Overview Work remotely while using your denial management expertise to make a direct impact on healthcare operations. Work Style: Remote Location Requirement: Must reside in an approved state (FL, GA ...
Overview Work remotely while using your denial management expertise to make a direct impact on healthcare operations. Work Style: Remote Location Requirement: Must reside in an approved state (FL, GA ...
... denial and appeal processes. 6. Understanding of the healthcare revenue cycle 7. Coding knowledge or CPC certification 8. Knowledge and ability to use insurance company websites Work Hours:7am - 3 ...
... denial and appeal processes. 6. Understanding of the healthcare revenue cycle 7. Coding knowledge or CPC certification 8. Knowledge and ability to use insurance company websites Work Hours:7am - 3 ...
PB Denial Specialist - EPIC
AL ยท Remote
$19.25 - $24.50/hr
Westerkamp Group, LLC is an Accounts Receivable Management company focused on hospital and professional billing and collections. We are currently seeking a Denial Specialist - Epic PB. This ...
PB Denial Specialist - EPIC
AL ยท Remote
$19.25 - $24.50/hr
Westerkamp Group, LLC is an Accounts Receivable Management company focused on hospital and professional billing and collections. We are currently seeking a Denial Specialist - Epic PB. This ...
Denial Coding Specialist
Ithaca, NY ยท Remote
Xtensys is a rapidly growing managed service provider delivering innovative technology solutions to ... We are seeking an experienced Denial Coding Specialist to support our continued growth and ...
Denial Coding Specialist
Ithaca, NY ยท Remote
Xtensys is a rapidly growing managed service provider delivering innovative technology solutions to ... We are seeking an experienced Denial Coding Specialist to support our continued growth and ...
PB Denial Specialist - EPIC
TX ยท Remote
$19.25 - $24.50/hr
Westerkamp Group, LLC is an Accounts Receivable Management company focused on hospital and professional billing and collections. We are currently seeking a Denial Specialist - Epic PB. This ...
PB Denial Specialist - EPIC
TX ยท Remote
$19.25 - $24.50/hr
Westerkamp Group, LLC is an Accounts Receivable Management company focused on hospital and professional billing and collections. We are currently seeking a Denial Specialist - Epic PB. This ...
PB Denial Specialist - EPIC
LA ยท Remote
$19.25 - $24.50/hr
Westerkamp Group, LLC is an Accounts Receivable Management company focused on hospital and professional billing and collections. We are currently seeking a Denial Specialist - Epic PB. This ...
PB Denial Specialist - EPIC
LA ยท Remote
$19.25 - $24.50/hr
Westerkamp Group, LLC is an Accounts Receivable Management company focused on hospital and professional billing and collections. We are currently seeking a Denial Specialist - Epic PB. This ...
PB Denial Specialist - EPIC
KY ยท Remote
$19.25 - $24.50/hr
Westerkamp Group, LLC is an Accounts Receivable Management company focused on hospital and professional billing and collections. We are currently seeking a Denial Specialist - Epic PB. This ...
PB Denial Specialist - EPIC
KY ยท Remote
$19.25 - $24.50/hr
Westerkamp Group, LLC is an Accounts Receivable Management company focused on hospital and professional billing and collections. We are currently seeking a Denial Specialist - Epic PB. This ...
PB Denial Specialist - EPIC
Lisle, IL ยท On-site
$30.37 - $45.56/hr
Westerkamp Group, LLC is an Accounts Receivable Management company focused on hospital and professional billing and collections. We are currently seeking a Denial Specialist - Epic PB. This ...
PB Denial Specialist - EPIC
Lisle, IL ยท On-site
$30.37 - $45.56/hr
Westerkamp Group, LLC is an Accounts Receivable Management company focused on hospital and professional billing and collections. We are currently seeking a Denial Specialist - Epic PB. This ...
PB Denial Specialist - EPIC
GA ยท Remote
$19.25 - $24.50/hr
Westerkamp Group, LLC is an Accounts Receivable Management company focused on hospital and professional billing and collections. We are currently seeking a Denial Specialist - Epic PB. This ...
