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Remote Denial Analyst Jobs (NOW HIRING)

Shriners Children's

Denials Management Analyst

Company Overview #LI-Remote Shriners Children's is an organization that respects, supports, and ... Assisting with the coordination of denial and review activities and materials for committee ...

Shriners Children's

Denials Management Analyst

Company Overview #LI-Remote Shriners Children's is an organization that respects, supports, and ... Assisting with the coordination of denial and review activities and materials for committee ...

REVASCENT LLC

AR Specalist

Meridian, ID · On-site +1

$18 - $25/hr

Position Summary The Denial Management Specialist is responsible for reviewing, analyzing, and ... Remote or hybrid based on company structure. * May require occasional payer calls or joint review ...

SmarterDx

Senior Product Analyst

$160K - $190K/yr

... denial. Become a Smartian and help optimize the way the healthcare system works for everyone. Learn ... This role is fully remote within the US** What You'll Do * Partner with product managers and ...

AppCast

Accounts Receivable Representative

Manhattan, NY · Remote

$21 - $26.50/hr

Strong analytical and problem-solving skills. Ability to work independently in a remote environment. Preferred Qualifications: 2+ years of AR follow-up or denial management experience. Experience ...

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Remote Denial Analyst information

What are the key skills and qualifications needed to thrive as a Remote Denial Analyst, and why are they important?

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 are some 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.

What are Remote Denial Analysts?

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 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.

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Remote Denial Analyst jobs near you
Infographic showing various Remote Denial Analyst job openings in the United States as of May 2026, with employment types broken down into 14% Full Time, 57% Part Time, and 29% Contract. Highlights an 39% Physical, and 61% Remote job distribution.
Reimbursement Coordinator

Reimbursement Coordinator

Spectrum Health Systems

Westborough, MA • On-site, Remote

$23 - $25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago

Job description

Location: Westborough, MA - Corporate Home Office. Fully remote

Schedule: Monday-Friday. 8:00am-4:30pm 

Pay rate: $23.00-$25.00/hour

Benefits: 

  • Health, dental, vision insurance/additional voluntary insurances
  • Company-paid life insurance/employee assistance programs
  • Generous paid time off accrual
  • Tuition reimbursement/loan repayment options
  • 401k with company match up to 7%!
  • Discounts on wide array of services/entertainment nationwide

The Reimbursement Coordinator is responsible for:

  • Supporting daily functions within the Reimbursement Department ensuring accurate billing and collections of claims. 
  • Concentrating primarily on building a strong and productive relationship with individual insurers in an effort to process denials and appeals in a timely fashion while reducing number of days in A/R. 
  • Identifying insurance denials eligible for resubmission 
  • Determining services to be billed to self-pay 
  • Maintaining appropriate interaction with insurance companies, clients and other Spectrum departments 
  • Identifying insurance company errors for resubmission 
  • Following up of delinquent accounts 
  • Interacting with Patient Accounts and Referral Coordinator 
  • Verifying accurate coding of clinic services 

Qualifications:

  • High school graduate or equivalent education level required. 
  • Previous medical billing experience required. 
  • Strong knowledge of CPT, ICD-9 and HCPC coding preferred. 
  • Denial analysis experience. 
  • Strong phone skills required. 
  • Must have ability to multi-task and organize work and priorities. 
  • Must be able to function as part of a team as well as independently. 
  • Excel spreadsheet experience is a plus. 

Apply