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Denial Specialist Jobs (NOW HIRING)

Workforce Connections

Denial Specialist

Saint Louis, MO · Remote

$22.47/hr

Denial Specialist (Remote) Pay Rate: $22.47/hr Remote: Must reside in US Schedule: Tuesday-Saturday, 1:00 PM-10:00 PM CST Contract with potential to extend: 1/12/26 - 12/11/2026 Position Overview The ...

Workforce Connections

Denial Specialist II

Tampa, FL · On-site

$23/hr

Denial Specialist II Contract Type / Duration: Contract | 12 Months Location: Fully Remote - U.S. Work Hours: Monday-Friday, 1:00 PM-10:00 PM EST, with rotating holidays Target Start Date: September ...

Workforce Connections

Denial Specialist II

Charlotte, NC · On-site

$23/hr

Denial Specialist II Contract Type / Duration: Contract | 12 Months Location: Fully Remote - U.S. Work Hours: Monday-Friday, 1:00 PM-10:00 PM EST, with rotating holidays Target Start Date: September ...

Genova Diagnostics

Denial Specialist

Asheville, NC · On-site

$17.25 - $22.25/hr

The Denial Specialist is responsible for working third party A/R and denials to ensure appropriate payment for Genova's claims and timely resolution of third party accounts receivable according to ...

Workforce Connections

Denial Specialist

Saint Louis, MO · Remote

$22.47/hr

Denial Specialist (Remote) Pay Rate: $22.47 per hour Schedule: Multiple shifts available (details below) Assignment Length: 6 months Potential to Extend or Convert: Yes Start Date: January 5 (hard ...

Workforce Connections

Denial Specialist

Saint Louis, MO · Remote

$22/hr

Denials Specialist (Remote) Pay Rate: $22.47/hour Assignment Length: 6-12 months (with potential to ... The position supports denial communications by accurately producing letters from medical ...

Akron Children's Hospital

Coding Denial Specialist

Akron, OH · On-site +1

$18 - $23/hr

The Denial Coding Specialist supports the Revenue Recovery team by reviewing claims for coding accuracy and root causes for coding-related denials, as well as proposing process improvements to ...

BCforward

Denial Specialist

Austin, TX · On-site

$17.75 - $23.75/hr

Company Description About BCforward BCforward began as an IT business solutions and staffing firm. Founded in 1998, BCforward has grown with our customers' needs into a full service personnel ...

Firstsource

Clinical Denials Specialist

Role: Clinical Denial Specialist Schedule: M - F 8 AM - 4:30 PM EST GENERAL SUMMARY: * The goal of the Clinical Denial Specialist is to successfully manage claim denials related to referral ...

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Denial Specialist information

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$30.5K

$86.5K

$115.5K

How much do denial specialist jobs pay per year?

As of Sep 3, 2026, the average yearly pay for denial specialist in the United States is $86,480.00, according to ZipRecruiter salary data. Most workers in this role earn between $66,500.00 and $98,500.00 per year, depending on experience, location, and employer.

What is a denial specialist?

A Denial Specialist is a healthcare professional responsible for reviewing and resolving denied insurance claims. They analyze claim denials, identify the reasons for rejections, and take necessary actions such as appealing, correcting errors, or providing additional documentation. Their role involves working closely with insurance companies, healthcare providers, and billing departments to ensure proper reimbursement. Denial Specialists help reduce financial losses for healthcare organizations by improving claim approval rates and streamlining the billing process.

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

A Denial Specialist needs strong analytical skills, attention to detail, and a solid understanding of healthcare billing and insurance processes, often supported by a background in medical billing or health information management. Familiarity with claims management software, electronic health record (EHR) systems, and certifications like Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) are commonly required. Excellent communication, problem-solving abilities, and organizational skills help specialists effectively resolve denied claims and collaborate with payers or internal teams. These competencies are crucial for ensuring the successful recovery of payments, reducing claim denials, and maintaining the financial health of healthcare organizations.

What are the main challenges faced by denial specialists in their daily work?

Denial Specialists often encounter challenges such as navigating complex insurance guidelines, identifying the root causes of claim denials, and keeping up with frequent changes in reimbursement policies. They must also manage high volumes of denied claims while meeting tight deadlines, which can be demanding. Close attention to detail and ongoing collaboration with billing teams, providers, and insurance representatives are essential to successfully appeal and resolve claims. Professionals in this role develop strong problem-solving skills and gain exposure to various aspects of revenue cycle management, which can lead to career advancement opportunities in healthcare administration or billing leadership.

Does a denial specialist need to be certified?

A denial specialist typically does not require formal certification, but having certifications related to healthcare billing, coding, or insurance claims can enhance credibility and job prospects. Employers may also value experience with specific claims processing software and knowledge of insurance policies.
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Denial Specialist jobs near you
Infographic showing various Denial Specialist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 14% Part Time, and 2% Contract. Highlights an 85% Physical, 2% Hybrid, and 13% Remote job distribution, with an average salary of $86,480 per year, or $41.6 per hour.

Denial Specialist

Workforce Connections

Saint Louis, MO • Remote

$22.47/hr

Contractor

Re-posted 27 days ago

Job description

Denial Specialist (Remote)

Pay Rate: $22.47/hr

Remote:  Must reside in US
Schedule: Tuesday–Saturday, 1:00 PM–10:00 PM CST
Contract with potential to extend: 1/12/26 - 12/11/2026

Position Overview

The Denial Specialist generates, processes, and maintains provider and member correspondence related to preservice and concurrent reviews. This role supports denial workflows by ensuring accurate documentation, timely communication, and compliance with regulatory standards.

Key Responsibilities

  • Generate and process correspondence using EMR documentation within required timelines.

  • Review incoming faxes and upload documentation into the electronic medical record system.

  • Maintain and update correspondence templates based on regulatory or interdepartmental needs.

  • Coordinate data collection, analysis, and reporting related to the denial process.

  • Monitor compliance and turnaround time (TAT) logs for all notifications.

  • Fax denial letters to providers.

  • Make 25–35 outbound calls per day.

  • Perform additional duties as assigned while adhering to all policies and standards.

Qualifications

Education

  • High school diploma or GED required.

Experience

  • 1–2 years of related experience.

  • Knowledge of the denials process and medical record information preferred.

  • Background in customer service or medical office administration is highly beneficial.

Skills

  • Strong computer skills; proficiency with Microsoft Office and Microsoft Teams.

  • Familiarity with medical terminology.

  • Preferred: HCPCS/CPT coding knowledge.

Work Environment

  • Fully remote; candidates may be located in any U.S. time zone.

  • Not member-facing and not required to work onsite.

  • Training provided on day one, including system setup and onboarding.

Additional Requirements

  • Computer competency and typing test (90% pass score).

Interview Process

  • One virtual interview with the hiring manager.

CLIENT does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor.