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Denial Specialist

Austin, TX · On-site

$17.75 - $23.75/hr

The Denials Analyst will aid in the recovery of Medicaid funds where a third party carrier is responsible for payment, and has not reimbursed the Medicaid program. The Analyst will also assist in ...

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$44

How much do denials analyst jobs pay per hour?

As of Jul 16, 2026, the average hourly pay for denials analyst in the United States is $25.60, according to ZipRecruiter salary data. Most workers in this role earn between $19.71 and $27.16 per hour, depending on experience, location, and employer.

What are Denials Analysts?

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 some 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 are the key skills and qualifications needed to thrive as a Denials Analyst, and why are they important?

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.

More about Denials Analyst jobs
What states have the most Denials Analyst jobs? States with the most job openings for Denials Analyst jobs include:
What job categories do people searching Denials Analyst jobs look for? The top searched job categories for Denials Analyst jobs are:
Denials Analyst jobs near you
Infographic showing various Denials Analyst job openings in the United States as of July 2026, with employment types broken down into 1% Locum Tenens, 1% Internship, 86% Full Time, 6% Part Time, 1% Temporary, and 5% Contract. Highlights an 82% Physical, 5% Hybrid, and 13% Remote job distribution, with an average salary of $53,239 per year, or $25.6 per hour.
Denials Analyst FT

Denials Analyst FT

Gibson Area Hospital & Health Services

Gibson City, IL • On-site

$20 - $26/hr

Full-time

Re-posted 16 days ago

Job description

HOURS & SHIFT REQUIREMENTS:Regular full time, 40 hours weekly, Monday thru Friday. No weekends.
GENERAL SUMMARY
To assist, investigate and correct denied claims of Medicare, Medicaid, Commercial Insurance and Private pay accounts receivable. There will be phone and email interaction with Third Party Payers, family members and patients whom we are needing to obtain correct and up to date insurance information in order to resubmit denied claims. Looking for a highly organized individual with exceptional excel skills. Prior insurance and billing experience a plus.
GIBSON AREA HOSPITAL & HEALTH SERVICES MISSION STATEMENT
To provide personalized, professional healthcare services to the residents of the communities we serve.
PRINICIPAL DUTIES AND RESPONSIBILITIES
1. Daily claim denial auditing recorded in excel sheets
2. Monthly denial reports worked then sent to clinics for review.
3. Prepare training material in relation to denied claims to ensure reduction of denied claims.
4. Work denials from beginning to end including rebills when necessary.
5. Additional duties assigned by Clinical Denials Manager.
REPORTING RELATIONSHIP
Reports to Clinical Denials Manager
EDUCATION, KNOWLEDGE, AND ABILITIES REQUIRED:
1. High school graduate or equivalent.
2. Ability to deal with the public in a pleasing and efficient manner.
3. Skill with computer application and other office equipment
4. Ability to speak clearly and concisely
5. General knowledge of mathematics and accounting principals
6. Ability to establish and maintain effective working relationships with patients, employees, and the public
7. Good communication skills to obtain patients missing information in order to bill claims.
8. Requires analytical skills to evaluate claims for errors in billing and payment from payers.
9. Knowledge of Patient Rights.
10. All other duties as assigned by the Clinical Denial Manager.
PHYSICAL REQUIREMENT
Physical strength to perform the following lifting tasks:
• Floor to waist - 20 pounds
• 14" to waist - 30 pounds
• Waist to shoulder - 10 pounds
• Shoulder to overhead - 10 pounds
• Carry 20 pounds for 30 feet
• Push 10 pounds/force for 15 feet
• Pull 10 pounds/force for 15 feet
INFECTION EXPOSURE RISK LEVEL
Category 3 - No Risk - Your job does not involve exposure to blood, body fluids or tissue. You do not perform or help in emergency medical care or first aid as part of your job.
WORKING CONDITIONS
1. Will work in an office with co-workers where traffic may be constant subjecting your work to interruptions, which can produce stress and fatigue.
2. Involves frequent contact with staff, patients and the public and may involve dealing with angry or upset people.
3. Works with an office where there are relatively few discomforts due to dust or dirt. There is some exposure to print noise.
4. May be required to work beyond regular office hours.

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