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Denial Management Jobs (NOW HIRING)

Evergreen Health

Denial Management Specialist

Kirkland, WA · Remote

$28.83 - $46.14/hr

Wage Range: $28.83 - $46.14 per hour 5 years of experience in denial management, utilization review or prior authorization in a hospital, provider, or healthcare system. Healthcare medical billing ...

EvergreenHealth

Denial Management Specialist

Kirkland, WA · On-site

$28.83 - $46.14/hr

Description Wage Range: $28.83 - $46.14 per hour 5 years of experience in denial management, utilization review or prior authorization in a hospital, provider, or healthcare system. Healthcare ...

EvergreenHealth

Denial Management Specialist

Kirkland, WA · Remote

$28.83 - $46.14/hr

Wage Range: $28.83 - $46.14 per hour 5 years of experience in denial management, utilization review or prior authorization in a hospital, provider, or healthcare system. Healthcare medical billing ...

Nationwide Credit & Collection Inc.

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Denial Management Specialist

Oak Brook, IL · Remote

$22 - $25/hr

Denial Management Specialist Essential Job Functions · Investigates insurance denials to identify action necessary to resolve the claim- including calls to payor and multiple computer systems, e.g ...

Vital Connect Inc

Denial Management Specialist

CA · Remote

Description Purpose The Denial Management Specialist role belongs to the Revenue Cycle team and is responsible for investigating and resolving complex third-party insurance denials and outstanding ...

DataAnnotation

Denial Management Coordinator

Helena, MT · Remote

$20/hr

We are looking for a Denial Management Coordinator to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the ...

DataAnnotation

Denial Management Coordinator

Nevada, IA · Remote

$20/hr

We are looking for a Denial Management Coordinator to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the ...

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$120.2K

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How much do denial management jobs pay per year?

As of May 30, 2026, the average yearly pay for denial management in the United States is $120,205.00, according to ZipRecruiter salary data. Most workers in this role earn between $87,000.00 and $150,000.00 per year, depending on experience, location, and employer.

What is a Denial Management job?

A Denial Management job involves identifying, analyzing, and resolving denied insurance claims to ensure proper reimbursement for healthcare services. Professionals in this role investigate claim denials, appeal when necessary, and work with insurance companies to minimize revenue loss. They also analyze denial trends, improve billing processes, and provide solutions to prevent future denials. Effective denial management helps healthcare providers optimize cash flow and maintain compliance with insurance regulations.

What are the key skills and qualifications needed to thrive in the Denial Management position, and why are they important?

To thrive in Denial Management, you need a solid understanding of healthcare billing, insurance processes, and medical coding, often supported by experience in revenue cycle management or a related field. Familiarity with electronic health record (EHR) systems, claims management software, and coding certifications such as CPC or CCS is highly beneficial. Strong analytical thinking, attention to detail, and communication skills help professionals efficiently resolve claim denials and collaborate with payers and internal teams. These skills ensure timely reimbursement, reduce financial losses, and support the financial health of healthcare organizations.

What are the typical daily responsibilities of a Denial Management professional?

Denial Management professionals are primarily responsible for analyzing and resolving denied insurance claims to ensure proper reimbursement for healthcare services. Their daily tasks often include reviewing denial reasons, appealing claims, collaborating with billing teams, and communicating with insurers and healthcare providers to gather necessary documentation. They also monitor denial trends, recommend process improvements, and help train team members on best practices. This role requires a detail-oriented approach and frequent collaboration with other departments to minimize revenue loss and improve overall claims processing efficiency.
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What cities are hiring for Denial Management jobs? Cities with the most Denial Management job openings:
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Denial Management jobs near you
Infographic showing various Denial Management job openings in the United States as of May 2026, with employment types broken down into 82% Full Time, 15% Part Time, 1% Temporary, and 2% Contract. Highlights an 100% Hybrid job distribution, with an average salary of $120,205 per year, or $57.8 per hour.
Manager, Denial Management

