Insurance Denials Analyst

Job Summary

Analyzing payer denials and payment variances, the full-time remote Insurance Denials Analyst will ensure accurate reimbursement, prepare and submit appeals, and collaborate with stakeholders to resolve discrepancies while monitoring trends and supporting process improvements.

Key responsibilities

• Analyze payer denials and payment variances to identify root causes and resolve discrepancies
• Prepare, submit, and track appeals to ensure timely reimbursement recovery
• Monitor denial trends and develop reports to support performance tracking and improvement efforts

Required qualifications

• High school diploma or equivalent required; one year of college coursework in accounting, coding, insurance, or a related field preferred
• Knowledge of third-party payer guidelines, including billing requirements and appeal processes
• Familiarity with billing and accounts receivable management, including various coding methodologies
• Understanding of regulatory compliance requirements related to reimbursement
• Ability to analyze problems and implement effective work strategies and process efficiencies