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Denials Analyst Jobs (NOW HIRING)

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Resolution Analyst, Denials (REMOTE)

OR · Remote

Position Summary The Resolution Analyst acts as the liaison between key client contacts and our denials and underpayment appeal process to the appropriate payer. The Resolution Analyst is responsible ...

Addison Group

Denials Specialist

Houston, TX · On-site

$26 - $28/hr

Denials Specialist Location: Houston, TX (Downtown) Industry: Healthcare / Revenue Cycle Management ... Analyze claim adjudication trends and identify patterns in payor behavior. * Ensure proper ...

EnableComp

Resolution Analyst, Denials (REMOTE)

OR · Remote

Position Summary The Resolution Analyst acts as the liaison between key client contacts and our denials and underpayment appeal process to the appropriate payer. The Resolution Analyst is responsible ...

EnableComp

Resolution Analyst, Denials (REMOTE)

Position Summary The Resolution Analyst acts as the liaison between key client contacts and our denials and underpayment appeal process to the appropriate payer. The Resolution Analyst is responsible ...

Addison Group

Denials Specialist

Houston, TX · On-site

$26 - $28/hr

Denials Specialist Location: Houston, TX (Downtown) Industry: Healthcare / Revenue Cycle Management ... Analyze claim adjudication trends and identify patterns in payor behavior. * Ensure proper ...

Addison Group

Denials Specialist

Houston, TX · On-site

$26 - $28/hr

Denials Specialist Location: Houston, TX (Downtown) Industry: Healthcare / Revenue Cycle Management ... Analyze claim adjudication trends and identify patterns in payor behavior. * Ensure proper ...

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Denials Analyst information

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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.
Sr. Denials Management Analyst

Sr. Denials Management Analyst

Westerkamp Group

Birmingham, AL • On-site

Full-time

Re-posted 27 days ago

Job description

Join a Respected Birmingham Team. Drive Denial Resolution. Make a Local Impact.

Westerkamp Group, LLC is aBirmingham-based Revenue Cycle Management (RCM)company helping hospitals across Alabama and the Southeast improve cash flow, reduce denials, and ensure accurate reimbursement. We are a trusted name in healthcare administration, built on a legacy of precision, transparency, and partnership.

We're currently hiring aSenior Denials Management Analystto support a fast-growing hospital billing project. This on-site role is based at our Birmingham office at200 Century Park South, withfree parkingandflexible scheduling optionsto help you commute outside of peak traffic times. It's an opportunity to make a meaningful difference in hospital financial health - and to grow your career in astable and respected local organization.

Key Responsibilities

  1. Coordinate the Denial Management activities for Hospital Based denials from various government and third-party payers.
  1. Provide reporting support for standard monthly denial reporting and ad-hoc denial report requests.
  2. Develop a monthly Denial Management MOR report and present it in person to senior management (company and client) during the monthly client meeting.
  3. Analyze specific payer denials and recommend resolution.
  4. Communicate with the insurance follow-up team and the appeals team to recommend actions for specific denials.
  5. Contact insurance payers when appropriate to identify the true nature of the denials
  6. Identify underpayments on large balance claims and validate the correct reimbursement model that was used for payment.
  7. A broad understanding of complex revenue cycle management concepts and theories including reimbursement models (MS-DRG, APR-DRG, EAPGs, carveouts, fee schedule hierarchies), CMS Local Coverage Determinations and National Coverage Determinations, Medical Policies, General Medical Coding concepts, extensive understanding of UB-04 claim concepts, among others.
  8. Escalate complex denial issues to senior management with recommendations for further actions to resolve claim denial issues.
  9. Coordinate configuration updates in Epic related to denial classification and source/owning departments.
  10. Monitor payer denials for trends and new denial issues caused by changes in their authorization/pre-cert/notification/referral requirements.

Qualifications

  • 8-10 years of experience inhospital denial management or revenue cycle operations
  • Bachelor's degree required
  • Strong working knowledge ofreimbursement models(MS-DRG, APR-DRG, EAPGs, fee schedules) and payer medical policy (LCD/NCD)
  • Proficient inUB-04 billing, denial trends analysis, and Epic configuration updates
  • Confident communicator with experience presenting data to senior leadership
  • Proven ability to work independently, solve complex problems, and lead data-driven decisions

What We Offer

  • Competitive salary based on experience
  • Performance-based bonus potential
  • A professional, mission-driven team in ourBirmingham office.
  • Free on-site parkingandflexible start timesto help you avoid peak traffic
  • Career growth within a respected, stable healthcare company

Our Recruitment Process

Qualified candidates will receive anemail invitation to complete a brief video interview. We value your time and aim to make the process smooth and flexible based on your availability. If you are unable to complete the video interview, please contact us to requestalternative interview options.

Equal Opportunity & Accommodations

Westerkamp Group, LLC, is anEqual 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 areasonable accommodationduring any stage of the application or interview process, please contactdbourgeois@wgrcm.com or call 985-655-0300.

Apply