Denials Analyst Lead Location: Torrance, CA Compensation: $80,000-$120,000 Employment Type: Direct Hire Schedule: Monday-Friday, 8-hour shift beginning between 7:00-8:00 AM Work Arrangement: Fully Onsite to Start Industry: Healthcare /Hospital Position Overview We are seeking an experienced Denials Analyst Lead to join the Patient Financial Services team of a well-established acute-care hospital in Torrance. This is a hands-on leadership opportunity for someone with deep experience in hospital denials, collections, reimbursement, and revenue cycle analysis who can immediately take ownership of complex denial activity while leading a small team. This individual will lead a team of three while analyzing large volumes of denial data, identifying trends and root causes, prioritizing accounts approaching timely filing deadlines, and partnering across departments to prevent future denials. A major component of this role is data analysis. The ideal candidate must be highly proficient in Microsoft Excel, including Pivot Tables and VLOOKUPs, and comfortable taking large data sets and turning them into actionable insights for hospital leadership.
Key Responsibilities
- Lead and support a team of three within denial management
- Analyze hospital denial activity to identify trends, root causes, and opportunities for prevention
- Use advanced Excel functions, including Pivot Tables and VLOOKUPs, to analyze and segment denial data
- Review denied, rejected, underpaid, and high-priority hospital accounts
- Identify accounts approaching timely filing or appeal deadlines and prioritize accordingly
- Manage complex payer denials and support successful reimbursement recovery
- Analyze denials related to authorization, medical necessity, eligibility, coding, documentation, timely filing, and reimbursement
- Partner with departments to identify why denials are occurring and implement preventative solutions
- Work closely with Patient Access, Case Management, Coding, HIM, Managed Care, and other revenue cycle teams
- Analyze payer trends across medical groups, IPAs, and health plans
- Review denial and collection performance and communicate findings to leadership
- Support appeals, rebilling, claim corrections, and payer escalation activities
- Help improve workflows designed to reduce repeat denials and improve reimbursement
- Provide clear reporting and recommendations around denial trends, aging, recoveries, and operational issues
Required Qualifications
- 5+ years of patient accounting / hospital revenue cycle experience
- Strong hands-on experience with hospital denials and collections
- Previous experience working within an hospital environment
- Advanced Microsoft Excel skills, including Pivot Tables and VLOOKUPs
- Strong understanding of denial management, appeals, timely filing requirements, and reimbursement recovery
- Knowledge of California Division of Financial Responsibility (DOFR)
- Understanding of medical groups, IPAs, health plans, and payer responsibility
- Knowledge of Medicare, Medi-Cal, managed care, and commercial insurance
- Ability to analyze large data sets and identify denial trends and root causes
- Strong leadership, communication, and problem-solving skills
- Ability to work effectively in a high-volume environment where priorities can change quickly
Preferred Qualifications
- Bachelor's or Associate degree in Healthcare Administration, Business, Finance, or a related field
- Previous lead or supervisory experience within revenue cycle or Patient Financial Services
- Experience with Epic, Oracle, or similar hospital revenue cycle systems
- Knowledge of California payer regulations and reimbursement requirements
- Experience presenting denial trends and recommendations to revenue cycle leadership
What We're Looking For This role is ideal for a confident, proactive revenue cycle professional who can hit the ground running. The right person understands denials beyond simply working individual accounts. They can recognize patterns, dig into the data, determine why denials are happening, and work collaboratively with other departments to prevent the same issues from recurring. You should be comfortable working in an environment where priorities move quickly, deadlines matter, and leadership expects someone who can take ownership and make decisions without needing extensive direction
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