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Denial Management Jobs (NOW HIRING)

Westerkamp Group

PB Denial Specialist - EPIC

Lisle, IL · On-site

$18.50 - $23.75/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 ...

Westerkamp Group

PB Denial Specialist - EPIC

TX · 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 ...

Westerkamp Group

PB Denial Specialist - EPIC

LA · 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 ...

Westerkamp Group

PB Denial Specialist - EPIC

TN · 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 ...

Westerkamp Group

PB Denial Specialist - EPIC

AL · 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 ...

Westerkamp Group

PB Denial Specialist - EPIC

GA · 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 ...

Westerkamp Group

PB Denial Specialist - EPIC

KY · 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 ...

Excela Health

SPECIALIST DENIAL MGT

Greensburg, PA

Effectively manages timely transfer of information between parties critical to the patient denial. * Assumes the leadership role in achieving outcomes and making the health system work for the ...

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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 Jun 23, 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 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 does a denial specialist do?

A denial specialist reviews insurance claim denials to identify reasons for rejection and correct errors to ensure proper reimbursement. They analyze claim details, communicate with insurance companies, and use billing software to resolve issues efficiently. Strong attention to detail and knowledge of insurance policies are essential for this role.

What is the role of denial management?

Denial management is a key function in healthcare billing that involves identifying, analyzing, and resolving insurance claim denials to ensure accurate reimbursement. It requires strong attention to detail, knowledge of insurance policies, and proficiency with billing software to reduce claim rejections and improve revenue cycle efficiency.

What jobs pay $2000 a day?

In denial management, high-paying roles such as senior claims managers or specialized healthcare reimbursement consultants can earn around $2,000 per day, especially with extensive experience and certifications. These positions often require strong analytical skills, knowledge of insurance processes, and the ability to handle complex claim disputes efficiently.

What is the highest paying medical billing job?

The highest paying roles in medical billing often include senior billing managers, billing directors, or revenue cycle managers, with salaries exceeding $80,000 annually. These positions typically require extensive experience, advanced certifications, and strong knowledge of billing software and healthcare regulations.
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Denial Management jobs near you
Infographic showing various Denial Management job openings in the United States as of June 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $120,205 per year, or $57.8 per hour.
Remote - PFS Denial Nurse Auditor

Remote - PFS Denial Nurse Auditor

Mosaic Life Care

Saint Joseph, MO • On-site, Remote

Full-time

Posted 16 days ago

Mosaic Life Care rating

6.4

Company rating: 6.4 out of 10

Based on 61 frontline employees who took The Breakroom Quiz

635th of 875 rated healthcare providers

Job description

Job Description
The PFS Denials Auditor works under the supervision of the manager of PFS Denials. The PFS Denials Auditor is responsible for completing, appealing, tracking, and reporting clinical denial reviews to determine the appropriate actions for post-billing denials. This Individual will combine clinical, financial, and regulatory knowledge and skill to reduce financial risk and exposure caused by payer denials for rendered services. The PFS Denials Auditor has highly developed knowledge and skills in areas of: Medical Necessity, Authorizations, Experimental/Investigational denials, payer audits and filing appeals as well as Government and Non-Government payor requirements with Denial Management.
Responsibilities
  • Completes clinical review of appropriate post-claim denials; prepares clinical discussion and appeal letters for denied accounts.
  • Consults clinical and hospital appeal guidelines; provides appeal direction using payer guidelines to appropriate departments via monthly denials meetings.
  • Ensures compliance with all federal, state, and local regulations governing rendered patient services and reimbursement.
  • Reviews and analyzes specific audit information and provides education to other caregivers both internal and external to the PFS Denial Management team. Identifies, and initiates clinical and hospital quality improvement initiatives focused on improving both quality indicators and outcomes.
  • Responds to all internal and external requests for information, data, and/or education specific to clinical and hospital Denial Management.
  • Collaborates with Revenue Cycle, Admissions, Coding, and other departments as needed to answer clinical questions specific to denial management. Seeks consultation from appropriate departments as required to expedite clinical review of potential denials.
  • Research industry best practices and recommends process improvements to leadership.
  • Participates in the review of workflow processes. Recommends and participates in the implementation of process improvements.
  • Recommends policies which support the direction of the Denials Management Team to improve and reduce denials.
  • Responsible for other miscellaneous duties assigned by PFS Leadership.

Education
  • Degree from an accredited school of practical nursing - Required

Work Experience
  • 5 Years - Experience in health care as a registered nurse, preferably in revenue cycle - Required
  • Excellent understanding of financial and health care strategies - Required

Licenses and Certifications
  • LPN - Licensed Practical Nurse - State Licensure and/or Compact State Licensure - Licensed Practical Nurse - Required

Travel Requirements
  • None

    • Qualifications
    Skills and Abilities
    Essential Technical/Motor Skills
    • Input data, type, manipulate small equipment, speak clearly, and answer telephone.

    Interpersonal Skills
    • Exceptional oral/written communication skills
    • Ability to independently research using critical thinking skills
    • Effectively resolve complex denials
    • Excellent organizational skills and attention to detail
    • Competence in Microsoft Office applications

    Essential Physical Requirements
    • Lifting, moving, reaching, bending, stooping, and climbing.

    Essential Mental Abilities
    • Analyze, interprets, calculates, manipulates, understands, follows rules, memorize, organize, assess, explain, speak in front of group.

    Essential Sensory Requirements
    • Visual skills, hearing

    Exposure to Hazards
    • Electrical output of personal computer, eye/neck strain.

    Other Skills and Abilities

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    Benefits

    Hours and flexibility

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