PB Denial Specialist - EPIC
GA ยท Remote
$19.25 - $24.50/hr
Westerkamp Group, LLC is an Accounts Receivable Management company focused on hospital and professional billing and collections. We are currently seeking a Denial Specialist - Epic PB. This ...
... denial and appeal processes. 6. Understanding of the healthcare revenue cycle 7. Coding knowledge or CPC certification 8. Knowledge and ability to use insurance company websites 7am - 3:45pm
... denial and appeal processes. 6. Understanding of the healthcare revenue cycle 7. Coding knowledge or CPC certification 8. Knowledge and ability to use insurance company websites 7am - 3:45pm
Claims Denial Managment/AR Specialist
$17.50 - $23.25/hr
Overview A Healthcare Claims Denial Management Specialist is responsible for identifying, analyzing, and resolving denied or underpaid medical insurance claims. This role ensures accurate ...
Claims Denial Managment/AR Specialist
$17.50 - $23.25/hr
Overview A Healthcare Claims Denial Management Specialist is responsible for identifying, analyzing, and resolving denied or underpaid medical insurance claims. This role ensures accurate ...
Clinical Denial Management Specialist I
Dallas, TX ยท Remote
$18.50 - $23.75/hr
JOB SUMMARY The Revenue Cycle Department team has a new opportunity available for the role of Clinical Denial Management Specialist I. This is a grade 14 position. The successful applicant will work ...
New
Clinical Denial Management Specialist I
Dallas, TX ยท Remote
$18.50 - $23.75/hr
JOB SUMMARY The Revenue Cycle Department team has a new opportunity available for the role of Clinical Denial Management Specialist I. This is a grade 14 position. The successful applicant will work ...
New
... denial and appeal processes. 6. Understanding of the healthcare revenue cycle 7. Coding knowledge or CPC certification 8. Knowledge and ability to use insurance company websites Work Hours (EX:7AM ...
... denial and appeal processes. 6. Understanding of the healthcare revenue cycle 7. Coding knowledge or CPC certification 8. Knowledge and ability to use insurance company websites Work Hours (EX:7AM ...
Clinical Denial Management Specialist I
Dallas, TX ยท On-site
$18.50 - $23.75/hr
JOB SUMMARY The Revenue Cycle Department team has a new opportunity available for the role of Clinical Denial Management Specialist I. This is a grade 14 position. The successful applicant will work ...
New
Clinical Denial Management Specialist I
Dallas, TX ยท On-site
$18.50 - $23.75/hr
JOB SUMMARY The Revenue Cycle Department team has a new opportunity available for the role of Clinical Denial Management Specialist I. This is a grade 14 position. The successful applicant will work ...
New
Clinical Denial Management Specialist I
Dallas, TX ยท Remote
$18.50 - $23.75/hr
JOB SUMMARY The Revenue Cycle Department team has a new opportunity available for the role of Clinical Denial Management Specialist I. This is a grade 14 position. The successful applicant will work ...
New
Clinical Denial Management Specialist I
Dallas, TX ยท Remote
$18.50 - $23.75/hr
JOB SUMMARY The Revenue Cycle Department team has a new opportunity available for the role of Clinical Denial Management Specialist I. This is a grade 14 position. The successful applicant will work ...
New
Reporting to the Enterprise Denial Nurse Manager, this role supports key revenue cycle functions including clinical departments, finance, accounting, compliance, patient financial services, revenue ...
Reporting to the Enterprise Denial Nurse Manager, this role supports key revenue cycle functions including clinical departments, finance, accounting, compliance, patient financial services, revenue ...
The scope of work will encompass all Government, Commercial and Managed Care payers, and include all service lines and all denial types. Position will be a liaison with other departments, physicians ...
The scope of work will encompass all Government, Commercial and Managed Care payers, and include all service lines and all denial types. Position will be a liaison with other departments, physicians ...
Serves as a subject matter expert in denial management, partnering with revenue cycle teams to implement best practices that improve reimbursement and reduce organizational write-offs.
Serves as a subject matter expert in denial management, partnering with revenue cycle teams to implement best practices that improve reimbursement and reduce organizational write-offs.
Insurance Denial Specialist
Savannah, GA ยท On-site
$19.28/hr
The scope of work will encompass all Government, Commercial and Managed Care payers, and include all service lines and all denial types. Position will be a liaison with other departments, physicians ...
