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Remote Denial Analyst Jobs (NOW HIRING)

Riverside

Compliance Analyst RMG

Newport, VA · Remote

$57K - $78K/yr

... remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC ... coding follow-up/denial and audit work queues, coding denial volumes, and coding trends.

Harris

... denial reductions, increased overturn rate, improved collections). * Strong analytics/reporting ... Remote work and more! About MEDHOST: MEDHOST, founded in 1984 and headquartered in Franklin ...

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Remote Denial Analyst information

What is a remote denial analyst?

Remote Denial Analysts are professionals who review and analyze denied insurance claims from a remote location. Their primary responsibility is to identify the reasons for claim denials, gather necessary documentation, and communicate with insurance companies to resolve issues. They work with healthcare providers, billing departments, and payers to ensure that claims are processed correctly and payments are obtained. Remote Denial Analysts play a crucial role in improving the financial performance of healthcare organizations by minimizing lost revenue due to denied claims.

What skills and qualifications are needed to thrive as a remote denial analyst?

To thrive as a Remote Denial Analyst, you need a solid understanding of medical billing, insurance claims processes, and healthcare regulations, typically with experience in revenue cycle management or a related field. Familiarity with electronic health record (EHR) systems, claims management software, and knowledge of ICD-10/CPT coding are essential, and certifications like Certified Professional Coder (CPC) can be advantageous. Strong analytical thinking, attention to detail, and effective communication skills help you investigate claim denials and collaborate with providers and payers. These abilities are crucial for maximizing reimbursement, reducing claim denials, and supporting the financial health of healthcare organizations.

What is the difference between Remote Denial Analyst vs Remote Claims Processor?

AspectRemote Denial AnalystRemote Claims Processor
Primary RoleReview and analyze insurance claim denials to determine validity and suggest resolutions.Process and review insurance claims for accuracy, completeness, and approval.
Required CredentialsKnowledge of insurance policies, claims processing, and denial reasons; certifications like CPC or CPC-H are common.Basic understanding of insurance claims; certifications are often similar but less specialized.
Work EnvironmentRemote, often in healthcare or insurance companies, focusing on claims review.Remote or office-based, handling claims data and customer interactions.

While both roles involve insurance claims, the Remote Denial Analyst specializes in reviewing denied claims to identify issues, whereas the Remote Claims Processor handles the overall processing and approval of claims. The Denial Analyst requires more expertise in denial reasons and related certifications, making it a more analytical role focused on resolution.

What are common challenges faced by remote denial analysts and how can they be managed?

Remote Denial Analysts often encounter challenges such as incomplete documentation, unclear denial reasons, and delays in obtaining additional information from providers or payers. Managing these challenges requires strong analytical skills, attention to detail, and effective communication with both internal teams and external stakeholders. Proactive follow-up, staying updated on payer policies, and leveraging denial management software can help streamline the process and improve resolution rates, even when working remotely.
More about Remote Denial Analyst jobs
What cities are hiring for Remote Denial Analyst jobs? Cities with the most Remote Denial Analyst job openings:
What are the most commonly searched types of Denial Analyst jobs? The most popular types of Denial Analyst jobs are:
What states have the most Remote Denial Analyst jobs? States with the most job openings for Remote Denial Analyst jobs include:
What job categories do people searching Remote Denial Analyst jobs look for? The top searched job categories for Remote Denial Analyst jobs are:
Remote Denial Analyst jobs near you
Infographic showing various Remote Denial Analyst job openings in the United States as of August 2026, with employment types broken down into 85% Full Time, 7% Part Time, 1% Temporary, and 7% Contract. Highlights an 80% Physical, 8% Hybrid, and 12% Remote job distribution.

Medical Billing Specialist

Cardiac Study Center

Spokane, WA • Remote

$19.67 - $35.67/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 28 days ago

Job description

Medical Insurance Billing Specialist - Cardiology

Cardiac Study Center
Remote (Washington State Only) - Candidates must reside in WA state at the time of hire
Full-Time | Monday-Friday | No Weekends or Holidays

About Us

Cardiac Study Center (CSC) partners with Pulse Heart Institute to deliver trusted outpatient cardiology care across the Puget Sound region for over 50 years. In 2016, CSC joined with MultiCare Health System to form Pulse Heart Institute-bringing together clinical excellence, innovation, research, and education to improve heart health in our communities.

