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Denial Resolution Specialist Jobs (NOW HIRING)

Select Medical

Claims Resolution Specialist

Camp Hill, PA · On-site

$18.50/hr

Overview Claims Resolution Specialist (in-office - on-site role) Starting at $18.50/hr but flexible ... Investigate and follow-up on all open balances for accounts that have received a payment or denial ...

Currance Inc

Account Resolution Specialist III

Irvine, CA · On-site

$21 - $23.50/hr

... resolution and payment processing for our clients. The Accounts Receivable Specialist III is a ... Denial and appeals proficiency - Manage intricate claim issues (e.g., medical necessity, coding ...

Currance Inc

Account Resolution Specialist II

Irvine, CA · On-site

$18.50 - $20/hr

As an Account Resolution Specialist II, your main responsibility is to manage insurance claims for ... Denial and appeals proficiency - Manage intricate claim issues (e.g., medical necessity, coding ...

Currance

Account Resolution Specialist II

$18.50 - $21/hr

As an Account Resolution Specialist II, your main responsibility is to manage insurance claims for ... Denial and appeals proficiency - Manage intricate claim issues (e.g., medical necessity, coding ...

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Denial Resolution Specialist information

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How much do denial resolution specialist jobs pay per hour?

As of Aug 11, 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 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.

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.
More about Denial Resolution Specialist jobs
What are the most commonly searched types of Denial Resolution Specialist jobs? The most popular types of Denial Resolution Specialist jobs are:
What job categories do people searching Denial Resolution Specialist jobs look for? The top searched job categories for Denial Resolution Specialist jobs are:
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 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $59,736 per year, or $28.7 per hour.

Claims Resolution Specialist

Select Medical

Camp Hill, PA • On-site

$18.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 14 days ago

Job description

Overview
Claims Resolution Specialist
(in-office - on-site role)
Starting at $18.50/hr but flexible for experienced candidates
Do you enjoy puzzles and research? Are you results-oriented? If so, our Claims Resolution Specialist position may be a phenomenal career for you within Select Medical! Our dynamic team has the responsibility of resolving outstanding insurance claims so that our patients are not impacted.
We offer an exceptional employee experience, full-time hours, full benefits, paid training, and advancement opportunities. Our team offers flexible, first shift, Monday through Friday schedules. This would include two fifteen-minute breaks and one half-hour lunch. We allow for casual work attire; jeans are our norm!
Responsibilities
  • Investigate and follow-up on all open balances for accounts that have received a payment or denial, or that are greater than 30 days from billing. Contact responsible party to establish reason for non-payment document in system all verbal and written communication relative to open account balance, and institute timely follow-up with responsible party as a result of last contact to assure progress in resolving account with payment.
  • Maintain consistent, productive, and timely follow-up, as often as is needed to collect on the account. Time between account follow up is not to exceed 30 days.
  • Maintain a productivity of 20 to 25 accounts per day. This is subject to change based on volume changes and operational needs.
  • Make outgoing calls to patients, insurance companies and attorneys regarding claim status in order to reduce both outstanding receivables.
  • Regularly communicate with hospital staff and department management on any accounts receivable issues/problematic payor trends.
  • Identify and resolve issues impacting the timely collection of open receivables.
  • As necessary, request account adjustments as identified via write off requests and refund requests.
  • Notify database operations of changes or additions to specific payor, plan, contract, address, or other pertinent information as necessary.
  • Meet the expectations and goals for productivity and collections targets as set forth by management.
  • Performs other duties or special projects as assigned.

Qualifications
Required:
  • High School Diploma or Equivalent
  • One year of experience within a medical billing, medical collecting or claims processing role.
  • Private and commercial claims collection experience (ideally provider side)
  • Medicare and Medicaid

Preferred:
  • Computer Skills
  • Microsoft Office:
  • Outlook
  • Excel
  • Ability to work with multiple programs simultaneously.
  • Good interpersonal, oral and written communication skills.
  • Previous experience in metrics based role, where production/quality standards are upheld.
  • Time management and organizational skills
  • Proven experience with investigative research.
  • Ability to work independently and as part of team to reach mutually established goals.
  • Attention to detail
  • Flexibility and being open to change
  • This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management.

Additional Data
Select Medical strives to provide our employees with a solid work-life balance, as we understand that happy employees have both fulfilling careers and fulfilling lives beyond our doors.
  • An extensive and thorough paid orientation program.
  • Paid Time Off (PTO) and Extended Illness Days (EID).
  • Health, Dental, and Vision Insurance; Life insurance; Prescription coverage.
  • A 401(k) retirement plan with company match.
  • No Required Weekends

Working Conditions/Physical Demands:
  • Office Environment
  • Sitting for extended periods of time
  • Ability to lift weight up to 35 lbs.

Equal Opportunity Employer/including Disabled/Veterans

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