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Denials Jobs (NOW HIRING)

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 ...

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 ...

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 ...

Westerkamp Group LLC

Denials Analyst

Houma, LA · On-site

$15 - $25/hr

In this crucial role, you will lead a team of denial specialists, driving the resolution of denied claims, identifying root causes, and implementing strategies to prevent future denials. Your dual ...

Westerkamp Group LLC

Denials Analyst

Lisle, IL · On-site

$15 - $25/hr

In this crucial role, you will lead a team of denial specialists, driving the resolution of denied claims, identifying root causes, and implementing strategies to prevent future denials. Your dual ...

Baptistfirst

Summary The Denials Management Specialist shall be responsible to validate dispute reasons, escalate payment variance trends or issues to management, and generate appeals for denied or underpaid ...

AHMC Healthcare

Denials Manager RN

San Gabriel, CA

$53.10 - $58.39/hr

The Denials Case Manager, RN appeals all denials using InterQual criteria and medical necessity. Collaboratively works with all members of the revenue cycle team and all types of payers to resolve ...

Westerkamp Group LLC

Denials Analyst

Birmingham, AL · On-site

$15 - $25/hr

In this crucial role, you will lead a team of denial specialists, driving the resolution of denied claims, identifying root causes, and implementing strategies to prevent future denials. Your dual ...

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How much do denials jobs pay per hour?

As of Jul 23, 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 do denial specialists do?

Denial specialists review and analyze insurance claim denials to determine reasons for rejection and work to resolve issues, often by correcting errors or providing additional documentation. They collaborate with healthcare providers and insurance companies to ensure claims are processed correctly and payments are received. Strong attention to detail and knowledge of billing systems are essential skills for this role.

What is a denial management job?

A denial management job involves reviewing and resolving insurance claim denials to ensure proper reimbursement. It requires knowledge of insurance policies, coding, and billing systems, often utilizing tools like electronic health records (EHR) and claims processing software. The role aims to reduce claim rejections and improve revenue cycle efficiency.

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 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 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 are the key skills and qualifications needed to thrive as a Denials Specialist, and why are they important?

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 is denial work?

Denial work involves reviewing and processing insurance claim denials, identifying reasons for rejection, and resubmitting claims with necessary corrections. It requires attention to detail, knowledge of billing systems, and understanding of insurance policies to ensure claims are approved and paid correctly.

What is the most chill healthcare job?

A healthcare job often considered to be less stressful is medical billing and coding, which involves reviewing and entering patient information and insurance claims. It typically offers regular hours, minimal patient interaction, and the option to work remotely, making it a relatively relaxed role in healthcare. However, workload and environment can vary depending on the employer and setting.
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

Aspire Rural Health System

Cass City, MI • On-site

Full-time

Posted 22 hours ago

Job description

OPEN POSITION:

Position: Denials Analyst

Department: Patient Financial Services

Location: Cass City, MI

Hours: Full Time. Full Benefits.

Aspire Rural Health System is seeking a Denials Analyst! We are looking for a detail-oriented professional to join our dedicated team of healthcare professionals committed to improving revenue cycle performance, reducing claim denials, and supporting the financial health of our organization.

REQUIREMENTS:

  • 2+ years of revenue cycle or denial management experience.
  • Strong knowledge of payer requirements, coding, billing regulations, and denial prevention strategies.
  • Demonstrated experience in data analysis, report creation, and presenting findings to diverse audiences.
  • Proven ability to lead implementation of process improvements and system changes within Epic.
  • Epic Resolute Professional Billing, Hospital Billing, Claim Edit experience, or certification preferred.
  • Experience working with dashboards and reporting tools such as Clarity, SlicerDicer, Tableau, Quadax, or Power BI.
  • Prior experience partnering with clinical service lines on revenue cycle initiatives preferred.

RESPONSIBILITIES: The Denials Analyst is responsible for analyzing claim denials, identifying root causes, and implementing sustainable solutions within Epic to reduce future denials. This role partners closely with service lines, revenue cycle teams, and leadership by presenting denial trends and actionable data while ensuring corrective workflows and system optimizations are put in place. Responsibilities include monitoring, tracking, and analyzing payer denials within Epic; developing reports, dashboards, and presentations; collaborating with service lines to educate stakeholders on denial drivers and corrective actions; and leading denial prevention initiatives through Epic system enhancements, workflow redesign, and implementation of claim edits and rules. The Denials Analyst will partner with revenue integrity, coding, billing, compliance, and IT teams to support denial resolution and prevention strategies, maintain Epic denial workqueues and automation tools, assist with system testing and optimization efforts, provide end-user training, and monitor the effectiveness of implemented solutions. The analyst will remain current on payer requirements, Epic functionality, and industry best practices to continuously improve clean claim rates, reduce rework, and optimize reimbursement.

"We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law."