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Denials Jobs (NOW HIRING)

Eisenhower

Denials Analyst

Rancho Mirage, CA · On-site

$21.75 - $33.04/hr

Denials Analytics Job Objective: Researches and resolves claim denials, ADR requests and certs; submits and tracks appeals, notes trends and provides monthly reports. Responds to audit requests ...

Addison Group

Denials Specialist

Houston, TX · On-site

$26 - $28/hr

Denials Specialist Location: Houston, TX (Downtown) Industry: Healthcare / Revenue Cycle Management Pay: $26-$28/hourly Job Type: Direct Hire Benefits: This position is eligible for medical, dental ...

Shrinerschildrens

Denials Management Analyst

$66K - $100K/yr

The Denials Management Analyst is responsible for analyzing denials data, creating payor metrics, as well as tracking and trending denials and result out of multiple systems. The analyst will ...

Remote Raven

Denials Coder

Manhattan, NY · Remote

$10/hr

Identify trends in coding denials and provide feedback to the billing team or providers to prevent future rejections. Billing & Revenue Cycle Support Utilize medical billing experience to understand ...

New

Remote Raven

Denials Coder

Manhattan, NY · Remote

$10/hr

Identify trends in coding denials and provide feedback to the billing team or providers to prevent future rejections. Billing & Revenue Cycle Support Utilize medical billing experience to understand ...

New

Deloitte

Epic Denials Manager

Chicago, IL · Remote

Epic Denials Manager Position Summary Join Deloitte's AI & Engineering practice to support hospital billing operations in a role focused on claim accuracy, timely reimbursement, and revenue cycle ...

Deloitte

Epic Denials Manager

Sacramento, CA · Remote

Epic Denials Manager Position Summary Join Deloitte's AI & Engineering practice to support hospital billing operations in a role focused on claim accuracy, timely reimbursement, and revenue cycle ...

Deloitte

Epic Denials Manager

San Jose, CA · Remote

Epic Denials Manager Position Summary Join Deloitte's AI & Engineering practice to support hospital billing operations in a role focused on claim accuracy, timely reimbursement, and revenue cycle ...

Deloitte

Epic Denials Manager

Nashville, TN · Remote

Epic Denials Manager Position Summary Join Deloitte's AI & Engineering practice to support hospital billing operations in a role focused on claim accuracy, timely reimbursement, and revenue cycle ...

Shriners Children's

Denials Management Analyst

$66K - $100K/yr

The Denials Management Analyst is responsible for analyzing denials data, creating payor metrics, as well as tracking and trending denials and result out of multiple systems. The analyst will ...

Deloitte

Epic Denials Manager

Miami, FL · Remote

Epic Denials Manager Position Summary Join Deloitte's AI & Engineering practice to support hospital billing operations in a role focused on claim accuracy, timely reimbursement, and revenue cycle ...

Deloitte

Epic Denials Manager

Indianapolis, IN · Remote

Epic Denials Manager Position Summary Join Deloitte's AI & Engineering practice to support hospital billing operations in a role focused on claim accuracy, timely reimbursement, and revenue cycle ...

Deloitte

Epic Denials Manager

San Diego, CA · Remote

Epic Denials Manager Position Summary Join Deloitte's AI & Engineering practice to support hospital billing operations in a role focused on claim accuracy, timely reimbursement, and revenue cycle ...

Deloitte

Epic Denials Manager

Boston, MA · Remote

Epic Denials Manager Position Summary Join Deloitte's AI & Engineering practice to support hospital billing operations in a role focused on claim accuracy, timely reimbursement, and revenue cycle ...

Deloitte

Epic Denials Manager

Fresno, CA · Remote

Epic Denials Manager Position Summary Join Deloitte's AI & Engineering practice to support hospital billing operations in a role focused on claim accuracy, timely reimbursement, and revenue cycle ...

Deloitte

Epic Denials Manager

Portland, OR · Remote

Epic Denials Manager Position Summary Join Deloitte's AI & Engineering practice to support hospital billing operations in a role focused on claim accuracy, timely reimbursement, and revenue cycle ...

Deloitte

Epic Denials Manager

San Antonio, TX · Remote

Epic Denials Manager Position Summary Join Deloitte's AI & Engineering practice to support hospital billing operations in a role focused on claim accuracy, timely reimbursement, and revenue cycle ...

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Denials information

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How much do denials jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for denials in the United States is $20.97, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $23.08 per hour, depending on experience, location, and employer.

What are denials in healthcare billing?

Denials in healthcare billing refer to claims that have been submitted to an insurance company but are rejected or not paid. Denials can occur for various reasons, such as missing information, incorrect coding, or eligibility issues. Handling denials is an essential part of the revenue cycle in healthcare organizations, as it ensures providers receive proper reimbursement for their services. Effective denial management involves identifying the cause, correcting errors, and resubmitting claims to maximize revenue.

