Sr. Denials Prevention Analyst (Remote)
Core
Operational subject-matter expert in denial prevention using revenue cycle analytics and account sampling to identify trends, root causes, and drive reductions in initial denials for maximum reimbursement.
Role type
Senior Denials Prevention Analyst
Builds
Denial prevention strategies, workflows, playbooks, and action plans
Domain
Healthcare revenue cycle and denial management
Required skills
Revenue cycle analytics, account sampling, root cause analysis, KPI monitoring, policy compliance tracking, Epic reporting, statistical analysis, medical terminology (CPT/ICD/HCPCS), Excel automation, Tableau/Power BI/SQL
Preferred skills
Denial recovery, prior authorization, registration, coding, clinical operations
Technologies
Epic, Tableau, Power BI, SQL, Excel
Responsibilities
Perform revenue cycle denial analytics to trend issues and identify root causes; Conduct targeted account sampling and case reviews to validate findings; Prepare analytics summaries, reports, and leadership readouts; Lead cross-functional discussions and root cause analysis with clinical and billing teams; Monitor denial prevention KPIs and initiative progress; Help develop and implement denial prevention strategies and playbooks; Monitor payer policy changes and CMS/Medicare/Medicaid updates; Maintain denial dashboards and performance reports.
Seniority
Senior, hands-on IC