Insurance Denial Specialist
Savannah, GA ยท On-site
$19.28/hr
The scope of work will encompass all Government, Commercial and Managed Care payers, and include all service lines and all denial types. Position will be a liaison with other departments, physicians ...
Collaborates with Managed Care, Compliance, and operational teams to resolve complex issues with departments and payers, driving sustainable improvements in reimbursement and denial prevention.
Collaborates with Managed Care, Compliance, and operational teams to resolve complex issues with departments and payers, driving sustainable improvements in reimbursement and denial prevention.
Denial Management information
See salary details
$39.5K - $54K
3% of jobs
$54K - $68.4K
14% of jobs
$68.4K - $82.9K
5% of jobs
$85.7K is the 25th percentile. Wages below this are outliers.
$82.9K - $97.3K
15% of jobs
The median wage is $111.2K / yr.
$97.3K - $111.8K
14% of jobs
$111.8K - $126.2K
12% of jobs
$126.2K - $140.7K
9% of jobs
$145K is the 75th percentile. Wages above this are outliers.
$140.7K - $155.1K
12% of jobs
$155.1K - $169.6K
6% of jobs
$169.6K - $184K
6% of jobs
$184K - $198.5K
4% of jobs
$39.5K
$120.2K
$198.5K
How much do denial management jobs pay per year?
What is a Denial Management job?
What are the key skills and qualifications needed to thrive in the Denial Management position, and why are they important?
What are the typical daily responsibilities of a Denial Management professional?

Full-time
Posted 18 days ago
Job description
Work remotely while using your denial management expertise to make a direct impact on healthcare operations.
Work Style: Remote
Location Requirement: Must reside in an approved state (FL, GA, PA, NC, SC, TN, or TX)
FTE: Full-Time (1.0 FTE)
Responsible for maintaining low denial rates and optimizing reimbursement across the enterprise by ensuring high coding standards and effective denial management practices. Leads and supports initiatives to improve coding accuracy, reimbursement outcomes, and appeal turnaround times.
Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge Description Master (CDM) processes, authorization trends, and payer denials. Identifies opportunities for performance improvement and implements strategies to enhance revenue cycle outcomes.
Educates departments on appropriate charging, billing, and coding practices to ensure regulatory compliance. Collaborates with Managed Care, Compliance, and operational teams to resolve complex issues with departments and payers, driving sustainable improvements in reimbursement and denial prevention.
Responsibilities
Key Responsibilities:
- Manages clinical denials from assigned work queues, including claim resubmissions, authorization verification, payer reprocessing, reconsiderations, and appeals
- Partners closely with Managed Care and payers to reduce denials and improve reimbursement outcomes
- Analyzes denial trends and develops recommendations to improve coding accuracy and documentation practices
- Meets established productivity and accuracy standards, including reviewing approximately 30 accounts per day with a 98% accuracy rate
- Applies coding guidelines (NCCI, ICD-10, CPT, HCPCS, CMS) to accurately review, code, and correct accounts
- Collaborates with department managers to track, report, and resolve denials, including participating in audits and compliance reviews
- Identifies root causes of denials, tracks trends, and escalates findings to leadership for follow-up and process improvement
- Works across multiple payer work queues, including Medicare, Medicaid, government, and commercial payers
- Research denials related to authorization, medical necessity, non-covered services, coding, and billing issues, ensuring timely resolution and appeal submission
- Prepares and submits detailed, well-supported reconsiderations and appeals based on medical record review and payer requirements
- Monitors payer communications and policy updates to identify risks impacting reimbursement and authorization requirements
- Reviews and corrects coding, including modifier usage, diagnosis sequencing, and compliance with coding guidelines
- Reviews and adjusts charges as needed based on documentation, billing, and regulatory standards
- Educates departments on denial prevention strategies, including improvements in coding, charging, and authorization processes
Qualifications
Minimum Qualifications:
- High School Diploma or GED required
- One of the following coding certifications required: CPC, COC, RHIT, RHIA, or CCS
- 1-2 years of coding experience, along with 1-2 years of denial management and/or insurance-related experience
About UF Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Gainesville, FL, US
Year founded
1958