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Full Time Reconsideration Analyst Jobs (NOW HIRING)

MMC Group LP

Be Seen First

Healthcare Call Center Representative $19+/hr- Need ASAP!

Houston, TX · On-site

$19.69/hr

Schedule: Monday through Friday, full-time daytime hours * Work Environment: Fully Onsite ... Submit reconsideration requests and escalation documentation when necessary * Provide first-call ...

UNC HEALTH

Revenue Cycle Representative

Chapel Hill, NC · On-site

$18.12 - $25.51/hr

... claims follow up, reconsideration and appeals, response to denials, and re-bills of insurance ... Physician Ins Billing and Foll Work Type: Full Time Standard Hours Per Week: 40.00 Salary Range ...

MMC Group LP

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Member Services Representative

Houston, TX · On-site

$19.69/hr

Monday-Friday, full-time daytime hours Work Environment: 100% Onsite Employment Type: Contract ... Submit escalations and reconsideration requests as needed * Deliver first-call resolution whenever ...

RethinkFirst

AR Specialist

Indianapolis, IN · Remote

$20.75 - $27.50/hr

... analytics, and enabling value-based care. With patent-pending solutions and the largest published ... Utilize denial management platforms for submission of appeals, reconsideration requests, etc.

Rethink

AR Specialist

Indianapolis, IN · On-site +1

$19.25 - $25.50/hr

... analytics, and enabling value-based care. With patent-pending solutions and the largest published ... Utilize denial management platforms for submission of appeals, reconsideration requests, etc.

UNC HEALTH

Revenue Cycle Representative

Chapel Hill, NC · On-site

$18.12 - $25.51/hr

Responsible for the analysis and necessary corrections of invoices or accounts and maintaining work ... Physician Ins Billing and Foll Work Type: Full Time Standard Hours Per Week: 40.00 Salary Range ...

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All JobsFull Time Reconsideration Analyst Jobs

Full Time Reconsideration Analyst information

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$49K

$88.6K

$123.5K

How much do full time reconsideration analyst jobs pay per year?

As of Jun 11, 2026, the average yearly pay for full time reconsideration analyst in the United States is $88,569.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,000.00 and $99,500.00 per year, depending on experience, location, and employer.

What is a Full Time Reconsideration Analyst?

A Full Time Reconsideration Analyst is a professional who reviews and evaluates appeals or requests for reconsideration, typically within industries like healthcare, insurance, or finance. Their primary role is to re-examine decisions that were previously made, such as claim denials or benefit determinations, to ensure accuracy, fairness, and compliance with company policies and regulations. They analyze documentation, communicate with stakeholders, and provide recommendations or final determinations based on their findings. This position requires strong analytical, communication, and decision-making skills, as well as attention to detail and knowledge of relevant laws and procedures.

What are some common challenges faced by Full Time Reconsideration Analysts, and how can they be effectively managed?

Full Time Reconsideration Analysts often encounter challenges such as handling high volumes of complex appeals, interpreting diverse policies and regulations, and managing tight deadlines. To effectively manage these, strong organizational skills and attention to detail are crucial, as well as the ability to communicate clearly with both internal teams and external clients. Collaborating closely with peers and staying updated on regulatory changes can also help analysts resolve cases accurately and efficiently while minimizing stress.

What are the key skills and qualifications needed to thrive as a Full Time Reconsideration Analyst, and why are they important?

To thrive as a Full Time Reconsideration Analyst, you need strong analytical abilities, attention to detail, and a solid understanding of claims processes, often supported by a relevant bachelor's degree or equivalent experience. Familiarity with claims management software, electronic document systems, and regulatory guidelines is typically required. Excellent written communication, critical thinking, and problem-solving skills help you effectively review cases and interact with stakeholders. These skills are crucial for ensuring accurate, fair reconsideration decisions that uphold compliance and customer satisfaction.

What is the difference between Full Time Reconsideration Analyst vs Customer Service Representative?

AspectFull Time Reconsideration AnalystCustomer Service Representative
Required credentialsHigh school diploma or equivalent; some roles may prefer related certificationsHigh school diploma or equivalent
Work environmentOffice setting, analyzing cases, reviewing reconsideration requestsCall center or retail environment, assisting customers directly
Employer and industry usageFinancial institutions, insurance companies, healthcare providersRetail, telecommunications, service industries
Common search and comparison intentUnderstanding roles involving case review and decision reconsiderationCustomer support and communication roles

The Full Time Reconsideration Analyst primarily reviews and processes reconsideration requests within financial or healthcare sectors, requiring analytical skills. In contrast, Customer Service Representatives focus on assisting customers directly, often in retail or service industries. While both roles involve communication, the analyst role emphasizes case review and decision-making, whereas the customer service role centers on direct customer interaction.

