Denial Recovery Analyst

Job Summary

Working remotely, the full-time Denial Recovery Analyst will review technical denial claims, submit appeals, and optimize financial performance within the revenue cycle to ensure accurate and timely reimbursement.

Key Responsibilities

• Identify, prioritize, and resolve denied claims, initiating timely appeals and reconsiderations
• Interpret and apply payer contract terms to ensure accurate claim resolution and reimbursement
• Collaborate with revenue cycle teams to recommend process improvements and prevent future denials

Required Qualifications

• High School Diploma or GED required
• Minimum of four (4) years of experience in billing, insurance follow-up, collections, or denial management within a hospital or clinical setting
• Associate's degree or higher in a health or business-related field preferred
• Experience in coding, medical record review, auditing, or insurance-related functions preferred
• Strong skills in report and dashboard development preferred