ZipRecruiter

Log In

1

Denial Representative Jobs (NOW HIRING)

McLaren

Patient Account Representative II

Shelby, MI · On-site

$16 - $21/hr

Investigate denial trends brought to them by other representatives to prevent future occurrence of denial. * Research trends and accounts using assigned tools to reduce overall denials. * Attend ...

AppCast

Accounts Receivable Representative

Manhattan, NY · Remote

$21 - $26.50/hr

Revenue Cycle AR Representative - Denials & Collections (Remote) We are seeking experienced Revenue ... This role focuses on backend revenue cycle operations including claims follow-up, denial resolution ...

WVU Medicine

Clinical Denial Assistant

This includes but is not limited to, denial investigation, follow-up with insurance companies ... The physical demands described here are representative of those that must be met by an employee to ...

SENTA

RCM Representative

Atlanta, GA

$17.25 - $22.75/hr

Position Summary The Revenue Cycle Representative at SENTA Partners plays a key role in managing ... Denial Management: Research and resolve claim denials and rejections by analyzing reasons for ...

SENTA

RCM Representative

Atlanta, GA

$17.25 - $22.75/hr

Position Summary The Revenue Cycle Representative at SENTA Partners plays a key role in managing ... Denial Management: Research and resolve claim denials and rejections by analyzing reasons for ...

SENTA Partners

RCM Representative

Atlanta, GA · On-site

$35.36K - $50K/yr

Position Summary The Revenue Cycle Representative at SENTA Partners plays a key role in managing ... Denial Management: Research and resolve claim denials and rejections by analyzing reasons for ...

SENTA Partners

RCM Representative

Atlanta, GA · On-site

$35.36K - $50K/yr

Position Summary The Revenue Cycle Representative at SENTA Partners plays a key role in managing ... Denial Management: Research and resolve claim denials and rejections by analyzing reasons for ...

next page

Showing results 1-20

People also search for

All JobsDenial Representative Jobs

Denial Representative information

See salary details

$24.5K

$44.2K

$77K

How much do denial representative jobs pay per year?

As of May 30, 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.
DENIAL MANAGEMENT SPECIALIST - TIER I

DENIAL MANAGEMENT SPECIALIST - TIER I

MedCentris

Hammond, LA

Full-time

Posted 28 days ago

MedCentris rating

6.9

Company rating: 6.9 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

Job description

Definition and Role

Under the direction of the Assistant Director of Revenue Cycle – Revenue Recovery, the Denial Management Specialist is responsible for monitoring denials, appeals, and resolutions from participating insurance carriers and working proactively to collect from insurance carriers.

Job Responsibilities and Duties

  • Researches and analyzes denial data and coordinate denial recovery responsibilities.
  • Identifies, analyzes, and researches frequent root causes of denials and develops corrective action plans for resolution of denials
  • Develop reporting tools that effectively measure and monitor processes throughout the denials management process in order to support process improvement.
  • Prioritizes activities to work overturns in a timely manner to alleviate untimely filings
  • Uses reports that categorize denials to assign tasks or personally work to overturn denials
  • Identifies and pursues opportunities for improvements in denial performance
  • Assists with chart audits as necessary
  • Processes work lists to facilitate prompt intervention of insurance denials
  • Researches, responds, and documents insurer and patient correspondence/inquiry notes regarding coding coverage, benefits, and reimbursement on patient accounts
  • Research rejections included in EOBs for resolution and files appropriately
  • Makes management aware of any issues or changes in the billing system, insurance carriers, and/or networks
  • Runs daily report from the REG and compare to the PBR daily to ensure all insurance changes have been entered on both sides.
  • Helps with coverage for the Financial Coordinator when she is out of the office.
  • Helps when needed with retrieving mail delivered to office and sorts appropriately.

Qualifications

  • Demonstrated understanding of medical terminology required
  • Knowledge of patient confidentiality and HIPAA regulations
  • Knowledge of CPT, HCPCS, and ICD10 coding required.
  • Knowledge of medical billing and collection practices
  • Understands Medicare and Medical Assistance regulations as they apply to job functions
  • Knowledge working with electronic health records (EHR/EMR) or healthcare related computer systems
  • Excellent written and verbal skills are required as well as outstanding interpersonal skills
  • Practices efficient methods for getting work done; strong ability to prioritize workload
  • Organized; sets priorities; meets deadlines
  • Ability to work independently

Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  1. While performing this job the employee is frequently required to sit, talk and hear.
  2. The employee is occasionally required to walk, use hands and fingers to feel, handle, or operate objects, tools, or controls, and reach with hands and arms.
  3. The employee must occasionally lift and/or move objects weighing up to 25 pounds.
  4. Specific vision abilities required by this job include close vision and the ability to adjust and focus.
  5. Emotional/Psychological: Constant ability to make decisions and concentrate.

Apply