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Denial Prevention Analyst Jobs (NOW HIRING)

Westerkamp Group

PB Denial Specialist - EPIC

TX · Remote

$19.25 - $24.50/hr

... Analyst. In this crucial role, you will lead a team of denial specialists, driving the resolution of denied claims, identifying root causes, and implementing strategies to prevent future denials.

Westerkamp Group

PB Denial Specialist - EPIC

Lisle, IL

$18.50 - $23.75/hr

... Analyst. In this crucial role, you will lead a team of denial specialists, driving the resolution of denied claims, identifying root causes, and implementing strategies to prevent future denials.

Westerkamp Group

PB Denial Specialist - EPIC

LA · Remote

$19.25 - $24.50/hr

... Analyst. In this crucial role, you will lead a team of denial specialists, driving the resolution of denied claims, identifying root causes, and implementing strategies to prevent future denials.

Westerkamp Group

PB Denial Specialist - EPIC

KY · Remote

$19.25 - $24.50/hr

... Analyst. In this crucial role, you will lead a team of denial specialists, driving the resolution of denied claims, identifying root causes, and implementing strategies to prevent future denials.

Westerkamp Group

PB Denial Specialist - EPIC

GA · Remote

$19.25 - $24.50/hr

... Analyst. In this crucial role, you will lead a team of denial specialists, driving the resolution of denied claims, identifying root causes, and implementing strategies to prevent future denials.

Westerkamp Group

PB Denial Specialist - EPIC

TN · Remote

$19.25 - $24.50/hr

... Analyst. In this crucial role, you will lead a team of denial specialists, driving the resolution of denied claims, identifying root causes, and implementing strategies to prevent future denials.

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Denial Prevention Analyst information

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$33K

$80.8K

$105.5K

How much do denial prevention analyst jobs pay per year?

As of Aug 16, 2026, the average yearly pay for denial prevention analyst in the United States is $80,750.00, according to ZipRecruiter salary data. Most workers in this role earn between $73,000.00 and $91,000.00 per year, depending on experience, location, and employer.

What are the typical challenges faced by denial prevention analysts, and how can they overcome them?

Denial Prevention Analysts often encounter challenges such as complex insurance requirements, evolving payer guidelines, and frequent claim denials due to documentation errors or coding discrepancies. To overcome these challenges, they must stay updated on industry regulations, proactively communicate with clinical staff for accurate records, and use data analytics tools to identify denial patterns. Collaborating closely with billing teams and appeals specialists is also key to ensuring denied claims are addressed promptly and effectively. By continuously refining workflows and implementing best practices, Denial Prevention Analysts play a vital role in minimizing revenue loss and supporting the financial health of their organization.

What is a denial prevention analyst?

A Denial Prevention Analyst is responsible for identifying and reducing insurance claim denials in healthcare settings. They analyze denied claims, identify patterns, and implement corrective actions to improve reimbursement rates. Their role involves collaborating with billing teams, payers, and healthcare providers to resolve issues and prevent future denials. Strong knowledge of insurance policies, medical billing, and coding is essential.

What are the key skills and qualifications needed to thrive in the denial prevention analyst position, and why are they important?

To thrive as a Denial Prevention Analyst, you need a strong background in healthcare billing, insurance claims, and data analysis, typically supported by an associate or bachelor’s degree in a related field. Familiarity with medical billing software, electronic health records (EHR) systems, and industry-standard coding (such as ICD-10 and CPT), as well as certifications like Certified Professional Coder (CPC), are highly valuable. Strong attention to detail, problem-solving skills, and effective communication are key soft skills for collaborating with healthcare providers and payers. These abilities are crucial for analyzing claim denials, identifying trends, and implementing strategies to reduce revenue loss and improve process efficiency.

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Denial Prevention Analyst jobs near you
Infographic showing various Denial Prevention Analyst job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 71% Full Time, 24% Part Time, 1% Temporary, and 2% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $80,750 per year, or $38.8 per hour.

Denials Prevention Analyst | Hendersonville, NC. (On-Site)

UNC Health Careers

Hendersonville, NC • On-site

Full-time

Posted 3 days ago

New

Job description

Description

Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.

Summary:

The Denials Prevention Analyst plays a crucial role in identifying and mitigating denial risks for both acute and ambulatory claims within the healthcare revenue cycle. This position involves analyzing clinical and technical denials, collaborating with various departments, and developing strategies to reduce denials through effective reporting and training initiatives. The analyst will work closely with stakeholders to implement sustainable measures that address the root causes of denials, ensuring compliance with billing regulations and optimizing revenue capture.


Responsibilities:

Responsibilities And Scope

Perform root cause analysis on denied accounts to identify high dollar and high-volume denials.

Identify trends impacting payment optimization and collaborate with internal and external departments to decrease system-wide denials.

Review adjustments based on Denial Write-Off Approval Levels, providing feedback to users.

Establish and monitor key performance indicators, developing standardized reporting and presenting denial reports to leadership.

Evaluate denial appeal practices and educate on best practices for responding to denials, ensuring necessary documentation is included.

Participate in Denial Committee, focusing on denial prevention activities and performance improvement.

Compile monthly reports and dashboards on avoidable write-offs, monitoring key performance indicators for performance improvement activities.

Partner with Managed Care to ensure adherence to contracts and communicate updates on billing guidelines and payment policies.

Identify and track areas of revenue leakage, submitting corrected claims and tracking for additional payment.

Collaborate with the Denials Management Team to provide information for resolving denials and create educational materials on process improvements.

Demonstrate understanding of federal, state, and third-party charging guidelines, analyzing revisions to coding and billing regulations.

    Participate in in-services and organizational meetings, utilizing lean management tools and continuing education programs.


    Other information:

    Qualifications

    Required

    An associate degree in a related field or 5+ years of relevant experience.

    Three (3)+ years of denial experience with commercial and government payer types for both professional and facility claims.

    Knowledge of regulatory, compliance, and reimbursement methodologies.

    Ability to research and interpret Federal, State, and Local billing regulations.

    Demonstrated ability to navigate payer websites and understand billing requirements.

    Ability to present data and complex information effectively to various audiences.

    Excellent organizational and time management skills; detail-oriented and self-directed.

    Strong computer skills, including report and dashboard creation using Word, PowerPoint, and Excel.

    Strong interpersonal, critical thinking, and communication skills.

    Strong problem-solving, research, and analytical skills.

    Knowledge of CPT/APC/HCPCS and ICD/DRG coding and reimbursement concepts.

    Positive service-oriented communication skills. 


    Job Details

    Legal Employer: Pardee - HCHC

    Entity: Pardee UNC Health Care

    Organization Unit: Patient Accounting

    Work Type: Full Time

    Standard Hours Per Week: 40.00

    Work Assignment Type: Onsite

    Work Schedule: Day Job

    Location of Job: PARDEESUPP

    Exempt From Overtime: Exempt: Yes


    Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.

    Employment Type:

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