Denials Standardization Lead Analyst

Posted Yesterday
Be an Early Applicant
Hiring Remotely in USA
Remote
48K-81K Annually
Junior
Fintech • Healthtech • Analytics
The Role
Analyze denied claims to identify clinical, coding, and process root causes; write clear problem statements; quantify financial impact; partner with coding and revenue cycle teams to recommend and drive corrective actions to reduce preventable denials.
Summary Generated by Built In

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.  

As our Performance Management Denials Analyst Standardization Lead, you will help reduce preventable claim denials by identifying clinical, coding, and process‑driven root causes that negatively impact reimbursement and overall revenue cycle performance.

Every day you will analyze denied claims to develop and write clear problem statements that define the intended objective, where the process failed, and the specific failure points driving denials that outline where to fix the problem.  Partner closely operational teams to validate medical terminology, coding accuracy, and front-end revenue cycle processes contributing to denials. Assess and communicate the financial impact of denials, supporting initiatives aimed at reducing significant revenue loss and improving the bottom line for internal and external clients.

To thrive in this role, you must have hands‑on experience in a denials or revenue cycle environment, strong critical‑thinking skills, and the ability to clearly communicate clinical and operational issues to stakeholders.

Here’s what you will experience working as a Denials Analyst: 

  • A denials‑focused, performance‑driven environment with clear expectations

  • Direct collaboration with coding and revenue cycle teams

  • Ownership of denial analysis with measurable financial impact

  • Autonomy to identify issues and drive corrective action

Required Skills:

  • Minimum 2 years of experience in revenue cycle management with a focus on denials and performance management

  • Working knowledge of medical terminology related to denied claims

  • Experience collaborating with coding teams and stakeholders analyzing denial root causes

  • Need to have advance excel skills: pivot tables, data annualization, data visualizations. Example: Spread sheet of 20,000 accounts need to be sorted down to specific data set of inventory wide data sliced to a narrow focus.

  • Complex Denial experience

  • Recent Revenue Cycle Front End Denial experience and understanding all revenue cycle front end processes 

  • Experience identifying root causes and presenting cause and solution to management

  • Medical terminology in denials 

  • The ability to write up charting assessment 

For this US-based position, the base pay range is $48,131.00 - $81,225.49 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.This job is eligible to participate in our annual bonus plan at a target of 5.00%

The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.


Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a competitive benefits package.

R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.

If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.

CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent

To learn more, visit: R1RCM.com

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Skills Required

  • Minimum 2 years of experience in revenue cycle management with a focus on denials and performance management
  • Working knowledge of medical terminology related to denied claims
  • Experience collaborating with coding teams and stakeholders analyzing denial root causes
  • Advanced Excel skills: pivot tables, data annualization, data visualizations
  • Complex denial experience
  • Recent revenue cycle front end denial experience and understanding all front end processes
  • Experience identifying root causes and presenting cause and solution to management
  • Ability to write up charting assessment
  • Strong critical-thinking and communication skills to convey clinical and operational issues

R1 RCM Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about R1 RCM and has not been reviewed or approved by R1 RCM.

  • Leave & Time Off Breadth Flexible or unlimited PTO, paid holidays/vacation, and paid volunteer time are highlighted, supporting work-life balance in many roles. Time-off usability is described as workable in many teams, especially in exempt roles.
  • Flexible Benefits Remote work options and flexible schedules are available for many positions, offering convenience and adaptability depending on role and location. Work-from-home eligibility varies by position but is called out as a valued option.
  • Career-Linked Recognition & Rewards Recognition programs such as R1 Stars are implemented to boost engagement and morale. Feedback suggests these programs help reduce turnover and provide acknowledgment beyond base pay.

R1 RCM Insights

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The Company
HQ: Murray, UT
10,001 Employees
Year Founded: 2003

What We Do

R1 is a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers R1’s proven and scalable operating models seamlessly complement a healthcare organization’s infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience.

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