Research Denial Prevention Specialist – Remote

Job Summary

We are seeking a data-driven and collaborative Denials Researcher – Revenue Cycle Analyst to join our team at Conifer Health. This role is responsible for analyzing claim denials and operational risks across the revenue cycle and recommending data-driven solutions to reduce write-offs. You will serve as the key liaison between Denial Prevention and Operational teams, providing analytical insights that drive process improvements across scheduling, financial clearance, coding, billing, and appeals.

Key Responsibilities

• Serve as the primary analyst for denial data, operational fallouts, and claims resolution gaps

• Research and report root causes of denials; deliver actionable insights and KPI trending

• Support Denial Prevention in identifying training, system, and workflow improvement needs

• Evaluate operational processes across the revenue cycle and recommend optimization strategies

• Lead and participate in denial-related subcommittees and cross-functional workgroups

• Present findings and reports using Excel, Access, and PowerPoint; communicate clearly with stakeholders

• Provide analytical and project management support for regional or national initiatives

• Maintain compliance with HIPAA, company policies, and regulatory guidelines

• Collaborate closely with clinical, coding, billing, and appeal teams

Required Qualifications

• 3–5 years of experience in revenue cycle or acute healthcare environments

• Comprehensive understanding of hospital revenue cycle and denial trends

• Strong analytical skills with the ability to interpret data, identify risks, and recommend improvements

• Intermediate proficiency in MS Office (Excel, Outlook, Word, PowerPoint)

• Strong communication, relationship management, and time management skills

• Familiarity with project coordination, change management, and performance tracking

Education & Certifications

• Associate’s or Bachelor’s degree preferred

• Experience working in or alongside Denial Management, Billing, or Revenue Cycle Operations strongly preferred

• Experience in healthcare consulting or process improvement is a plus

Work Environment & Physical Demands

• Remote/Office-based role with optional travel

• May require navigating hospital settings including emergency departments

• Prolonged computer use required; phone and screen-heavy work environment

• Reasonable accommodations available for individuals with disabilities

Compensation & Benefits

Hourly Pay: $20.51 – $30.77 (based on experience and location)
Bonuses & Holiday Pay: Signing bonus for qualified hires, time-and-a-half on Conifer-observed holidays

Benefits Include:

• Medical, dental, vision, disability, and life insurance

• Paid vacation and sick leave (minimum 12 days/year)

• 401(k) with up to 6% employer match

• 10 paid holidays

• Flexible spending accounts (FSA), HSA

• Voluntary benefits: pet, legal, accident, critical illness insurance, elder/childcare, and more

• Employee assistance and discount programs

Conifer also complies with all applicable state leave laws, including Colorado’s Healthy Families and Workplaces Act.

About Us

Conifer Health Solutions, part of the Tenet and Catholic Health Initiatives family, brings over 30 years of healthcare expertise to clients across 135+ regions. We help hospitals and health systems improve clinical and financial performance while enhancing access to quality care. At Conifer, you’ll be part of a purpose-driven team equipped with cutting-edge tools and supported by leadership that fosters career growth.

Equal Opportunity Statement

Conifer Health is an equal opportunity employer. We do not discriminate based on race, religion, sex, gender identity, age, disability, veteran status, or any legally protected characteristic. We are committed to providing reasonable accommodations to qualified individuals with disabilities.