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Revenue Cycle Denials Analyst Jobs (NOW HIRING)

Denials Analyst Department: Patient Financial Services Location: Cass City, MI Hours: Full Time. ... REQUIREMENTS: * 2+ years of revenue cycle or denial management experience. * Strong knowledge of ...

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Revenue Cycle Analyst

$61K - $70K/yr

Resolved denials and billing issues, maintained detailed documentation, and supported high-volume ... in revenue cycle operations, billing, analytics, or related within a healthcare services ...

Revenue Cycle Analyst

$61K - $70K/yr

Resolved denials and billing issues, maintained detailed documentation, and supported high-volume ... in revenue cycle operations, billing, analytics, or related within a healthcare services ...

Lead advanced analysis of denials, pre-bill edits, and payer trends to identify systemic issues and ... Partner with Revenue Cycle Manager to prioritize initiatives based on risk exposure, revenue ...

Revenue Cycle Project Lead

TX · Remote

$45 - $46/hr

This role focuses on analyzing denials, billing, and collections data , identifying gaps, and driving process improvements across the full revenue cycle. This is a high-impact, project-based role ...

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The analyst monitors, researches and appeals all denials assigned providing the necessary ... Minimum two (2) years' experience in healthcare revenue cycle required. * Minimum one (1) years ...

Revenue Cycle Manger

Little Rock, AR · On-site

$80K - $90K/yr

This role requires a leader with strong denials experience in addition to revenue cycle, billing ... Strong analytical and problem-solving skills. * Excellent communication and organizational skills.

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The analyst monitors, researches and appeals all denials assigned providing the necessary ... Minimum two (2) years' experience in healthcare revenue cycle required. * Minimum one (1) years ...

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Revenue Cycle Denials Analyst information

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$15

$31

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How much do revenue cycle denials analyst jobs pay per hour?

As of Jul 5, 2026, the average hourly pay for revenue cycle denials analyst in the United States is $31.60, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $36.06 per hour, depending on experience, location, and employer.

What is the difference between Revenue Cycle Denials Analyst vs Insurance Claims Specialist?

AspectRevenue Cycle Denials AnalystInsurance Claims Specialist
CredentialsTypically requires a healthcare or billing certification, high school diploma or equivalentOften requires similar certifications or experience in insurance billing
Work EnvironmentHealthcare facilities, billing departments, or revenue cycle management teamsInsurance companies, healthcare providers, or billing agencies
Primary FocusIdentifying, appealing, and resolving denied claims to maximize revenueSubmitting, tracking, and managing insurance claims for reimbursement
Common UsageRevenue cycle management, healthcare billing, revenue recoveryInsurance billing, claims processing, reimbursement management

The main difference is that Revenue Cycle Denials Analysts focus on resolving denied claims within the revenue cycle, while Insurance Claims Specialists primarily handle the submission and follow-up of insurance claims. Both roles require knowledge of billing processes and insurance policies but differ in their specific responsibilities within the healthcare revenue process.

What is a Revenue Cycle Denials Analyst?

A Revenue Cycle Denials Analyst is a healthcare professional responsible for reviewing and analyzing denied insurance claims to identify trends, root causes, and opportunities for process improvement. They work to minimize future denials by collaborating with billing, coding, and clinical teams, and implementing corrective actions or recommending policy changes. Their goal is to maximize the healthcare provider's reimbursement by ensuring accurate claims submission and facilitating the appeal process for denied claims.

What are the key skills and qualifications needed to thrive as a Revenue Cycle Denials Analyst, and why are they important?

To thrive as a Revenue Cycle Denials Analyst, you need a strong understanding of healthcare billing, coding, and denial management, often supported by a degree in health information management or related experience. Familiarity with claims processing systems, electronic health records (EHRs), and denial management software is typically required. Analytical thinking, attention to detail, and strong communication skills help analysts investigate denial trends and collaborate with clinical and billing teams. These competencies are crucial for reducing lost revenue, ensuring compliance, and improving the financial performance of healthcare organizations.

What are the most common challenges faced by a Revenue Cycle Denials Analyst, and how can they be addressed?