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

To thrive as a Denials Specialist, you need a thorough understanding of medical billing, insurance policies, and claims adjudication, often supported by a background in healthcare administration or a related field. Familiarity with practice management software, electronic health records (EHRs), and coding systems such as ICD-10 and CPT is typically required. Strong analytical skills, attention to detail, and effective communication help you resolve complex denials and collaborate with providers and payers. These competencies are vital for maximizing reimbursement, reducing claim rejections, and ensuring the financial health of healthcare organizations.

What are the typical challenges faced in a denials specialist role, and how can they be managed effectively?

A Denials Specialist often encounters challenges such as high volumes of denied insurance claims, navigating complex payer requirements, and communicating effectively with both insurance companies and internal teams. Managing these challenges requires strong attention to detail, persistence in follow-up, and up-to-date knowledge of billing codes and payer policies. Building strong relationships with payers and collaborating closely with billing and coding teams can help resolve denials efficiently and prevent future occurrences, making teamwork and proactive problem-solving critical skills in this role.

What is the difference between Denials vs Claims Adjuster?

AspectDenialsClaims Adjuster
Primary RoleReview and process claims that have been denied or rejectedEvaluate and settle insurance claims, including approved and denied claims
Work EnvironmentInsurance companies, healthcare providers, or third-party administratorsInsurance companies, public agencies, or independent firms
Required CredentialsKnowledge of insurance policies, coding, and claims processing; certifications varyAdjuster licenses, insurance knowledge, and sometimes certifications

In summary, Denials specialists focus on identifying and managing denied claims, while Claims Adjusters handle the entire claims process, including approved and denied cases. Both roles require insurance knowledge, but their primary functions differ in scope and responsibility.

What are the most commonly searched types of Denials jobs?

The most popular types of Denials jobs are:

What states have the most Denials jobs?

States with the most job openings for Denials jobs include:

Denials jobs near you

Denials Analyst

Eisenhower

Rancho Mirage, CA • On-site

$21.75 - $33.04/hr

Full-time

Re-posted 12 days ago

Job description

Default Work Shift:

Day (United States of America)

Hours:

40

Salary range:

$21.75 - $33.04

Schedule:

Full Time

Shift Hours:

8 Hour employee

Department:

Denials Analytics

Job Objective:

Researches and resolves claim denials, ADR requests and certs; submits and tracks appeals, notes trends and provides monthly reports. Responds to audit requests (including RAC) from payors and maintains a Library of Payer reference material regarding requirement for pre authorization, medical necessity and documentation requirements. Works with the Revenue Cycle stakeholders (e.g. Admitting, Coding, Provider Liaisons, etc.) to provide information related to denials and opportunities for process improvement.

Job Description:

Education:Required: High school diploma, GED or higher level degreePreferred: Associate's degreeLicensure/Certification:Preferred: Certified coder or currently enrolled in a coding programExperience:Required: Three (3) years of hospital/professional billing experience with an emphasis in denied claims follow-up, appeals processing, managed care and/or Medicare/Medi-Cal reimbursement methodologiesPreferred: Patient accounting experience in a high-volume claims' environmentReports To: Manager-Denials AnalyticsSupervises: N/A Ages of Patients: N/ABlood Borne Pathogens: Minimal/ No Potential

Skills, Knowledge, Abilities:

Ability to identify denial issues and craft succinct payer appeal letters, Ability to prioritize and coordinate workflow productivity with attention to detail, Basic knowledge of CMS coverage requirements and types of Medicare coverage (Part A/Part B/Part C, etc.), Knowledge of CPT, HCPCS and ICD-10 coding requirements with emphasis on modifiers and diagnosis association, Knowledge of health care pricing and reimbursement methodologies, especially IPPS/OPPS, Knowledge of health plan contracts, hospital revenue cycle functions and payor compliance, Knowledge of LCD's, NCCI, MUE edits, Commercial, PPO, HMO, POS, EPO, and Medicare Advantage claims, authorization and documentation requirements, Proficient in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and other relevant software applications, Strong analytical skills

Essential Responsibilities

1. Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.2. Manages denial inventory on a timely basis to promote payment and resolution of all accounts as instructed by management.3. Stays current on all payer requirements by reading bulletins, reviewing provider handbooks, accessing websites, etc.4. Participates and engages in training sessions to grow knowledge base pertaining to denials, revenue cycle, and/or payor trends. 5. Contacts payors, performs timely follow-up through direct phone calls, provider claims websites, correspondence, appeals, etc.6. Performs manual calculations of expected reimbursement to validate payor adherence to contracts. 7. Performs in depth account research to understand every aspect of claims billing and resulting denial. 8. Creates and submits strong succinct appeals that result in revenue recovery for all types of denials including contract underpayments, payor error denials, etc.9. Identifies patterns, trends, and root-cause for denials; reports findings to management to facilitate process improvement and resolution, including compilation of bulk denial issues across high volume of accounts. 10. Generates and creates reports in Epic as requested. 11. Adheres to HIPAA standards while performing denials research/resolution. 12. Performs other duties as assigned.

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