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Denials Analyst Jobs in California (NOW HIRING)

Eisenhower

Denials Analyst

Rancho Mirage, CA

$21.75 - $33.04/hr

Denials Analytics Job Objective: Researches and resolves claim denials, ADR requests and certs; submits and tracks appeals, notes trends and provides monthly reports. Responds to audit requests ...

Deloitte

Epic Denials Management Operator

Costa Mesa, CA · Remote

$19.25 - $25.75/hr

Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be ... Conduct Denial categorization and root cause analysis based on remittance information received from ...

Deloitte

Epic Denials Management Operator

San Diego, CA · Remote

$19 - $25.50/hr

Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be ... Conduct Denial categorization and root cause analysis based on remittance information received from ...

Deloitte

Epic Denials Management Operator

Sacramento, CA · Remote

$19.25 - $25.50/hr

Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be ... Conduct Denial categorization and root cause analysis based on remittance information received from ...

Deloitte

Epic Denials Management Operator

San Jose, CA · Remote

$21 - $28.25/hr

Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be ... Conduct Denial categorization and root cause analysis based on remittance information received from ...

Deloitte

Epic Denials Management Operator

Inglewood, CA · Remote

$18.75 - $25/hr

Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be ... Conduct Denial categorization and root cause analysis based on remittance information received from ...

Deloitte

Epic Denials Management Operator

San Francisco, CA · Remote

$21.25 - $28.25/hr

Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be ... Conduct Denial categorization and root cause analysis based on remittance information received from ...

Deloitte

Epic Denials Management Coordinator

Fresno, CA · Remote

Work you'll do As an Epic Denials Management Coordinator on the AI & Engineering team, you will be ... Conduct Denial categorization and root cause analysis based on remittance information received from ...

Deloitte

Epic Denials Management Operator

Los Angeles, CA · Remote

$19.50 - $25.75/hr

Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be ... Conduct Denial categorization and root cause analysis based on remittance information received from ...

Deloitte

Epic Denials Management Operator

Monterey, CA · Remote

$20 - $26.50/hr

Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be ... Conduct Denial categorization and root cause analysis based on remittance information received from ...

Deloitte

Epic Denials Management Operator

Fresno, CA · Remote

$17.75 - $23.75/hr

Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be ... Conduct Denial categorization and root cause analysis based on remittance information received from ...

United Westlabs

Account Analyst

Santa Ana, CA · On-site

$26 - $33/hr

Review and resolve insurance denials and rejections. * Conduct payer research and follow-up activities. * Submit appeals and supporting documentation. * Analyze EOBs, remittance advices, and payer ...

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All JobsDenials Analyst JobsDenials Analyst Jobs in California

Denials Analyst information

See California salary details

$15

$25

$44

How much do denials analyst jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for denials analyst in California is $25.26, according to ZipRecruiter salary data. Most workers in this role earn between $19.47 and $26.83 per hour, depending on experience, location, and employer.

What is a denials analyst?

Denials Analysts are professionals in the healthcare industry who review, investigate, and resolve denied insurance claims. They analyze the reasons for claim denials, communicate with insurance companies, and work to recover payments for healthcare providers. Their role is crucial in identifying patterns of denial, reducing future denials, and ensuring accurate reimbursement for medical services. Denials Analysts often collaborate with billing teams, coders, and clinical staff to improve claims processes and maintain compliance with payer requirements.

What are common challenges faced by denials analysts, and how can they be addressed?

Denials Analysts often face the challenge of navigating complex insurance policies and understanding the reasons behind claim denials. Staying up to date with payer requirements and regulations is essential, as these can change frequently. Collaboration with billing teams and clinical staff is key to gathering necessary documentation and resolving denials efficiently. To address these challenges, strong communication skills and continuous training in industry updates are highly beneficial.

What skills and qualifications are needed to be a denials analyst?

To thrive as a Denials Analyst, you need a solid understanding of medical billing, insurance claims processes, and healthcare regulations, often supported by a degree in health administration or related field. Familiarity with claims management software, electronic health records (EHRs), and payer portals is typically required, along with knowledge of ICD-10 and CPT coding. Strong analytical thinking, attention to detail, and effective communication are crucial soft skills for investigating denials and collaborating with internal teams. These abilities help ensure accurate claims processing, minimize revenue loss, and support the financial health of healthcare organizations.

What is the difference between Denials Analyst vs Claims Specialist?

