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Denial Coordinator Jobs (NOW HIRING)

West Virginia University Health System

Collectsall denial correspondence. Updates the denial database regularlyto accurately reflectall denials received. Coordinates appeals process with Case Management, Patient Access, providers on ...

WVU Medicine

Clinical Denials Coord

Morgantown, WV · On-site

Collects all denial correspondence. Updates the denial database regularly to accurately reflect all denials received. Coordinates appeals process with Case Management, Patient Access, providers on ...

Deloitte

Epic Denials Management Coordinator

Mclean, VA · Remote

Conduct Denial categorization and root cause analysis based on remittance information received from ... Work you'll do As an Epic Denials Management Coordinator on the AI & Engineering team, you will be ...

Deloitte

Epic Denials Management Coordinator

Lansing, MI · Remote

Conduct Denial categorization and root cause analysis based on remittance information received from ... Work you'll do As an Epic Denials Management Coordinator on the AI & Engineering team, you will be ...

Deloitte

Epic Denials Management Coordinator

Jericho, NY · Remote

Conduct Denial categorization and root cause analysis based on remittance information received from ... Work you'll do As an Epic Denials Management Coordinator on the AI & Engineering team, you will be ...

Deloitte

Epic Denials Management Coordinator

Austin, TX · Remote

Conduct Denial categorization and root cause analysis based on remittance information received from ... Work you'll do As an Epic Denials Management Coordinator on the AI & Engineering team, you will be ...

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How much do denial coordinator jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for denial coordinator in the United States is $24.98, according to ZipRecruiter salary data. Most workers in this role earn between $21.15 and $26.20 per hour, depending on experience, location, and employer.

What is a denial coordinator?

Denial Coordinators are healthcare professionals responsible for managing and resolving insurance claim denials. They review denied claims, investigate the reasons for denial, and work with insurance companies, healthcare providers, and patients to appeal and overturn these decisions. Their goal is to ensure that healthcare providers receive appropriate reimbursement for services rendered and that patients are not unfairly burdened by denied claims. Denial Coordinators must be detail-oriented and knowledgeable about medical billing, insurance policies, and appeals processes.

What are the key skills and qualifications needed to thrive as a denial coordinator, and why are they important?

To thrive as a Denial Coordinator, you need a solid understanding of medical billing, coding, and insurance procedures, often supported by experience in healthcare administration or a related certification. Familiarity with claims management software, electronic health records (EHRs), and payer-specific portals is typically required. Strong analytical skills, attention to detail, and effective communication are crucial for resolving claims issues and collaborating with providers and payers. These competencies help ensure accurate claim processing, minimize financial losses, and maintain compliance within the healthcare revenue cycle.

What are some common challenges faced by denial coordinators, and how can they be addressed?

Denial Coordinators often encounter challenges such as navigating complex insurance policies, managing high volumes of denied claims, and communicating effectively with both payers and internal clinical teams. Staying organized and detail-oriented is crucial, as is keeping up to date with changing insurance regulations and payer requirements. Building strong relationships with both billing teams and clinical staff helps ensure accurate documentation and timely resolution of denials. Proactively seeking feedback and engaging in ongoing training can also help Denial Coordinators stay effective in their role.

What is the difference between Denial Coordinator vs Claims Specialist?

AspectDenial CoordinatorClaims Specialist
CredentialsOften requires insurance or healthcare certificationsTypically requires insurance or healthcare experience, sometimes certifications
Work EnvironmentHealthcare facilities, insurance companies, or billing departmentsInsurance companies, healthcare providers, or billing departments
Primary FocusInvestigating and resolving denied claimsProcessing and managing insurance claims

While both roles involve insurance claims, the Denial Coordinator primarily focuses on addressing denied claims and resolving issues, whereas the Claims Specialist handles the overall processing of claims. The Denial Coordinator's role is more specialized in denial management, often requiring specific knowledge of appeals and denials procedures.

What cities are hiring for Denial Coordinator jobs?

Cities with the most Denial Coordinator job openings:

What states have the most Denial Coordinator jobs?

