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Denial Representative Jobs (NOW HIRING)

cumed

Medical Coding Denial Specialist

Boulder, CO · Remote

The Denial Specialist is an advanced-level billing role within the revenue cycle team, responsible ... The listed pay range (or hiring rate) represents CU Medicine's good faith and reasonable estimate ...

CU Medicine

Medical Coding Denial Specialist

Aurora, CO · On-site

$26 - $30/hr

The Denial Specialist is an advanced-level billing role within the revenue cycle team, responsible ... The listed pay range (or hiring rate) represents CU Medicine's good faith and reasonable estimate ...

CU Medicine

Medical Coding Denial Specialist

Aurora, CO · Remote

The Denial Specialist is an advanced-level billing role within the revenue cycle team, responsible ... The listed pay range (or hiring rate) represents CU Medicine's good faith and reasonable estimate ...

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Denial Representative information

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$24.5K

$44.2K

$77K

How much do denial representative jobs pay per year?

As of May 31, 2026, the average yearly pay for denial representative in the United States is $44,219.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,500.00 and $43,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Denial Representative, and why are they important?

To thrive as a Denial Representative, you need a solid understanding of medical billing, insurance processes, and claims adjudication, often supported by experience in healthcare administration or a related field. Familiarity with claims management software, electronic health records (EHRs), and payer-specific portals is essential. Strong attention to detail, problem-solving abilities, and effective communication skills help resolve denied claims efficiently and interact with payers and providers. These skills ensure accurate claims resolution, maximize reimbursement, and maintain positive relationships within the revenue cycle.

What are some common challenges faced by Denial Representatives and how can they be managed effectively?

Denial Representatives often encounter challenges such as managing high volumes of denied claims, navigating complex insurance policies, and communicating with both healthcare providers and payers. Staying organized and detail-oriented is crucial to ensure accurate documentation and timely follow-up. Building strong problem-solving skills and maintaining up-to-date knowledge of payer guidelines can help overcome these challenges. Collaboration with billing teams and proactive communication with insurance companies also play a key role in resolving denials efficiently.

What are Denial Representatives?

Denial Representatives are professionals who work in healthcare organizations, insurance companies, or third-party billing services to review, analyze, and handle insurance claims that have been denied. Their responsibilities typically include investigating the reasons for claim denials, communicating with insurance providers and healthcare providers, and working to resolve issues so that claims can be paid. They may also appeal denied claims by gathering necessary documentation and ensuring compliance with policies and regulations. Denial Representatives play a key role in ensuring that healthcare providers receive proper reimbursement and that patients' insurance claims are processed accurately.

What is the difference between Denial Representative vs Claims Processor?

AspectDenial RepresentativeClaims Processor
CredentialsInsurance knowledge, sometimes certificationsBasic insurance or administrative training
Work EnvironmentInsurance companies, healthcare providersInsurance companies, healthcare facilities
Primary RoleReview and appeal denied claimsProcess and input claims data

While both roles work within the insurance claims process, a Denial Representative focuses on managing denied claims, appealing decisions, and resolving disputes. A Claims Processor handles the initial processing of claims, entering data, and ensuring claims are correctly submitted. Understanding these differences helps job seekers identify the right position based on their skills and career goals.

More about Denial Representative jobs
What job categories do people searching Denial Representative jobs look for? The top searched job categories for Denial Representative jobs are:
Denial Representative jobs near you
Infographic showing various Denial Representative job openings in the United States as of May 2026, with employment types broken down into 25% Full Time, 25% Temporary, and 50% Contract. Highlights an 10% Physical, 10% Hybrid, and 80% Remote job distribution, with an average salary of $44,219 per year, or $21.3 per hour.
Revenue Cycle- PB Collection Denial Representative-Finance-BHC-#23593

Revenue Cycle- PB Collection Denial Representative-Finance-BHC-#23593

Broward Health

Fort Lauderdale, FL • On-site

Full-time

Posted 4 days ago

Broward Health rating

6.9

Company rating: 6.9 out of 10

Based on 91 frontline employees who took The Breakroom Quiz

446th of 864 rated healthcare providers

Job description

Patient Account Collection Representative
Broward Health Corporate ISC
Shift: Shift 1
FTE: 1.000000
Summary:
Performs patient accounting duties related to collection functions for patient care services provided within a healthcare system in accordance with local, state, and federal regulations. Ensures appropriate and optimal reimbursement and a consistent cash flow. Managed all functions related to business office including collections. Collects for both funded and unfunded payer sources.
Education:
Essential:
* High School Diploma or GED
Experience:
Essential:
* Two Years
Credentials:
Visit us online at www.BrowardHealth.org or contact Talent Acquisition
*Bonus Exclusions may apply in accordance with policy HR-004-026
Broward Health is proud to be an equal opportunity employer. Broward Health prohibits any policy or procedure which results in discrimination on the basis of race, color, national origin, gender, gender identity or gender expression, pregnancy, sexual orientation, religion, age, disability, military status, genetic information or any other characteristic protected under applicable federal or state law.
At Broward Health, the dedication and contributions of veterans are valued. Supporting the military community and giving back to those who served is a priority. Broward Health is proud to offer veteran's preference in the hiring process to eligible veterans and other individuals as defined by applicable law.

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About Broward Health

Sourced by ZipRecruiter

A career with Broward Health means endless opportunities to grow through a wide range of experiences across the healthcare system. You will be part of a team that is continually raising the bar for patient care. Our competitive benefits package includes healthcare coverage, a matching retirement program, pension plan, and wellness programs.

Industry

Hospitals

Company size

5,001 - 10,000 Employees

Headquarters location

Fort Lauderdale, FL, US

Year founded

1938

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