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Denial Management Jobs (NOW HIRING)

EvergreenHealth

EHPB Denial Management Spec

Kirkland, WA · On-site

$21.52 - $34.43/hr

Denial management criteria include accounts that have potential financial impact such as authorization and refer denials, bundling issues and medical necessity for all assigned payers. 6. Logs all ...

EvergreenHealth

EHPB Denial Management Spec

Kirkland, WA · On-site

$21.52 - $34.43/hr

Denial management criteria include accounts that have potential financial impact such as authorization and refer denials, bundling issues and medical necessity for all assigned payers. 6. Logs all ...

KeyStaff

$20 - $25/hr

Medical Billing & Denial Management Specialist Location: West Palm Beach, FL Pay Rate: $20.00 - $25.00/hour (based on experience) Position Overview We are seeking an experienced Medical Insurance ...

Med-Metrix

Denial Management Clerk

Garden City, NY · On-site

$16 - $19/hr

Job Purpose The Denials Management Clerk supports the Denial Management Department in the denials process for client hospitals. In this role, the Denials Management Clerk gathers and disseminates ...

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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 14, 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.
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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:
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Denial Management jobs near you
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.
EHPB Denial Management Spec

EHPB Denial Management Spec

EvergreenHealth

Kirkland, WA • On-site

$21.52 - $34.43/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

Wage Range: $21.52 - $34.43 per hour
 
Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity. 
 
Job Summary:

Investigates health plan denials to determine appropriate action and provide resolution. 
 
Primary Duties:

1. investigates insurance denials to identify action necessary.
2. Corrects claims based on denials, complaints and audits and rebills using payor approved process.
3. Determines need for payor appeal and sends individualized appeal letter.  Monitors appeals for resolution
4.. Adjusts denials determined to be appropriate using the corresponding adjustment code(s).
5. Works the accounts that meet denial management criteria and coordinates resolution with other departments.  Denial management criteria include accounts that have potential financial impact such as authorization and refer denials, bundling issues and medical necessity for all assigned payers.
6. Logs all denials including actions and resolution on Denial spreadsheet.
7. Identify denial pattern to identify potential process improvement.
8. Produces quarterly denial reports.
License, Certification, Education or Experience:
REQUIRED for the position:

• High School graduate or equivalent.
• 1-year previous experience in professional billing.
• Knowledge and experience in working with health care insurers and their reimbursement systems, especially Medicare, Medicaid, Workers Compensation, Motor Vehicle and contract payers.
• A good understanding of CPT, Modifiers, HCPC, ICD-10 codes and medical terminologies.
• Demonstrated problem solving ability.
• Ten-key by touch
DESIRED for the position:

• College degree/Vocational training in billing or business 
 
Benefit Information:

Choices that care for you and your family  
 
At EvergreenHealth, we appreciate our employees’ commitment and contribution to our success. We are proud to offer a suite of quality benefits and resources that are comprehensive, flexible, and competitive to help our staff and their loved ones maintain and improve health and financial well-being.  
  • Medical, vision and dental insurance 
  • On-demand virtual health care 
  • Health Savings Account 
  • Flexible Spending Account 
  • Life and disability insurance 
  • Retirement plans (457(b) and 401(a) with employer contribution) 
  • Tuition assistance for undergraduate and graduate degrees 
  • Federal Public Service Loan Forgiveness program 
  • Paid Time Off/Vacation 
  • Extended Illness Bank/Sick Leave 
  • Paid holidays 
  • Voluntary hospital indemnity insurance 
  • Voluntary identity theft protection 
  • Voluntary legal insurance 
  • Pay in lieu of benefits premium program 
  • Free parking 
  • Commuter benefits  
View a summary of our total rewards available to you as an EvergreenHealth team member by clicking on the link below. 
 
EvergreenHealth Benefits Guide 
EvergreenHealth logo

About EvergreenHealth

Sourced by ZipRecruiter

At EvergreenHealth, we appreciate our employees' commitment and contribution to our success. We are proud to offer a suite of quality benefits and resources that are comprehensive, flexible, and competitive to help our staff and their loved ones maintain and improve health and financial well-being.

Industry

Hospitals

Company size

1,001 - 5,000 Employees

Headquarters location

Kirkland, WA, US

Year founded

1972

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