ZipRecruiter

Log In

1

Senior Denial Prevention Analyst Jobs (NOW HIRING)

Shrinerschildrens

Senior Revenue Cycle Analyst (CA)

$80K - $121K/yr

... denial prevention strategies. The Senior Analyst serves as a key analytical resource, translating performance data into operational recommendations that align with regional and system revenue cycle ...

Shriners Children's

Senior Revenue Cycle Analyst (CA)

$80K - $121K/yr

... denial prevention strategies. The Senior Analyst serves as a key analytical resource, translating performance data into operational recommendations that align with regional and system revenue cycle ...

Medix

Senior Director, Patient Access

Blue Ash, OH · On-site

$69.23 - $72.12/hr

Senior Director, Patient Access (2 Openings) ? Appleton, WI or Roanoke, VA ? $144,000-$150,000 Base ... denial prevention * Analyze operational and financial data to identify trends and improvement ...

Co-op Solutions

Risk Prevention Analyst

Des Moines, IA · On-site

The Risk Prevention Analyst is responsible for providing operational risk assessments leveraging ... This role involves direct interaction with senior-level management at the financial institution and ...

next page

Showing results 1-20

All JobsDenial Prevention Analyst JobsSenior Denial Prevention Analyst Jobs

Senior Denial Prevention Analyst information

See salary details

$53.5K

$109.8K

$142.5K

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

As of Aug 26, 2026, the average yearly pay for senior denial prevention analyst in the United States is $109,846.00, according to ZipRecruiter salary data. Most workers in this role earn between $90,500.00 and $137,000.00 per year, depending on experience, location, and employer.

What is a senior denial prevention analyst job description?

A senior denial prevention analyst is responsible for identifying and analyzing reasons for claim denials, developing strategies to reduce future denials, and working with healthcare providers and insurance companies to resolve issues. They often utilize data analysis tools and have strong knowledge of billing, coding, and reimbursement processes. The role typically requires experience in healthcare revenue cycle management and may involve mentoring junior staff.
More about Senior Denial Prevention Analyst jobs

What cities are hiring for Senior Denial Prevention Analyst jobs?

Cities with the most Senior Denial Prevention Analyst job openings:

What are the most commonly searched types of Denial Prevention Analyst jobs?

The most popular types of Denial Prevention Analyst jobs are:

What states have the most Senior Denial Prevention Analyst jobs?

States with the most job openings for Senior Denial Prevention Analyst jobs include:

What job categories do people searching Senior Denial Prevention Analyst jobs look for?

The top searched job categories for Senior Denial Prevention Analyst jobs are:

Senior Denial Prevention Analyst jobs near you
Infographic showing various Senior Denial Prevention Analyst job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 22% Part Time, 1% Temporary, and 2% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $109,846 per year, or $52.8 per hour.

Denial Prevention Nurse Consultant

Remote

Revecore Technologies
Health Care and Social Assistance • 1 - 5K employees

8.1

Company rating: 8.1 out of 10

Based on 22 frontline employees who took The Breakroom Quiz

Good employer

Paid breaks

Recommended by parents

Learn more about Revecore Technologiesexternal

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 26 days ago

Job description

Ready to make a difference for hospitals while working from home? Start your next chapter at Revecore! For over 25 years, Revecore has been at the forefront of specialized claims management, helping healthcare providers recover meaningful revenue to enhance quality patient care in their communities. We're powered by people, driven by technology, and dedicated to our clients and employees. If you're looking for a collaborative and diverse culture with a great work/life balance, look no further.
Revecore Perks:
  • We offer paid training and incentive plans
  • Our medical, dental, vision, and life insurance benefits are available from the first day of employment
  • We enjoy excellent work/life balance
  • Our Employee Resource Groups build community and foster a culture of belonging and inclusion
  • We match 401(k) contributions
  • We offer career growth opportunities
  • We celebrate 12 paid holidays and generous paid time off