AspectDenials AnalystClaims Specialist
CredentialsTypically requires healthcare or insurance-related certifications, such as CPC or CCSOften requires similar certifications, with additional focus on claims processing
Work EnvironmentWorks in healthcare or insurance offices, analyzing denied claimsWorks in insurance or healthcare settings, processing and reviewing claims
Employer & IndustryHospitals, insurance companies, healthcare providersInsurance companies, healthcare providers, third-party administrators

Both roles involve working with healthcare claims, but Denials Analysts focus on investigating and resolving denied claims, while Claims Specialists handle the processing and submission of claims. Understanding these differences helps job seekers identify the right career path in healthcare and insurance industries.

What are popular job titles related to Denials Analyst jobs in California? For Denials Analyst jobs in California, the most frequently searched job titles are:
What job categories do people searching Denials Analyst jobs in California look for? The top searched job categories for Denials Analyst jobs in California are:
Denials Analyst jobs near you
Infographic showing various Denials Analyst job openings in California as of August 2026, with employment types broken down into 85% Full Time, 7% Part Time, 1% Temporary, and 7% Contract. Highlights an 81% Physical, 7% Hybrid, and 12% Remote job distribution, with an average salary of $52,541 per year, or $25.3 per hour.

Denials Analyst

Eisenhower

Rancho Mirage, CA

$21.75 - $33.04/hr

Full-time

Posted 19 days ago

Job description

Default Work Shift:

Day (United States of America)

Hours:

40

Salary range:

$21.75 - $33.04

Schedule:

Full Time

Shift Hours:

8 Hour employee

Department:

Denials Analytics

Job Objective:

Researches and resolves claim denials, ADR requests and certs; submits and tracks appeals, notes trends and provides monthly reports. Responds to audit requests (including RAC) from payors and maintains a Library of Payer reference material regarding requirement for pre authorization, medical necessity and documentation requirements. Works with the Revenue Cycle stakeholders (e.g. Admitting, Coding, Provider Liaisons, etc.) to provide information related to denials and opportunities for process improvement.

Job Description:

Education:Required: High school diploma, GED or higher level degreePreferred: Associate's degreeLicensure/Certification:Preferred: Certified coder or currently enrolled in a coding programExperience:Required: Three (3) years of hospital/professional billing experience with an emphasis in denied claims follow-up, appeals processing, managed care and/or Medicare/Medi-Cal reimbursement methodologiesPreferred: Patient accounting experience in a high-volume claims' environmentReports To: Manager-Denials AnalyticsSupervises: N/A Ages of Patients: N/ABlood Borne Pathogens: Minimal/ No Potential

Skills, Knowledge, Abilities:

Ability to identify denial issues and craft succinct payer appeal letters, Ability to prioritize and coordinate workflow productivity with attention to detail, Basic knowledge of CMS coverage requirements and types of Medicare coverage (Part A/Part B/Part C, etc.), Knowledge of CPT, HCPCS and ICD-10 coding requirements with emphasis on modifiers and diagnosis association, Knowledge of health care pricing and reimbursement methodologies, especially IPPS/OPPS, Knowledge of health plan contracts, hospital revenue cycle functions and payor compliance, Knowledge of LCD's, NCCI, MUE edits, Commercial, PPO, HMO, POS, EPO, and Medicare Advantage claims, authorization and documentation requirements, Proficient in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and other relevant software applications, Strong analytical skills

Essential Responsibilities

1. Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.2. Manages denial inventory on a timely basis to promote payment and resolution of all accounts as instructed by management.3. Stays current on all payer requirements by reading bulletins, reviewing provider handbooks, accessing websites, etc.4. Participates and engages in training sessions to grow knowledge base pertaining to denials, revenue cycle, and/or payor trends. 5. Contacts payors, performs timely follow-up through direct phone calls, provider claims websites, correspondence, appeals, etc.6. Performs manual calculations of expected reimbursement to validate payor adherence to contracts. 7. Performs in depth account research to understand every aspect of claims billing and resulting denial. 8. Creates and submits strong succinct appeals that result in revenue recovery for all types of denials including contract underpayments, payor error denials, etc.9. Identifies patterns, trends, and root-cause for denials; reports findings to management to facilitate process improvement and resolution, including compilation of bulk denial issues across high volume of accounts. 10. Generates and creates reports in Epic as requested. 11. Adheres to HIPAA standards while performing denials research/resolution. 12. Performs other duties as assigned.

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