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Denial Resolution Specialist Jobs (NOW HIRING)

RSI

Denial Resolution Specialist

Glendale, AZ · On-site

$17/hr

... resolution and securing payments for all stakeholders • Engage in direct communication with insurance representatives, adeptly navigating conversations to untangle the complexities of denial issues ...

Src

Account Resolution Specialist

Dallas, TX

$14.25 - $19.75/hr

Account Resolution Specialist Location: Dallas - Hospital Additional Posting Details: Monday ... Review payer denial reasons and appeal with supporting documentation for complete reimbursement ...

CRA MSO LLC

Medical Biller/Coder

Chula Vista, CA · On-site

$23 - $24/hr

We are seeking a talented and proficient Claims Denial Resolution Specialist/ Coder to join our growing team. At American Eye Associates we provide our Specialists the opportunity to learn, be ...

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Denial Resolution Specialist information

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$13

$28

$55

How much do denial resolution specialist jobs pay per hour?

As of Aug 27, 2026, the average hourly pay for denial resolution specialist in the United States is $28.72, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $36.06 per hour, depending on experience, location, and employer.

What is a denial resolution specialist?

Denial Resolution Specialists are professionals who work primarily within healthcare organizations to manage and resolve insurance claim denials. Their main responsibilities include reviewing denied claims, identifying the reasons for denial, and working with insurance companies and healthcare providers to appeal and overturn those decisions. They play a critical role in ensuring that healthcare providers receive appropriate reimbursement for services rendered and in minimizing lost revenue. Denial Resolution Specialists must have strong analytical, communication, and problem-solving skills, as well as a thorough understanding of medical billing and insurance regulations.

What skills and qualifications are needed to thrive as a denial resolution specialist?

To thrive as a Denial Resolution Specialist, you need a solid understanding of medical billing, insurance claims processing, and healthcare regulations, often supported by experience in revenue cycle management. Familiarity with billing software, electronic health record (EHR) systems, and industry coding standards such as ICD-10 and CPT is typically required. Strong analytical skills, attention to detail, and effective communication are essential soft skills for investigating claim denials and collaborating with payers and providers. These skills and qualifications are crucial for efficiently resolving denied claims, maximizing reimbursements, and ensuring compliance with regulatory standards.

What are common challenges faced by denial resolution specialists, and how can they be overcome?

Denial Resolution Specialists often encounter challenges such as navigating complex insurance policies, addressing incomplete or inaccurate documentation, and communicating effectively with payers to resolve claim denials. Overcoming these obstacles typically involves staying up-to-date on payer guidelines, fostering strong collaboration with billing and clinical teams, and developing excellent problem-solving and negotiation skills. Building a thorough understanding of claims processes and maintaining attention to detail can significantly improve resolution rates and workflow efficiency in this role.

What is the difference between Denial Resolution Specialist vs Claims Analyst?

AspectDenial Resolution SpecialistClaims Analyst
CredentialsTypically requires healthcare or insurance-related certificationsOften requires a degree in healthcare, finance, or related fields
Work EnvironmentHealthcare providers, insurance companies, or third-party administratorsInsurance companies, healthcare organizations, or consulting firms
Job FocusInvestigating and resolving denied insurance claimsAnalyzing claims data to improve processing and reduce denials

While both roles involve working with insurance claims, a Denial Resolution Specialist primarily focuses on resolving denied claims by investigating reasons for denial and appealing when necessary. In contrast, a Claims Analyst analyzes claims data to identify trends and improve overall claims processing efficiency. Both roles require knowledge of insurance policies and strong analytical skills, but their day-to-day tasks and objectives differ.

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Denial Resolution Specialist jobs near you
Infographic showing various Denial Resolution Specialist job openings in the United States as of August 2026, with employment types broken down into 87% Full Time, 11% Part Time, and 2% Contract. Highlights an 78% Physical, 2% Hybrid, and 20% Remote job distribution, with an average salary of $59,736 per year, or $28.7 per hour.

Denial Resolution Specialist

RSI ENTERPRISES INC

Glendale, AZ • Remote

$17/hr

Full-time

Re-posted 6 days ago

Job description

Description

Flexible hours & Work from home remote option

Starting Salary: $17 AND UP (depending on specific experience)


Description: 

We're the wizards behind the scenes, a revenue cycle management crew making magic happen in the billing follow-up and denial management world. You'll play a crucial part in ensuring comprehensive insurance coverage for patients, overseeing insurance eligibility, and managing the billing process with insurance companies

Requirements

Education: 

High school diploma or GED equivalent


Your Job Adventure includes:

Immerse yourself in a multitude of outstanding accounts, unraveling mysteries but with a touch of finesse

Demonstrate mastery over insurance denials, ensuring prompt resolution and securing payments for all stakeholders

Engage in direct communication with insurance representatives, adeptly navigating conversations to untangle the complexities of denial issues

Adhere meticulously to industry regulations, including but not limited to HIPAA, TCPA, and other pertinent rules


Skills Needed:

Proficient in the art of medical billing

Basic Microsoft Office wizardry 

Multitasking like a pro (juggling is your secret talent)

Quick learner with troubleshooting superpowers 


Extra Awesome Attributes:

Dependable (the go-to person) 

Communication enthusiasts

Sharp eye for detail and have a knack for decoding insurance lingo

Master of secrets, handling highly confidential information with the utmost care and finesse


Position Summary: 

Your mission, should you choose to accept it, involves uncovering the secrets of insurance eligibility, correcting claim denials with superhero finesse, and engaging in epic follow-ups with insurance realms. But wait, there's more! Channel your inner customer service wizard as you charm clients and third parties with your infectious positivity. If you're up for a billing bonanza where every denied claim is a chance for triumph, welcome to the squad of Denial Dynamos & Claim Crusaders! Join us and let the billing quest begin!

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