1

Denials Analyst Jobs (NOW HIRING)

Job Overview The Denials Management Analyst is responsible for analyzing denials data, creating payor metrics, as well as tracking and trending denials and result out of multiple systems. The analyst ...

Job Overview The Denials Management Analyst is responsible for analyzing denials data, creating payor metrics, as well as tracking and trending denials and result out of multiple systems. The analyst ...

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 ...

New

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 ...

New

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 ...

New

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 ...

New

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 ...

New

next page

Showing results 1-20

Denials Analyst information

See salary details

$15

$25

$44

How much do denials analyst jobs pay per hour?

As of May 31, 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 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 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 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 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:
Infographic showing various Denials Analyst job openings in the United States as of May 2026, with employment types broken down into 21% Full Time, 55% Part Time, and 24% Contract. Highlights an 75% Physical, 6% Hybrid, and 19% Remote job distribution, with an average salary of $53,239 per year, or $25.6 per hour.
Denials Management Analyst

Full-time

Medical, Life, Retirement, PTO

Posted 17 days ago


Shriners Children's rating

7.9

Company rating: 7.9 out of 10

Based on 44 frontline employees who took The Breakroom Quiz

141st of 990 rated hospitals


Job description

Company Overview
#LI-Remote
Shriners Children's is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families.
All employees are eligible for medical coverage on their first day! In addition, upon hire all employees are eligible for a 403(b) and Roth 403 (b) Retirement Saving Plan with matching contributions of up to 6% after one year of service. Employees in a FT or PT status (40+ hours per pay period) will also be eligible for paid time off, life insurance, short term and long-term disability and the Flexible Spending Account (FSA) plans and a Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected. Additional benefits available to FT and PT employees include tuition reimbursement, home & auto, hospitalization, critical illness, pet insurance and much more! Coverage is available to employees and their qualified dependents in accordance with the plans. Benefits may vary based on state law.
Job Overview
The Denials Management Analyst is responsible for analyzing denials data, creating payor metrics, as well as tracking and trending denials and result out of multiple systems. The analyst will identify and trend root causes and report out findings as well as assist in mapping out process improvement opportunities. The analyst will coordinate payor denials and audit activities to ensure timely response for the processing of all payor denials, audit requests and appeals. The analyst will communicate and coordinate with various individuals/distributions and assist with monitoring of the day-to-day activities related to claims denials and audit reviews.
Responsibilities
  • Collecting/analyzing, report status, metrics and trends of activity by different reviews from multiple systems Distributing reports on a routine basis to specific distribution group
    • Managing Epic work queues and resolving denials.
    • Gathering data to substantiate the request for rule creations in Epic.
    • Research payer fee schedules and provider manuals to ensure appropriate non covered denials.
  • Organizing all data and activity in a retrievable way Coordinating payor denial and audit activities to ensure timely response for the processing of all payor denials, audit request and appeals for both institutional and professional claims
  • Assisting with the coordination of denial and review activities and materials for committee meetings, including analyses, reports, etc.
  • Communicating and coordinating with various individuals/distributions and assisting with monitoring of the day-to-day activities related to claim denials and audit reviews
  • Maintaining the healthcare tracking tool/application that stores/communicates all denial and review activity. This will include user access management, updates to software, and end-user training
  • Supporting projects and initiatives of the Denials Management Team. This may include coordinating meetings, conducting research, performing audits or data analysis, and preparing documents
  • Strong communication skills and a commitment to delivering the highest level of quality work

This is not an all-inclusive list of this job's responsibilities. The incumbent may be required to perform other related duties and participate in special projects as assigned.
Qualifications
Required:
  • Bachelor's degree, or equivalent combination of education and experience
  • 5-7 Years in a Healthcare Revenue Cycle Environment including 3 years in Third Party Collection/AR Receivables and Denials Management
  • Epic PB Resolute experience
  • Healthcare Revenue Cycle management including:
    • Therapy (Physical/Occupational/Speech)
    • Radiology
    • Pediatrics/Pediatric Orthopedics
    • Anesthesia
  • EDI Transaction sets including 837I, 837P
  • Knowledge of insurance contract rates and terms
  • Knowledge and understanding of Registration and Collections
  • Knowledge and understanding of Government and Managed Care billing, coverage and payment rules
  • Ability to comprehend payor 835 and paper EOB responses
  • Knowledge and understanding of NCCI edits, CPT-4, HCPCS, ICD-10 and Revenue Codes standards
  • Intermediate Excel skills

Preferred:
  • CRCR Certification
  • Epic Certification

What Shriners Children's employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom