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Denials Jobs (NOW HIRING)

Massgeneralbrigham

Denials Liaison

Somerville, MA · Remote

$63K - $92K/yr

The Denials Liaison is responsible for analysis, interpretation, and identification of insurance denials performance variations and opportunities; recommending process/system improvement initiatives ...

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 ...

Mass General Brigham

Denials Liaison

Somerville, MA · On-site +1

$63K - $92K/yr

The Denials Liaison is responsible for analysis, interpretation, and identification of insurance denials performance variations and opportunities; recommending process/system improvement initiatives ...

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 ...

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 ...

WVU Medicine

Clinical Denials Coord

Morgantown, WV · On-site

Responsible for reporting, monitoring, and analyzing denials. Coordinates all referrals for further appeal to outside agencies based on department guidelines. Provides support and assistance to ...

WVU Medicine

Clinical Denials Coord

Morgantown, WV · On-site

Job Title Responsible for reporting, monitoring, and analyzing denials. Coordinates all referrals for further appeal to outside agencies based on department guidelines. Provides support and ...

West Virginia University Health System

Responsible for reporting, monitoring, and analyzing denials. Coordinates all referrals for further appeal to outside agencies based on department guidelines. Provides support and assistance to ...

Westerkamp Group LLC

Denials Analyst

Birmingham, AL · On-site

$15 - $20/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

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 ...

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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Denials information

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How much do denials jobs pay per hour?

As of Aug 13, 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 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?

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 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 Liaison

Massgeneralbrigham

Somerville, MA • Remote

$63K - $92K/yr

Full-time

Posted 20 days ago

Job description

Site: Mass General Brigham Incorporated


Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.


Job Summary

Under the direction of the Sr. Manager - Denial Prevention & Training, the Denials Liaison is responsible for the execution of denials prevention strategies for the Mass General Brigham enterprise. As a member of the denials prevention team, the Denials Liaison will drive continual improvement efforts to prevent insurance rejections and related write offs.
The Denials Liaison is responsible for analysis, interpretation, and identification of insurance denials performance variations and opportunities; recommending process/system improvement initiatives and implementing those initiatives in collaboration with assigned entity Revenue Directors/denials teams. The Denials Liaison will lead assigned prevention initiative workgroups and present updates to RCO and entity leadership.
The Denials Liaison collaborates with RCO departments (Financial Analysis, Payer Operations, Payer Contracting, Revenue Integrity, Coding, Finance, Mass General Brigham eCare, and Training). This role requires the ability to work independently, communicate effectively with leadership, excellent analytical skills and expertise in hospital operations and/or revenue cycle operations.
Utilize knowledge of revenue cycle/hospital operations combined with critical thinking skills to interpret denials data and translating that data into actionable denials prevention strategies
Provide recommendations based on root cause analysis, implementing and tracking the success of approved recommendations across entities and revenue cycle areas
Present updates, findings, and recommendations to internal and external stakeholders/leaders
Manage and facilitate denials prevention workgroups, often leading meetings and providing updates to the Sr. Manager
Track assigned denial prevention efforts, driving progress to completion and alerting the Sr. Manager of delays as appropriate
Work closely with the Financial Analysis team to request additions/changes to reports as needed and assists in data validation


Qualifications

  • Bachelor's degree required (Business Administration, Healthcare Management and/or Finance degrees preferred)

  • 2+ years of experience in medical billing, coding, or revenue cycle management in a healthcare setting required

  • Experience in denials management, appeals or other related role preferred

Knowledge, Skills and Abilities

  • Ability to create and interpret complex analytic

  • Must be an expert in Excel and PowerPoint.

  • Excellent communication, presentation and interpersonal skills.

  • Organizes work/ resources to accomplish objectives and meet deadlines

  • Demonstrates problem-solving skills related to denial analysis

  • Demonstrates the willingness and ability to work collaboratively with other key internal and external staff, both to obtain necessary information to address denial management issues

  • Ability to establish contacts and strong working relationships with revenue and administrative leaders across Mass General Brigham entities

  • Maintains stable performance under pressure, demonstrating sensitivity to diverse organizational cultures Fiscal Duties Demonstrates fiscal responsibility by effectively using Mass General Brigham resources

Working Schedule:

  • Remote, M-F eastern standard business hours. Requires a quiet, secure, HIPAA-compliant working station


Additional Job Details (if applicable)


Remote Type

Remote


Work Location

399 Revolution Drive


Scheduled Weekly Hours

40


Employee Type

Regular


Work Shift

Day (United States of America)


Pay Range

$63,648.00 - $92,570.40/Annual


Grade

6


At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.


EEO Statement:

0100 Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.


Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

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