What are the most commonly searched types of Reconsideration Analyst jobs? The most popular types of Reconsideration Analyst jobs are:
Full Time Reconsideration Analyst jobs near you
Infographic showing various Full Time Reconsideration Analyst job openings in the United States as of June 2026, with employment types broken down into 8% Locum Tenens, 19% As Needed, 61% Full Time, 3% Part Time, 3% Contract, and 6% Nights. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $88,569 per year, or $42.6 per hour.
Accounts Receivable Supervisor

Accounts Receivable Supervisor

Advanced Pain Care

Austin, TX • On-site

$24 - $27/hr

Full-time

Posted 18 days ago

Job description

Job Type
Full-time
Description
Job purpose
The Appeals Lead provides advanced oversight of insurance denial and underpayment management, serving as both a senior technical expert and operational leader within Revenue Cycle Management. This role is responsible for managing complex appeals, monitoring denial and appeal performance trends, training and mentoring Appeals Specialists, and ensuring consistent execution of best practices. The Appeals Lead plays a critical role in driving improved reimbursement outcomes, reducing preventable denials, and promoting accountability through KPI monitoring and staff development.
Duties and responsibilities
Appeals and Denial Management
  • Reviews unpaid, underpaid, and denied claims to determine appeal viability, with a focus on high-dollar, high-risk, and complex cases.
  • Prepares, reviews, and submits written appeals, grievances, and reconsideration requests with complete and accurate supporting documentation.
  • Provides quality review and guidance on appeal letters prepared by Appeals Specialists to ensure accuracy, compliance, and effectiveness.
  • Researches payer contracts, policies, medical necessity criteria, and regulatory guidelines to support appeal arguments.
  • Interprets ERAs, EOBs, zero-pay remittances, and payer correspondence to ensure correct reimbursement.
  • Ensures all appeals are submitted within payer-specific, contractual, and regulatory timelines.

Denial Trend Analysis and KPI Oversight
  • Oversees denial and appeal tracking processes to ensure accurate and consistent data capture.
  • Monitors and analyzes denial trends by payer, denial reason, procedure, provider, and department.
  • Tracks and reports key performance indicators (KPIs), including but not limited to:
    • DAR; Days in AR
    • Percent paid by 91st day
    • Period Buckets
    • Team and individual productivity
    • Appeal success and overturn rates
    • Dollars recovered
    • Aging of appealed claims
    • Denial volume and repeat denial patterns
  • Prepares and presents detailed denial and appeal performance reports for leadership.
  • Identifies root causes of denials and recommends process improvements to reduce future occurrences.
  • Partners with leadership to establish performance expectations and benchmarks for the appeals team.

Training, Mentorship, and Team Support
  • Trains new Appeals Specialists on appeal workflows, payer requirements, denial types, documentation standards, and best practices.
  • Provides ongoing coaching, mentoring, and performance feedback to Appeals Specialists.
  • Develops and maintains training materials, workflows, and reference tools related to appeals and denial management.
  • Monitors individual and team performance against KPIs and supports corrective action or additional training as needed.
  • Serves as a subject-matter expert and escalation point for complex appeal and denial issues.

Leadership and Cross-Functional Collaboration
  • Collaborates with billing, coding, clinical, utilization review, and front-office teams to resolve systemic denial issues.
  • Provides actionable feedback to improve documentation, coding accuracy, and front-end claim submission practices.
  • Participates in audits, payer reviews, and special revenue optimization projects.
  • Demonstrates accountability for appeal outcomes and continuous process improvement initiatives.

Billing and Accounts Receivable Support
  • Manages assigned and make assignments for Accounts Receivable worklists and follow-up activities as needed.
  • Assists with posting insurance and patient payments accurately and timely.
  • Submits corrected claims and documentation in electronic or paper format as required.
  • Contacts insurance carriers regarding claim status, payment discrepancies, appeal decisions, and refunds.

Patient and Customer Service
  • Assists with complex patient billing inquiries and escalated issues.
  • Coordinates medical and billing documentation with patients and third-party payers.
  • Ensures professionalism, accuracy, and empathy in all patient communications.

Compliance and Professional Standards
  • Maintains strict confidentiality of patient, provider, and company information in accordance with HIPAA and organizational policies.
  • Ensures appeals and documentation comply with federal, state, payer, and contractual requirements.
  • Maintains regular and predictable attendance.

Requirements
Previous coding experience preferred, not required.
Working conditions
Environmental Conditions : Medical Office environment
Physical Conditions :
• Must be able to work as scheduled - typically from 8:00 - 5:00 M-F
• Hybrid located at HQ Office
• Must be able to sit and/or stand for prolonged periods of time
• Must be able to bend, stoop and stretch
• Must be able to lift and move boxes and other items weighing up to 30 pounds.
• Requires eye-hand coordination and manual dexterity sufficient to operate office equipment, etc.
Salary Description
$24.00-27.00/ hour

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