leadership.

Education
  • Degree from an accredited school of practical nursing - Required

Work Experience
  • 5 Years - Experience in health care as a registered nurse, preferably in revenue cycle - Required
  • Excellent understanding of financial and health care strategies - Required

Licenses and Certifications
  • LPN - Licensed Practical Nurse - State Licensure and/or Compact State Licensure - Licensed Practical Nurse - Required

Travel Requirements
  • None

    • Qualifications
    Skills and Abilities
    Essential Technical/Motor Skills
    • Input data, type, manipulate small equipment, speak clearly, and answer telephone.

    Interpersonal Skills
    • Exceptional oral/written communication skills
    • Ability to independently research using critical thinking skills
    • Effectively resolve complex denials
    • Excellent organizational skills and attention to detail
    • Competence in Microsoft Office applications

    Essential Physical Requirements
    • Lifting, moving, reaching, bending, stooping, and climbing.

    Essential Mental Abilities
    • Analyze, interprets, calculates, manipulates, understands, follows rules, memorize, organize, assess, explain, speak in front of group.

    Essential Sensory Requirements
    • Visual skills, hearing

    Exposure to Hazards
    • Electrical output of personal computer, eye/neck strain.

    Other Skills and Abilities

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