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Assistant Denial Management Jobs (NOW HIRING)

Support process improvement initiatives for IDR and denial management operations. * Ensure HIPAA compliance and adherence to organizational SOPs and payer regulations. * Assist leadership with ...

Support process improvement initiatives for IDR and denial management operations. * Ensure HIPAA compliance and adherence to organizational SOPs and payer regulations. * Assist leadership with ...

... denial management staff. * Monitor productivity, quality, and performance against established KPIs. * Conduct employee coaching, training, and performance evaluations. * Assist with recruiting ...

Oversee denial management, appeals, and insurance follow-up activities. * Monitor aging accounts receivable and recovery efforts. * Assist with escalated and high-dollar claims. * Ensure timely ...

Support process improvement initiatives for IDR and denial management operations. * Ensure HIPAA compliance and adherence to organizational SOPs and payer regulations. * Assist leadership with ...

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Assistant Denial Management information

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$29K

$48.4K

$69.5K

How much do assistant denial management jobs pay per year?

As of Aug 6, 2026, the average yearly pay for assistant denial management in the United States is $48,396.00, according to ZipRecruiter salary data. Most workers in this role earn between $42,000.00 and $48,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an assistant denial management specialist?

To thrive as an Assistant Denial Management specialist, you need a solid understanding of medical billing, insurance claims processes, and healthcare regulations, often supported by a degree in healthcare administration or related field. Familiarity with revenue cycle management software, electronic health record systems, and coding standards such as ICD-10 and CPT is crucial. Strong analytical skills, attention to detail, and effective communication help in investigating denied claims and collaborating with payers and internal teams. These abilities are essential to maximize reimbursement, reduce claim denials, and ensure financial stability for healthcare organizations.

What is an assistant denial management?

An Assistant Denial Management is a healthcare administrative professional who supports the process of reviewing, analyzing, and resolving insurance claim denials. They work closely with billing teams, insurance companies, and healthcare providers to identify the reasons for denied claims and help resubmit or appeal them for payment. Their goal is to maximize reimbursement for healthcare services and reduce lost revenue due to denied claims. Responsibilities typically include maintaining records, preparing documentation, and communicating with various stakeholders to ensure timely resolution.

What is the difference between Assistant Denial Management vs Medical Billing Specialist?

AspectAssistant Denial ManagementMedical Billing Specialist
CredentialsTypically requires certification in medical billing or codingUsually requires certification or training in medical billing/coding
Work EnvironmentHealthcare facilities, insurance companies, billing officesHospitals, clinics, physician offices, billing companies
Primary ResponsibilitiesFollow up on denied claims, resolve billing issues, ensure paymentPrepare, submit, and manage medical claims, coding, and billing processes

Assistant Denial Management and Medical Billing Specialist roles both focus on healthcare billing processes. While they share similar credentials and work environments, Assistant Denial Management emphasizes resolving claim denials and appeals, whereas Medical Billing Specialists handle the entire billing cycle. Understanding these differences helps healthcare organizations assign the right tasks to the appropriate roles.

What are the typical challenges faced by someone in an assistant denial management role, and how can they be addressed?

Assistant Denial Management professionals often encounter challenges such as navigating complex insurance policies, identifying the root causes of claim denials, and prioritizing high-volume workloads. Staying detail-oriented and up-to-date on payer requirements is crucial to effectively appeal and resolve denied claims. Collaborating closely with billing teams, healthcare providers, and insurance representatives helps ensure accurate documentation and timely resubmission, making strong communication skills essential for success in this role.
What cities are hiring for Assistant Denial Management jobs? Cities with the most Assistant Denial Management job openings:
What are the most commonly searched types of Denial Management jobs? The most popular types of Denial Management jobs are:
What states have the most Assistant Denial Management jobs? States with the most job openings for Assistant Denial Management jobs include:

Medical Director - Clinical Denial Recovery Unit (CDRU)/Payor Audit

Henry Ford Health System

Detroit, MI • On-site

Full-time

Re-posted 8 days ago


Henry Ford Health rating

7.0

Company rating: 7.0 out of 10

Based on 564 frontline employees who took The Breakroom Quiz

414th of 887 rated healthcare providers


Job description

GENERAL SUMMARY:
Reports to the Chief Utilization Officer (CUO) of Henry Ford Health, responsible for Clinical Denial Recovery Unit (CDRU) operations. Responsible for strategic and operational leadership and oversight of programs and initiatives including denials management, performance improvement, regulatory, compliance, and risk with an expectation of national top decile performance. This system role includes physician oversight and clinical input for post-discharge medical necessity denials at all HFHS acute care facilities.
PRINCIPLE DUTIES AND RESPONSIBILITIES:
1. Oversee a comprehensive value-driven centralized denial management process.
2. In collaboration with executive and administrative partners, provide clinical expertise to CDRU, Payor Audit, hospital UM teams, system IPAS, managed care contracting, and legal.
3. Participate as a clinical expert in payer negotiations and escalations, Accounts Receivable Reconciliation Group (AARGs) and Medical Director Meetings (MDMs), and during Administrative Law Judge (ALJ) hearings for denied cases.
4. Standardize and oversee a comprehensive reliability-driven process for status determination in concert with site level physician advisors.
5. Prepare and analyze denial metrics and make recommendations for process improvements.
6. Provide feedback to system IPAS regarding denial trends, opportunities for improvement, and payor practices.
7. Report out metrics and initiatives at Medical Executive and Executive Leadership meetings as requested.
8. Assist the manager of CDRU, UM Director, and Director of Payor Audit with preparation of case escalations for payer negotiations.
9. Assist the CDRU RN staff with medical necessity appeals for complex medical cases.
10. Maintain a working knowledge of applicable Federal, State and local laws and regulations, initiatives, and expectations as set by payers and CMS.
11. Collaborate with accountable leaders to develop processes that ensure consistent feedback for all involved care providers regarding specific denial mitigation strategies and performance results.
#PR
EDUCATION/EXPERIENCE REQUIRED:
• Graduate of an accredited medical school, completion of a three (3) year U.S. residency program, and board certified in their specialty.
• Minimum seven (7) years of clinical practice as a physician.
• Previous performance-based leadership experience preferred.
#PR

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About Henry Ford Health

Sourced by ZipRecruiter

Henry Ford Health provides a full continuum of services from Primary and Preventative care, to Complex and Cpecialty care, Health Insurance, a full suite of home health offerings, Virtual care, Pharmacy, Eye care and other Healthcare retail. It is one of the Nation’s leading Academic Medical Centers, recognized for Clinical excellence in Cancer care, Cardiology and Cardiovascular Surgery, Neurology and Neurosurgery, Orthopedics and Sports medicine, and Multi organ transplants. Consistently ranked among the top five NIH funded institutions in Michigan, Henry Ford Health engages in more than 2,000 research projects annually. Equally committed to educating the next generation of Health Professionals, Henry Ford Health trains more than 4,000 Medical students, Residents and fellows every year across 50+ accredited programs. With more than 33,000 valued team members, Henry Ford Health is also among Michigan’s largest and most Diverse employers, including nearly 6,000 physicians and researchers from the Henry Ford Medical Group, Henry Ford Physician Network and Jackson Health Network.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Detroit, MI, US

Year founded

1915