Location: Remote-USA
The Role: Denial Prevention Nurse Consultant
Primarily responsible for thorough review of medical records and other medical documentation to determine appropriate billable services for hospital to construct an appeal for payment based on medical necessity or payer specific guidelines or criteria. Responsible for providing clients trending, revenue cycle fail point analysis, and best practice remediation recommendations.
Training:
Our comprehensive training begins on your first day and lasts 90 business days. It is led by instructors and incorporates interactive discussions and hands-on activities to accommodate diverse learning preferences.
As a Denial Prevention Nurse Consultant, you will:
  • Build strong, lasting relationships with clients, payors and Revecore personnel
  • Analyze medical records or other medical documentation to validate services, tests, supplies and drugs performed for accuracy related to billing for services rendered
  • Identify and interpret medical, radiological, laboratory or other tests and procedures as well as pharmaceutical drugs
  • Review and understand managed care contracts, hospital billing statements/bills and insurance denials
  • Research commercial and governmental payor policies, clinical abstracts and studies, and other documentation related to claims payment to evaluate and appeal denied claims.
  • Perform research regarding denials and effectively communicate information to associates, colleagues, managers and clients
  • Contact insurance company to obtain missing information, explain and resolve underpayments and/or denials and arrange for payment or adjustment processing on behalf of client
  • Prepare and submit correspondence such as letters, emails, online inquiries, appeals, adjustments, reports and payment posting
  • Perform denial trending for clients, identify fail points within the revenue cycle and on the payer side, and provide best practice recommendations to clients and Revecore managers.
  • Maintain regular contact with necessary parties regarding claims status including payors, clients, managers, and other Revecore personnel
  • Maintain confidentiality of information in compliance with company policy and HIPAA
  • Attend client, department and company meetings
  • Lead client meetings and perform consulting services to client's as it relates to medical necessity of services performed and proper vetting of payers criteria

Is this role for you?
Revecore encourages our employees to be driven and highly motivated to be successful. We get excited by candidates who:
  • College degree or diploma from school of nursing -- must be RN
  • Clinical nursing experience working in hospital environment, preferably in ER, Critical Care or diagnostic services
  • Minimum 5 years of related experience and/or training in utilization review or patient accounting
  • Are highly proficient with Interqual and MCG guidelines and demonstrate appropriate application to claim appeal argument.
  • Understand patient accounting documents -- UB04, EOB
  • Have a working knowledge of Microsoft Office (Word, Excel, Outlook)
  • Possess technical proficiency to work on multiple computer screens and software applications simultaneously
  • Are able to read and interpret an extensive variety of documents such as medical records, patient care systems, instructions, policies and procedures in written (in English) and diagram form
  • Can maintain strong performance in a fast-paced environment with productivity metrics
  • Have strong analytical skills, attention to detail, and problem-solving skills to identify underpayments and discrepancies
  • Have experience with healthcare billing software and databases (EPIC, Cerner, Meditech)

How we'll set you up for success:
  • Extensive multi-week training with ongoing support from teammates following training.
  • Access to a robust knowledgebase for continued reference in your role.
  • Visibility to your individual performance metrics enables you to set goals.
  • Computers and necessary work equipment are provided
  • Involved management who leans in to support your productivity metrics.

Work at Home Requirements:
  • A quiet, distraction-free environment to work from in your home.
  • A secure internet connection is required.
  • Home internet with speeds >20 Mbps for downloads and >10 Mbps for uploads.
  • The workspace area accommodates all workstation equipment and related materials and provides adequate surface area to be productive.

Revecore is an equal opportunity employer that does not discriminate based on race, color, religion, sex or gender, gender identity or expression, sexual orientation, national origin, age, disability status, veteran status, genetic information, or any other legally protected status.
We believe that a diverse workforce fosters innovation and creativity, enriches our culture, and enables us to better serve the needs of our clients and communities. We welcome and encourage individuals of all backgrounds, perspectives, and abilities to apply.
Must reside in the United States within one of the states listed below:
Alabama, Arkansas, Delaware, Florida, Georgia, Iowa, Illinois, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Maine, Maryland, Michigan, Minnesota, Missouri, Mississippi, Montana, North Carolina, Nebraska, New Hampshire, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Virginia, Wisconsin, and West Virginia
Denial Prevention Nurse Consultant

What Revecore employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply