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Denial Management Jobs (NOW HIRING)

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 ...

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 ...

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 ...

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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 ...

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 ...

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Denial Management information

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$39.5K

$120.2K

$198.5K

How much do denial management jobs pay per year?

As of Jul 13, 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 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.

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 is the highest paying job in healthcare management?

The highest paying roles in healthcare management include Chief Executive Officers (CEOs) of hospitals and healthcare organizations, with salaries often exceeding $150,000 annually. These positions require extensive experience, strong leadership skills, and often advanced degrees such as an MBA or healthcare administration certification.

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.

How to become a denial specialist?

To become a denial specialist, typically one needs a background in healthcare billing or medical coding, along with knowledge of insurance policies and claims processing. Relevant certifications such as Certified Professional Coder (CPC) or Certified Coding Associate (CCA) can enhance job prospects, and experience with billing software is often required. Strong attention to detail and analytical skills are essential for identifying and resolving claim denials efficiently.

What is the role of denial management?

Denial management involves reviewing and resolving insurance claim denials to ensure accurate reimbursement. It requires analyzing denial reasons, correcting errors, and resubmitting claims, often using healthcare billing software and industry knowledge to improve revenue cycle efficiency.

What does a denial management specialist do?

A denial management specialist reviews insurance claim denials to identify reasons for rejection, corrects errors, and resubmits claims to ensure proper reimbursement. They analyze patterns to prevent future denials and often use billing software and coding knowledge to improve claim acceptance rates.
More about Denial Management jobs
What cities are hiring for Denial Management jobs? Cities with the most 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 Denial Management jobs? States with the most job openings for Denial Management jobs include:
Infographic showing various Denial Management job openings in the United States as of July 2026, with employment types broken down into 9% Locum Tenens, 23% Internship, 30% Full Time, 5% Part Time, 31% Nights, and 2% Summer. Highlights an 85% Physical, 2% Hybrid, and 13% Remote job distribution, with an average salary of $120,205 per year, or $57.8 per hour.
Denial Management Specialist

Denial Management Specialist

Mile Bluff Medical Center

Mauston, WI • On-site

Full-time

Posted yesterday


Mile Bluff Medical Center rating

6.7

Company rating: 6.7 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

618th of 1,020 rated hospitals


Job description

General Information:

Job title: Denial Management Specialist

Schedule: Full-time, 80 hours per pay period; Monday-Friday, 8:00am - 4:30pm

Weekend rotation: No weekends

Holiday rotation: Paid Holidays

Position Summary:

The Denial Management Specialist position gathers, interprets, and reviews data to assess for root cause analytics to then implement process improvement to reduce denials and write offs to optimize A/R.

Position Responsibilities:

  • Creates Revenue Cycle reports
  • Responsible for collecting, researching and analyzing business and operational data.
  • Provides monitoring and trending of system denials.
  • Works with other departments, including operational, to reduce the dollar amounts of denials and rework.
  • Works denials to resolution.
  • Collaborates with other revenue cycle departments to educate on denial trends.
  • Identifies and monitors process improvement efforts with the revenue cycle.
  • Establishes definitions and criteria for reporting avoidable denials.
  • Attends workshops and seminars to maintain a high level of knowledge and capabilities related to position.
  • Perform other duties as requested.

Position Requirements:

  • High school diploma or equivalent required.
  • AA or 4 years of equivalent experience required.
  • 5+ years of related work experience preferred.
  • Experience working in the medical industry preferred.
  • Exceptional accuracy and attention to detail required.

Knowledge, Skills, & Abilities

  • Intermediate to Expert proficiency with computers is required.
  • Thorough understanding of billing process.
  • Basic understanding of coding.
  • Strong quantitative and analytical competency.
  • Self-starter with excellent interpersonal communication and problem-solving skills.

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