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Remote Denial Prevention Analyst Jobs (NOW HIRING)

EvergreenHealth

Denial Management Specialist

Kirkland, WA · Remote

$28.83 - $46.14/hr

... Remote in Washington State only Posted wage ranges represent the entire range from minimum to ... Communicates with payer representatives, contributes to denial prevention efforts, and adapts to ...

Massgeneralbrigham

Denials Liaison

Somerville, MA · Remote

$63K - $92K/yr

... analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching ... Job Summary Under the direction of the Sr. Manager - Denial Prevention & Training, the Denials ...

Mass General Brigham

Denials Liaison

Somerville, MA · On-site +1

$63K - $92K/yr

... analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching ... Job Summary Under the direction of the Sr. Manager - Denial Prevention & Training, the Denials ...

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Remote Denial Prevention Analyst information

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How much do remote denial prevention analyst jobs pay per year?

As of Aug 16, 2026, the average yearly pay for remote denial prevention analyst in the United States is $80,750.00, according to ZipRecruiter salary data. Most workers in this role earn between $73,000.00 and $91,000.00 per year, depending on experience, location, and employer.

What is the difference between Remote Denial Prevention Analyst vs Remote Claims Specialist?

AspectRemote Denial Prevention AnalystRemote Claims Specialist
Primary FocusPreventing claim denials through analysis and process improvementsProcessing and adjudicating insurance claims
Required CredentialsKnowledge of insurance policies, certifications like CPC or CPC-A beneficialSimilar credentials, often CPC or medical billing certifications
Work EnvironmentRemote, healthcare or insurance companiesRemote, insurance or healthcare organizations
Industry UsageInsurance, healthcare, medical billingInsurance, healthcare, medical billing

The Remote Denial Prevention Analyst focuses on analyzing claims to prevent denials, while the Remote Claims Specialist handles processing and resolving claims. Both roles require similar credentials and work environments, but their core responsibilities differ in focus and daily tasks.

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Remote Denial Prevention Analyst jobs near you
Infographic showing various Remote Denial Prevention Analyst job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 71% Full Time, 24% Part Time, 1% Temporary, and 2% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $80,750 per year, or $38.8 per hour.

Denial Management Specialist

EvergreenHealth

Kirkland, WA • Remote

$28.83 - $46.14/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 23 days ago

Job description

Wage Range: $28.83 - $46.14 per hour
5 years of experience in denial management, utilization review or prior authorization in a hospital, provider, or healthcare system.
Healthcare medical billing and reimbursement 
Remote in Washington State only
Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity.
Job Summary:  
Responsible for the review, appeal strategy, resolution and reporting of payer claim denials to recover reimbursement for EvergreenHealth. Maintains accountability for final appeal determinations and financial outcomes of assigned denials, including validation of triage decisions and direction of appeal activities. Analyzes denial trends, develops appeal strategies, collaborates with clinical and operational departments, and maintains detailed documentation throughout the appeal lifecycle. Communicates with payer representatives, contributes to denial prevention efforts, and adapts to evolving payer policies and system upgrades.
Primary Duties:  
1. Reviews and validates recommended next steps for referred claim denials. Maintains final responsibility for appeal strategy and financial outcome.
2. Maintains accurate documentation of denial activity and appeal actions in electronic medical record (EMR) system and supporting tools.
3. Develops appeal strategy and drafts and submits timely appeals supported by documentation, clinical input, and payer criteria.
4. Collaborates with departments including Case Management, Coding, and Health Information Management (HIM) to gather supporting documentation that will strengthen the appeals.
5. Refers complex or escalated denials to senior team members or leadership as appropriate.
6. Reviews and validates denial trends and communicates payer feedback to promote consistency in documentation, appeal strategy, and resolution processes.
7. Monitors payer websites for changes in reimbursement requirements that impact denial management processes.
8. Participates in training focused on denial trends, payer-specific appeal strategies, and continuous learning around EMR tools.
9. Performs other duties as assigned.

License, Certification, Education or Experience:

REQUIRED for the position:
● Associate's degree in related area or equivalent combination of education and experience
● 5 years of experience in denial management, utilization review or prior authorization in a hospital, provider, or healthcare system.
● Experience in healthcare billing and reimbursement
● Experience with EMR system workflows
● Strong knowledge of health care services reimbursement methodologies
● Knowledge of claim forms and remittance advices, including coding and billing practices
● Ability to interpret contract language
● Working knowledge of medical terminology

DESIRED for the position:
● Bachelor's degree
● Previous training experience and knowledge of adult learning
● Experience with Epic EMR

Benefit Information:
Choices that care for you and your family  
At EvergreenHealth, we appreciate our employees’ commitment and contribution to our success. We are proud to offer a suite of quality benefits and resources that are comprehensive, flexible, and competitive to help our staff and their loved ones maintain and improve health and financial well-being.  
  • Medical, vision and dental insurance 
  • On-demand virtual health care 
  • Health Savings Account 
  • Flexible Spending Account 
  • Life and disability insurance 
  • Retirement plans (457(b) and 401(a) with employer contribution) 
  • Tuition assistance for undergraduate and graduate degrees 
  • Federal Public Service Loan Forgiveness program 
  • Paid Time Off/Vacation 
  • Extended Illness Bank/Sick Leave 
  • Paid holidays 
  • Voluntary hospital indemnity insurance 
  • Voluntary identity theft protection 
  • Voluntary legal insurance 
  • Pay in lieu of benefits premium program 
  • Free parking 
  • Commuter benefits  

View a summary of our total rewards available to you as an EvergreenHealth team member by clicking on the link below.

Kirkland Employee Benefits | Kirkland, WA | EvergreenHealth   

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About EvergreenHealth

Sourced by ZipRecruiter

At EvergreenHealth, we appreciate our employees' commitment and contribution to our success. We are proud to offer a suite of quality benefits and resources that are comprehensive, flexible, and competitive to help our staff and their loved ones maintain and improve health and financial well-being.

Industry

Hospitals

Company size

1,001 - 5,000 Employees

Headquarters location

Kirkland, WA, US

Year founded

1972

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