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Revenue Cycle Denials Analyst Jobs in Springfield, MA

VIABILITY, INC

Revenue Cycle Analyst

Springfield, MA · On-site

$24/hr

Revenue Cycle Analyst/Back-Up Payroll Specialist- Full Time (Non-Remote) Location: On Site Springfield, Massachusetts Rate of Pay: $24.00 per hour Hours: 40 hours per week Schedule: Monday-Friday 8 ...

Deloitte

Epic Denials Management Operator

Hartford, CT · Remote

$18.25 - $24.25/hr

... to deliver back-end Revenue Cycle Management (RCM) services, including Billing and Claims ... Conduct Denial categorization and root cause analysis based on remittance information received from ...

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All JobsRevenue Cycle Denials Analyst JobsRevenue Cycle Denials Analyst Jobs in Springfield, MA

Revenue Cycle Denials Analyst information

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$15

$31

$55

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

As of Aug 21, 2026, the average hourly pay for revenue cycle denials analyst in Springfield, MA is $31.49, according to ZipRecruiter salary data. Most workers in this role earn between $22.26 and $35.91 per hour, depending on experience, location, and employer.

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 skills and qualifications are needed to thrive as a revenue cycle denials analyst?

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.

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.

How do I become a revenue cycle denials analyst?

To become a revenue cycle denials analyst, candidates typically need a background in healthcare administration, medical billing, or coding, along with experience in revenue cycle management. Relevant skills include knowledge of insurance claims, denial management, and proficiency with billing software and electronic health records. Earning certifications such as Certified Revenue Cycle Specialist (CRCS) can enhance job prospects.

What are popular job titles related to Revenue Cycle Denials Analyst jobs in Springfield, MA?

For Revenue Cycle Denials Analyst jobs in Springfield, MA, the most frequently searched job titles are:

What job categories do people searching Revenue Cycle Denials Analyst jobs in Springfield, MA look for?

The top searched job categories for Revenue Cycle Denials Analyst jobs in Springfield, MA are:

What cities near Springfield, MA are hiring for Revenue Cycle Denials Analyst jobs?

Cities near Springfield, MA with the most Revenue Cycle Denials Analyst job openings:

Revenue Cycle Denials Analyst jobs near you
Infographic showing various Revenue Cycle Denials Analyst job openings in Springfield, MA as of August 2026, with employment types broken down into 89% Full Time, and 11% Part Time. Highlights an 83% In-person, 6% Hybrid, and 11% Remote job distribution, with an average salary of $65,489 per year, or $31.5 per hour.

Revenue Cycle Analyst

ClientServer Technology Solutions LLC

Hartford, CT • On-site

Other

Posted 11 days ago

Job description

Role: Revenue Cycle AnalystExperience:10+ Years. Location: CT, MA(Onsite).Duration: Long Term-Contract. Position Overview

We are seeking a non-clinical analyst within the Clinical Informatics Department to support revenue cycle operations through data analysis, reporting, and revenue cycle system support. This role will work closely with revenue cycle leadership, finance, and information technology personnel to analyze operational and financial data, develop reports, and identify opportunities to improve billing accuracy, reimbursement, and revenue cycle performance.

The Revenue Cycle Analyst contributes a financial and reporting lens to clinical informatics initiatives, including EHR implementation, optimization, and system governance. This position does not involve direct patient care or clinical decision-making responsibilities.

Within the Clinical Informatics Department, the Revenue Cycle Analyst supports the effective use of clinical and financial data to drive operational and financial performance. The role focuses on bridging clinical documentation and revenue cycle outcomes by leveraging informatics tools, reporting, and data analysis.

The analyst collaborates with clinical informatics staff to:

●      Align revenue cycle reporting needs with EHR design and optimization efforts.

●      Support data governance, data definitions, and reporting standards across clinical and financial domains.

●      Identify opportunities where informatics-driven improvements can enhance billing accuracy, reimbursement, and revenue integrity.

This role strengthens the Clinical Informatics Department''s ability to deliver integrated clinical and financial insights that support organizational sustainability. This role will support the design, build, and configuration of revenue cycle-related components within the EHR.

Key Responsibilities Include

●      Develop and maintain operational and financial reports related to revenue cycle performance, including billing activity, claims submission, reimbursements, denials, and collections.

●      Analyze revenue cycle data to identify trends, operational inefficiencies, and propose opportunities to improve billing accuracy, reimbursement, and financial performance.

●      Support revenue cycle reporting and financial reconciliation activities during EHR system implementation, including participation in revenue cycle-related system build, configuration, and validation, and post-implementation optimization.

●      Collaborate with clinical informatics, revenue cycle leadership, finance staff, and information technology personnel to define reporting requirements and revenue cycle-related system build needs, and develop dashboards or reporting tools to support operational decision-making.

●      Support system testing, upgrades, and implementation activities related to revenue cycle systems and reporting tools, including participation in integrated testing, workflow validation, and issue resolution for revenue cycle-related EHR functionality.

●      Participate in the build, configuration, and maintenance of revenue cycle-related EHR components (e.g., billing workflows, charge capture support, revenue cycle reporting objects), under Clinical Informatics governance and change management processes.

●      Document reporting processes, data definitions, and maintain compliance with state and federal reporting requirements.

●      Monitor and report on core revenue cycle KPIs (e.g., net collection rate, clean claim rate, days in A/R, denial rate, cost to collect, discharged-not-final-billed) and flag adverse trends to leadership.

●      Support accounts receivable (A/R) follow-up by analyzing aging buckets and identifying aged or high-risk accounts requiring escalation.

●      Participate in denial management and appeals workflows, performing root-cause analysis on denial trends and coordinating corrective action with coding, clinical, and payer-facing staff.

●      Review charge capture processes and the Charge Description Master (CDM) to help ensure charges are complete, accurate, and compliant.

Analyze payer contract terms and fee schedules to validate expected reimbursement and identify underpayment or variance trends.

●      Support patient financial services functions, including self-pay/patient-balance reporting, statement accuracy, and compliance with price transparency requirements (e.g., the No Surprises Act and hospital price transparency rule).

●      Assist with responses to internal and external audits (e.g., payer

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