Sr. Denials Management Analyst

Westerkamp Group, LLC; Birmingham (AL); On-site; USD 85,000 - 115,000; Full time

Benefits offered by this job

Competitive salary based on experience

Performance-based bonus potential

Free on-site parking

Flexible start times

Job summary

A respected Birmingham-based revenue cycle management firm is seeking a Senior Denials Management Analyst to join their team. The role involves coordinating denial management activities and analyzing payer denials to recommend resolutions. Candidates should have 8-10 years of experience in hospital denial management, a bachelor's degree, and strong knowledge of reimbursement models. The position offers competitive salary, performance-based bonuses, and opportunities for career growth within a stable healthcare organization.

Qualifications

• 8-10 years of experience in hospital denial management or revenue cycle operations.
• Strong working knowledge of reimbursement models and payer medical policy.
• Proficient in UB-04 billing and denial trends analysis.
• Proficient in UB-04 billing, denial trends analysis, and Epic configuration updates.
• Confident communicator with experience presenting data to senior leadership.

Responsibilities

• Coordinate denial management activities for hospital-based denials.
• Provide reporting support for denial reporting and ad-hoc requests.
• Analyze payer denials and recommend resolutions.
• Analyze payer denials and recommend resolutions.
• Communicate with insurance follow-up and appeals teams on actions for denials.
• Identify underpayments and validate correct reimbursement models.
• Escalate complex denial issues with recommended actions.
• Coordinate Epic configurations for denial classification and ownership.
• Monitor payer denials for trends and new issues.

Skills

Hospital denial management

Revenue cycle operations

Reimbursement models

Data analysis

Communication skills

Problem-solving

Education

Bachelor's degree

Tools

UB-04 billing

Epic configuration

Job description

Join a Respected Birmingham Team. Drive Denial Resolution. Make a Local Impact.

Westerkamp Group, LLC is a Birmingham-based Revenue Cycle Management (RCM) company helping hospitals across Alabama and the Southeast improve cash flow, reduce denials, and ensure accurate reimbursement.

We’re currently hiring a Senior Denials Management Analyst to support a fast-growing hospital billing project. This on-site role is based at our Birmingham office at 200 Century Park South, with free parking and flexible scheduling options to help you commute outside of peak traffic times. It’s an opportunity to make a meaningful difference in hospital financial health — and to grow your career in a stable and respected local organization.

Key Responsibilities

1. Coordinate the Denial Management activities for Hospital Based denials from various government and third-party payers.
2. Provide reporting support for standard monthly denial reporting and ad-hoc denial report requests.
3. Develop a monthly Denial Management MOR report and present it in person to senior management (company and client) during the monthly client meeting.
4. Analyze specific payer denials and recommend resolution.
5. Communicate with the insurance follow-up team and the appeals team to recommend actions for specific denials.
6. Contact insurance payers when appropriate to identify the true nature of the denials.
7. Identify underpayments on large balance claims and validate the correct reimbursement model that was used for payment.
8. A broad understanding of complex revenue cycle management concepts and theories including reimbursement models (MS-DRG, APR-DRG, EAPGs, carveouts, fee schedule hierarchies), CMS Local Coverage Determinations and National Coverage Determinations, Medical Policies, General Medical Coding concepts, extensive understanding of UB-04 claim concepts, among others.
9. Escalate complex denial issues to senior management with recommendations for further actions to resolve claim denial issues.
10. Coordinate configuration updates in Epic related to denial classification and source/owning departments.
11. Monitor payer denials for trends and new denial issues caused by changes in their authorization/pre-cert/notification/referral requirements.

Qualifications

• 8–10 years of experience in hospital denial management or revenue cycle operations.
• Bachelor’s degree required.
• Strong working knowledge of reimbursement models (MS-DRG, APR-DRG, EAPGs, fee schedules) and payer medical policy (LCD/NCD).
• Proficient in UB-04 billing, denial trends analysis, and Epic configuration updates.
• Confident communicator with experience presenting data to senior leadership.
• Proven ability to work independently, solve complex problems, and lead data-driven decisions.

What We Offer

• Competitive salary based on experience.
• Performance-based bonus potential.
• A professional, mission-driven team in our Birmingham office.
• Free on-site parking and flexible start times to help you avoid peak traffic.
• Career growth within a respected, stable healthcare company.

Our Recruitment Process

Qualified candidates will receive an email invitation to complete a brief video interview. We value your time and aim to make the process smooth and flexible based on your availability. If you are unable to complete the video interview, please contact us to request alternative interview options.

Equal Opportunity & Accommodations

Westerkamp Group, LLC, is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, religion, gender, national origin, disability, age, veteran status, or any other legally protected status.

If you need a reasonable accommodation during any stage of the application or interview process, please contact [e-mail] or call 985-655-0300.