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Denial Prevention Analyst Jobs (NOW HIRING)

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 ... strategies to prevent future denials. Your dual expertise in denial management and Epic PB ...

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 ... strategies to prevent future denials. Your dual expertise in denial management and Epic PB ...

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 ... strategies to prevent future denials. Your dual expertise in denial management and Epic PB ...

Hunterdon Health

Revenue Integrity Analyst

Flemington, NJ · On-site

$69K - $86K/yr

Develops and implements action plans for denial prevention based on root cause analysis findings. Promotes revenue cycle operational efficiency, data integrity and compliance with billing and ...

Medix

Senior Director, Patient Access

Blue Ash, OH · On-site

$69.23 - $72.12/hr

Drive performance around registration accuracy, point-of-service collections, authorization workflows, and denial prevention * Analyze operational and financial data to identify trends and ...

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Denial Prevention Analyst information

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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 Analyst

Westerkamp Group LLC

Birmingham, AL • On-site

$15 - $25/hr

Full-time

Re-posted 21 days ago

Job description

Westerkamp Group, LLC is an Accounts Receivable Management company focused on hospital and professional billing and collections. We are currently seeking a Denial Specialist - Epic PB. This operational role is ideal for an individual who thrives in a leadership role, possesses exceptional analytical skills, and has a deep understanding of Epic PB configurations and their impact on the denial lifecycle.


Job Description:

We are seeking a highly motivated and experienced Denial Specialist with a strong background as an Epic Professional Billing (PB) 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. Your dual expertise in denial management and Epic PB functionality will be critical in optimizing workflows, providing actionable insights, and ensuring maximum revenue capture for our clients. This is a W-2 employee position with an expected term of six months, there is a potential for extension or permanent employment based on business and project needs.


Key Responsibilities:

- Identify, analyze, and trend common denial reasons (e.g., medical necessity, lack of authorization, coding errors, timely filing, incorrect modifiers).

- Develop and implement strategies to overturn denials and accelerate payment resolution.

- Act as a subject matter expert for Epic Resolute PB, specifically as it relates to denial prevention and resolution.

- Analyze Epic workflows and configurations to identify root causes of denials stemming from system setup or user error.

- Assist in troubleshooting Epic PB-related issues that lead to denials.

- Develop and maintain denial management policies and procedures.

- Prepare and present regular reports on denial trends, recovery rates, and team performance to RCM leadership and clients.


Required Qualifications:

- 1+ years of direct, hands-on experience as an Epic Professional Billing (PB) Analyst or in a role heavily utilizing Epic PB for operational analysis and workflow optimization.

- Epic Resolute PB Certification is highly preferred. Additional Epic certifications (e.g., Prelude, Cadence) are a plus.

- Strong understanding of professional medical coding (CPT, ICD-10, HCPCS), claim submission (CMS-1500), and remittance processing (ERA/EOB).

- Exceptional analytical, problem-solving, and critical thinking skills.

- Excellent leadership, communication (verbal and written), and interpersonal skills.

-Proficient in Microsoft Excel (for data analysis and reporting).


Equal Opportunity & Accommodations

Westerkamp Group, LLC, is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, religion, gender, national origin, disability, age, veteran status, or any other legally protected status.

If you need a reasonable accommodation during any stage of the application or interview process, please contact dbourgeois@wgrcm.com or call 985-655-0300.


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