Manager, Denial Management

Hackensack Meridian Health

Edison, NJ • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 15 hours ago

Hackensack Meridian Health rating

7.8

Company rating: 7.8 out of 10

Based on 349 frontline employees who took The Breakroom Quiz

130th of 864 rated healthcare providers

Job description

Overview
Our team members are the heart of what makes us better.
At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community.
Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.
The Manager, Denial Management, is responsible for the daily operations, financial oversight, and efficient performance of the Managed Care department. This role emphasizes managing accounts sent, ensuring corrections are applied, and reducing accounts received through proactive oversight. This position directly oversees denial processes, serves as the subject matter expert in Contract Management, and leads initiatives to prevent denials while improving account management efficiency. Additionally, develops and monitors reporting and benchmarks across hospitals and the network, ensuring alignment with efficiency metrics and organizational performance goals.
Responsibilities
A day in the life of a Manager, Denial Management at Hackensack Meridian Health includes:
  • Manages Denial Dashboard for the HMH Network with Primary oversight for strategic decision making for all automation of process. Achieved through: a. Investigation and resolution of problems to ensure coordinated efforts; works closely with the Revenue Cycle Department to mitigate AR aging & Denials. b. Building strong working relationships with applicable parties within HMH and external vendors. c. Manage the Medical & Technical Denials (where appropriate) denials - work closely with Case Management, Utilization Review, Physician Advisors, Registration/Access & other departments that have impact on Denials. d. Identify variables in getting full payments & recommend solutions to accelerate revenue. Denials are analyzed, posted, and routed to the appropriate areas. e. Manage all Dashboards related to Denial Management
  • Perform duties which guide the management of the under/over payments, adjustment and denial posting and processing of credit balances functions of the business offices for the HMH Network. a. Ensures that Denial work queues (WQ) are maintained to ensure smooth flow of accounts based on the needs of the department. b. Ensure that accounts are denied correctly based on Contract Management as this is crucial in preventing accounts aging or denying incorrectly. c. Building of strong working relationships with IT (Information technology) to expedite resolution pertaining to Contracts. d. Current payer trends, rules and regulations by Medicare, Medicaid and Commercial Payers. e. Establish a regular meeting with the pay representative to resolve and/or escalate payment variance.
  • Collaboration with the corporate finance team to ensure understanding of revenue cycle transactions as well as proper revenue cycle financial reporting.
  • Develops, revises, publishes, and monitors reports to support the Denial team. Includes, but is not limited to medical denials, technical denials and Bad Debt reports. Where necessary, implement corrective action plans.
  • Maintains and supports a cross-functional matrix with internal and external customers for Population Health, including but not limited to Case Management, Finance, and Patient Financial Services teams.Disseminates and communicates policy changes and guidelines from the payers.
  • Works collaboratively with Revenue Cycle Training Manager to design, develop and administer educational training programs.
  • Develops and implements quality assurance measurements and standards, including completion of internal and external audits. Responsible for yearly external audit by PWC (or other entity engaged to conduct the yearly audit) as it relates to Revenue Operations-related questions. Respond to payer audit requests.
  • Audit manual adjustment performed by Revenue Operations staff to determine if there is an issue that needs to be addressed. Perform staff audit to ensure allowance or balance are being done correctly and the team is in compliance with the set guidelines of processing debit or credit variance Develops, revises, publishes, and monitors reports to support the Denial team. Includes, but is not limited to medical denials, technical denials and audit reports. Where necessary, implement corrective action plans. Maintains strong relations with the Case management team.
  • Disseminates and communicates policy changes and guidelines from the payers.
  • Develops and implements quality assurance measurements and standards, including completion of internal and external audits. Responsible for yearly external audit by PWC (or other entity engaged to conduct the yearly audit) as it relates Managed Care-related questions. Respond to payer audit requests.
  • Audit manual adjustment performed by revenue operations staff to determine if there is an issue that needs to be addressed. Perform staff audit to ensure allowance or balance are being done correctly and the team is in compliance with the set guidelines for processing debit or credit variance.
  • Collaborate with the Training department if process changes must be developed based from discovery, new technology, change in payer rules or change in internal processes. a. Handles the development of reporting tools for management utilizing the current information system and/or identifying other software programs to achieve desired reporting outcomes. b. Requests, obtains, and distributes monitoring reports (ad hoc), Reporting Workbench, Radar, BI reports to the appropriate leaders and supervisor the ultimate delegation to review and subsequent staff assignment. c. Performs data mining and in-depth analysis of root cause of payment variance or denial.
  • Recruits and selects talent and manages staff in the HMH Network. Formally evaluates performance and professional development of staff. Performing disciplinary actions where necessary. Other duties and/or projects as assigned.
  • Other duties and/or projects as assigned.
  • Adheres to HMH Organizational competencies and standards of behavior.

Qualifications
Education, Knowledge, Skills and Abilities Required:
  • Bachelor's degree in finance related area of concentration or business administration with concentration in finance or management.
  • Minimum of 4 or more years of experience in Healthcare/Billing/Collections/Managed Care/Revenue Cycle.
  • Minimum of 2 or more years in managerial role.
  • Proficiency with Windows applications, particularly in Excel, as well as Hospital Billing systems, SMS and EPIC.
  • Strong report writing skills, outcome driven and technology savvy.
  • Strong knowledge of healthcare industry revenue integrity key performance indicators and best practices.
  • Change agent, capable of guiding teams in initiating change management initiatives with a view of leading and guiding towards the future, but respectful of organizational history and culture.
  • Strong multi-tasking skills and the ability to work at multiple facilities.
  • Ability to gather complex data, compile usable information and prepare reports that are understandable by members of the organization.
  • Excellent written and verbal communication skills.
  • Proficient computer skills that include but are not limited to Google Suite and/or Microsoft Office platforms.

Education, Knowledge, Skills and Abilities Preferred:
  • Resolute Hospital Billing.
  • Reporting Workbench.

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!
Starting Minimum Rate
Minimum rate of $113,609.60 Annually
Job Posting Disclosure
HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.
The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to:
Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness.
Experience: Years of relevant work experience.
Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training.
Skills: Demonstrated proficiency in relevant skills and competencies.
Geographic Location: Cost of living and market rates for the specific location.
Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization.
Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered.
Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts.
In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.

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