Through this partnership, CSC provides essential operational and revenue cycle support that allows Pulse to focus on delivering exceptional cardiovascular care. Our billing and business office teams play a critical role in ensuring the financial health of the organization while supporting a seamless patient care experience.

Why You'll Love Working With Us
  • Fully remote role for Washington State residents
  • Monday-Friday schedule - no weekends or holidays
  • Stable healthcare organization with over 50 years of service
  • Collaborative business office environment
  • Opportunity to develop expertise in specialty cardiology billing
  • Supportive team culture focused on accuracy, growth, and accountability
About the Role

As a Medical Insurance Billing Specialist, you play a vital role in ensuring the financial accuracy and efficiency of our cardiology billing operations. This role focuses on insurance claim management, denial resolution, and tracking reimbursement patterns to ensure claims are processed correctly and promptly.

You will work closely with insurance companies, internal departments, and the broader business office team to resolve billing issues, analyze claim trends, and ensure compliance with healthcare billing standards. Your work directly supports the financial sustainability of our clinics and helps ensure patients receive uninterrupted care.

What You'll Love About This Role
  • You get to solve complex billing challenges. If you enjoy investigating claims, identifying denial patterns, and finding solutions, this role keeps you engaged.
  • Your work directly supports patient care. Accurate billing and timely reimbursements ensure clinics can continue delivering high-quality cardiac services.
  • You'll deepen your expertise in specialty medical billing. Cardiology billing offers unique complexity and learning opportunities.
  • Structured work with clear priorities. This role rewards organization, focus, and attention to detail.
  • Strong weekday schedule. No weekends or holidays means predictable work-life balance.
Day-to-Day ResponsibilitiesClaims Management
  • Contact insurance companies to verify claim status and request reprocessing when needed
  • Submit and track insurance appeals and corrected claims
  • Review and analyze aging reports to resolve outstanding claims
Denial Analysis & Resolution
  • Investigate insurance denials and determine appropriate corrective action
  • Identify denial patterns and report trends to improve billing processes
  • Coordinate with internal staff to resolve billing discrepancies
Billing Operations
  • Prepare, audit, and submit claims to primary and secondary payers
  • Ensure accurate payment postings and balance allocations
  • Adjust claims according to established billing procedures
Communication & Compliance
  • Participate in business office phone rotations to support inquiries from patients and external partners
  • Maintain strict compliance with HIPAA when handling patient financial information
  • Document all account activity and claim updates thoroughly in billing systems
What You'll Need to SucceedMinimum Qualifications
  • High School Diploma or GED
  • Minimum 1 year of healthcare experience
  • Minimum 1 year of experience processing health insurance claims
Required Knowledge & Skills
  • Understanding of CMS-1500 claim forms, coordination of benefits (COB), PHI, and medical terminology
  • Experience using insurance payer websites to verify eligibility and claim status
  • Strong organizational and time-management skills
  • Detail-oriented with a high commitment to accuracy
  • Strong communication skills for working with insurance companies and internal teams
Work Environment
  • Schedule: Full-time
  • Shift: Monday-Friday
  • Location: Fully remote (must reside in Washington State at the time of hire)
  • Department: Business Office / Revenue Cycle Operations
Pay & Benefits

Cardiac Study Center / Pulse Heart Institute offers a comprehensive benefits package, including:

  • Medical, dental, and vision coverage
  • Retirement benefits
  • Paid time off
  • Competitive compensation
  • Tuition Assistance

Pay Range: $19.67 - $35.67/hour

Compensation is determined based on experience, skills, certifications, and education, consistent with internal equity and pay transparency requirements.

Join Our Team

If you're detail-oriented, analytical, and enjoy working behind the scenes to ensure healthcare operations run smoothly, we'd love to hear from you. Join a team committed to precision, collaboration, and advancing heart health in our community.

Requisition ID: 00779

Employment Type: FULL_TIME

Apply