States with the most job openings for Denial Coordinator jobs include:

What are popular job titles related to Denial Coordinator jobs?

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Denial Coordinator jobs near you
Infographic showing various Denial Coordinator job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, 1% Temporary, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $51,963 per year, or $25 per hour.

Specialist-Authorization Denial

Memphis, TN • On-site

Baptist Memorial Health Care Corporation
Hospitals • 10K+ employees
Learn more about Baptist Memorial Health Care Corporationexternal

$17.50 - $23.25/hr

Full-time

Re-posted 11 days ago

Baptist Memorial Health Care rating

7.3

Company rating: 7.3 out of 10

Based on 115 frontline employees who took The Breakroom Quiz

305th of 898 rated healthcare providers

Job description

Overview
Summary
Authorization Denial Specialist ensures that chemotherapy (specialty group) and other infusions/radiation therapy/radiology/ surgical services meet medical necessity and appropriateness per insurance medical policies/ FDA/NCCN guidelines. Initiates and coordinates pre-certifications/prior authorizations per payer guidelines prior to services being rendered and completes the Insurance verification process.
Reviews clinical information and supporting documentation for outpatient or Part B services authorization denials to determine and perform retro authorizations, reconsiderations or appeal actions to defend the revenue. Performs other duties as assigned.
Responsibilities
• Obtain and review treatment/therapy plan orders for medical necessity and appropriateness according to insurance medical policy/FDA/NCCN guidelines and requirements.
• Research insurance company medical policies, medical literature, and compendiums to determine eligibility for services. Utilize multiple healthcare websites
• Responsible for tracking, obtaining, and extending authorizations from various carriers in a timely manner
• Responsible for completing the Insurance Verification process
• Works closely with physicians and clinic staff obtain authorizations to promote positive patient outcomes, timely treatment and positive reimbursement
• Understands and complies with regulatory requirements by specific insurance companies and facilitates compliance by maintaining awareness of guidelines and ensuring compliance through communication and documentation to appropriate staff.
• Reviews, assesses and evaluates all authorization denial communications received in order to optimize reimbursement
Requirements, Preferences and Experience
Minimum Required
3 - 5 years of business experience in a healthcare environment with 2 of those years being in a clinical setting.
Preferred/Desired
5 years of business experience in a healthcare environment with at least 3 years payer specific experience.
3 years clinical experience in a clinical care setting
Pre-certification experience desired.
Education
Minimum Required
Skill in communicating clearly and effectively using standard English in written, oral, and verbal format to achieve high productivity and efficiency. Skill to write legibly and record information accurately as necessary to perform job duties. Strong organizational skills. Ability to type and/or key correctly
Preferred/Desired
Associates degree or 2 years of college level courses.
Training
Minimum Required
Requires critical thinking and judgement.
Preferred/Desired
Must demonstrate the ability to appropriately use standard criteria established by payers.
Special Skills
Excellent customer service and communication skills. Ability to speak, articulate, and be understood clearly.
Minimum Required
Ability to read and understand medical policies, compendiums, LCDs, and FDA guidelines. Must be able to multi-task and be flexible. Advance computer literacy skills and problem-solving skills. Ability to deal with confrontational issues and high stress situations with patients, family, and physicians.
Preferred/Desired
Knowledge of oncology pre-certification requirements and guidelines.
Licensure
Preferred/Desired
Pharmacy Tech, CHAA, RHIT, LPN, RN
About Baptist Memorial Health Care

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About Baptist Memorial

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Baptist Memorial, based in Memphis, TN, US, is a leading health care organization renowned in the healthcare industry. The company's official website is baptistonline.org which provides a comprehensive view of their services and operations. Baptist Memorial operates a myriad of hospitals, health clinics, and medical facilities providing expert and compassionate care. Founded in 1912, it has a rich legacy of over a hundred years of dedication to its community, offering services which include acute care, diagnostic services, and a broad range of speciality health services fulfilling various patient needs.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Memphis, TN, US

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