Insurance Denials Analyst

Job Summary

Analyzing payer denials and payment variances, the full-time Insurance Denials Analyst will work remotely to 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 coding methodologies such as CPT, ICD-10, and DRG
• Understanding of regulatory compliance requirements related to reimbursement
• Ability to analyze problems and implement effective work strategies