A Revenue Cycle Denials Analyst often encounters challenges such as identifying root causes of claim denials, navigating complex payer guidelines, and communicating effectively with both clinical and billing teams. To address these, analysts typically leverage data analysis tools to spot denial trends, keep up-to-date with payer policies, and collaborate closely with departments to implement corrective actions. Building strong relationships with team members and regularly participating in training sessions can also help stay ahead of industry changes and improve denial resolution rates.
More about Revenue Cycle Denials Analyst jobs
What cities are hiring for Revenue Cycle Denials Analyst jobs? Cities with the most Revenue Cycle Denials Analyst job openings:
What states have the most Revenue Cycle Denials Analyst jobs? States with the most job openings for Revenue Cycle Denials Analyst jobs include:
Infographic showing various Revenue Cycle Denials Analyst job openings in the United States as of June 2026, with employment types broken down into 4% Internship, 84% Full Time, 8% Part Time, and 4% Contract. Highlights an 77% In-person, 4% Hybrid, and 19% Remote job distribution, with an average salary of $65,719 per year, or $31.6 per hour.
Revenue Cycle Denials Analyst

Revenue Cycle Denials Analyst

Richmond University Medical Center

Staten Island, NY • On-site

$60K - $70K/yr

Full-time

Posted yesterday


Richmond University Medical Center rating

8.3

Company rating: 8.3 out of 10

Based on 10 frontline employees who took The Breakroom Quiz

74th of 1,004 rated hospitals


Job description

It's fun to work in a company where people truly BELIEVE in what they're doing!
We're committed to bringing passion and customer focus to the business.
Day Shift - 7.5 Hours (United States of America)
PRIMARY RESPONSIBILITES
Denial Monitoring, Review & Tracking
  • Monitors denial work queues for facility (technical) billing across all payers.
  • Reviews daily, weekly, and monthly denial reports by payer, denial type, and financial impact.
  • Categorizes denials consistently using standardized HFMA and internal definitions.
  • Analyzes CARC/RARC codes to determine root causes and required next steps.
  • Investigates underlying issues such as registration errors, eligibility, authorization, coding, medical necessity, billing edits, and payer-specific requirements.
  • Maintains a centralized denial log that includes denial category, status, actions taken, and financial implications.

Trend Analysis & Root-Cause Identification
  • Performs trend analysis to identify patterns, spikes, or recurring issues.
  • Differentiates avoidable vs. unavoidable denials and reports preventable causes.
  • Conducts root-cause analysis and escalates systemic issues to Revenue Integrity.
  • Evaluates upstream workflow breakdowns (registration errors, auth gaps, documentation issues, coding discrepancies, etc.).

Reporting
  • Prepares regular denial dashboards showing:
    • Denial volume by category and payer
    • Dollar impact
    • Aging and trends over time
    • Avoidable vs. unavoidable breakdowns
  • Produces actionable insights for leadership and operational teams.
  • Ensures reporting aligns with the hospital's standardized denial management framework.

Support of Denials Steering Committee Governance
  • Provides data, summaries, and insights for the Denials Steering Committee and associated Workgroups.
  • Tracks progress on Performance Improvement Plans (PIPs) and action items owned by various departments.
  • Partners with Business Owners to review trends and monitor corrective actions.
  • Helps reinforce accountability by documenting follow-up items and escalating barriers.
  • Supports the overall shift from denial recovery → denial prevention.

Process Improvement Collaboration
  • Works with Patient Access, Coding, Utilization Review, Billing, Managed Care, and clinicians to reduce denial root causes.
  • Participates in workflow reviews, education efforts, and operational redesign related to denials prevention.
  • Supports implementation and post-implementation monitoring of improvement initiatives.

Payer & Audit Support
  • Monitors payer policy and regulatory updates as they relate to denials.
  • Provides denial samples, data, and trend summaries for payer escalation or audit review.
  • Does not perform appeals but provides analytical support to downstream teams who do.

Compliance & Data Integrity
  • Ensures data accuracy, consistency, and compliance with internal policies, CMS, HIPAA, and payer requirements.
  • Validates denial data regularly to ensure reliability of reporting dashboards.

REQUIREMENTS
Education & Experience
  • Associate's or Bachelor's degree preferred.
  • Minimum 3 years of hospital revenue cycle or denial management experience
  • Familiarity with UB-04 facility billing, payer remits, CARC/RARC codes, and OPPS/APC/DRG methodologies strongly preferred.

Skills & Knowledge
  • Strong analytical and data interpretation skills.
  • Proficient in Excel and denial/billing systems (e.g., Meditech, Epic).
  • Understanding of Medicaid, Medicare, and commercial payer denial rules.
  • Ability to communicate effectively across clinical and administrative departments.
  • High attention to detail, accuracy, and organizational skills.

Salary Range: $60,000 - $70,000 (Commensurate with Experience)
Employment Non-Discrimination: Richmond University Medical Center is committed to equality of opportunity in all aspects of employment and provides full and equal employment opportunities to all employees and potential employees without regard to race, color, national origin, religion, gender identity, sex, sexual orientation, pregnancy, childbirth and related medical conditions and needs including lactation accommodations, physical or mental disability, age, immigration or citizenship status, veteran or active military status, genetic information, or any other legally protected status.
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!

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