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Remote Denial Prevention Analyst Jobs (NOW HIRING)

Lorven Technologies

Director of Patient Access

Remote * Approximately 7-10 years of progressive Patient Access, Revenue Cycle, or healthcare ... Knowledge of healthcare reimbursement and denial-prevention principles. * Experience with Epic ...

New

Harris

... denial prevention initiatives, workforce planning, and operational scaling. This role drives ... Lead payer trend analysis and root-cause programs to reduce preventable denials (eligibility, auth ...

Harris

... denial prevention initiatives, workforce planning, and operational scaling. This role drives ... Lead payer trend analysis and root-cause programs to reduce preventable denials (eligibility, auth ...

Harris

... denial prevention initiatives, workforce planning, and operational scaling. This role drives ... Lead payer trend analysis and root-cause programs to reduce preventable denials (eligibility, auth ...

Harris

... denial prevention initiatives, workforce planning, and operational scaling. This role drives ... Lead payer trend analysis and root-cause programs to reduce preventable denials (eligibility, auth ...

Vertek Staffing

CDI Specialist

Franklin, TN · Remote

$33.50 - $45/hr

CDI Specialist - Remote Acute Care Hospital Experience Required Required Education * High School ... denial prevention. This role requires strong clinical knowledge, critical thinking skills, and a ...

Workforce Connections

Denial Specialist

Saint Louis, MO · Remote

$22.47/hr

Denial Specialist (Remote) Pay Rate: $22.47/hr Remote: Must reside in US Schedule: Tuesday-Saturday ... Coordinate data collection, analysis, and reporting related to the denial process. * Monitor ...

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Remote Denial Prevention Analyst information

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$33K

$80.8K

$105.5K

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

As of Sep 8, 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 September 2026, with employment types broken down into 2% As Needed, 69% Full Time, 26% Part Time, 1% Temporary, and 2% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $80,750 per year, or $38.8 per hour.

Credentialing Specialist (50608)

Capitol Imaging Services

Metairie, LA • On-site, Remote

Full-time

Re-posted 15 days ago

Job description

Job Summary
Capitol Imaging Services, we're a leading provider of diagnostic imaging services committed to delivering high-quality patient care through innovation and a compassionate approach. Our high-quality radiology services include-MRI, CT, PET/CT, Nuclear Medicine, ultrasound, X-ray, and mammography. We are currently operating 60 facilities across six states in the Gulf Coast region.
The Credentialing & Payor Enrollment Specialist/Denial Management Specialist is responsible for ensuring our facility and healthcare providers at our outpatient facilities are properly credentialed and enrolled with government and commercial insurance payors. This fully remote role supports provider onboarding, maintains regulatory and payor compliance, and plays a critical role in ensuring uninterrupted patient access to care and timely reimbursement. The successful candidate will be accountable for reducing insurance denials, minimizing revenue write-offs, improving net reimbursement, and preventing future reimbursement failures through root-cause analysis and durable process improvement.
Key Responsibilities
Reimbursement Strategy and Denial Prevention
  • Take charge of the overall strategy to cut down on insurance denials and write-offs from payers
  • Identify, analyze, and prioritize root causes of denials and non-payment across modalities, payers, and sites
  • Design and implement systematic solutions to prevent recurrence
  • Identify denial trends and turn them into actionable operational SOP's
  • Conduct follow up with payers and insurance companies to resolve claim denials and payment discrepancies
  • Investigate and resolve issues causing delays in payment or reimbursement, ensuring accurate claims processing
  • Assist i the identification of recurring denial patterns and recommend process improvement to reduce AR delays
  • Monitor and track outstanding accounts receivable (AR)

Credentialing/Payer Enrollment
  • Collect, verify, and maintain facility/provider credentials
  • Prepare and submit initial and re-credentialing applications in accordance with organizational, payor, and regulatory requirements
  • Maintain accurate and complete electronic credentialing files
  • Track credential expiration dates and proactively manage renewals to prevent lapses
  • Complete and submit provider enrollment applications for Medicare, Medicaid, and commercial payors
  • Manage enrollments using CAQH, PECOS, NPPES, and payor-specific portals
  • Conduct regular follow-ups with payors to resolve delays, missing documentation, or application deficiencies
  • Confirm provider participation status and effective dates with each payor
  • Maintain up to date fee schedules

Maintenance & Compliance
  • Update payors with changes to provider demographics, locations, group affiliations, and tax information
  • Ensure ongoing compliance with federal, state, and payor requirements
  • Maintain documentation for audits and internal reviews
  • Partner with billing, revenue cycle, and leadership teams to resolve credentialing- or enrollment-related claim issues

Remote Work Expectations
  • Maintain reliable internet access and a secure, HIPAA-compliant remote work environment
  • Communicate effectively with internal teams via email, phone, and virtual meetings
  • Manage workload independently while meeting deadlines and productivity expectations

Qualifications
Required
  • Expertise in healthcare credentialing/reimbursement, preferably radiology or diagnostics
  • 5+ year of experience in provider credentialing payor enrollment and denial management
  • Strong knowledge of Medicare, Medicaid, and commercial insurance enrollment processes
  • Proven success reducing denials and write-offs.
  • Ability to manage multiple providers and deadlines independently in a remote setting
  • Excellent written and verbal communication skills

Skills & Competencies
  • Highly detail-oriented and deadline-driven
  • Comfortable with frequent follow-ups and documentation tracking, particularly in AR
  • Proficient with Microsoft Office and web-based systems
  • Self-motivated and able to work independently in a remote environment
  • Always maintains confidentiality and professionalism

Apply