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Denials Coordinator Jobs (NOW HIRING)

Astrana Health

UM Coordinator - Denials

Monterey Park, CA · Hybrid

$21 - $26/hr

The UM Coordinator - Denials will review, monitor, and process prior authorization denials requests while maintaining strict adherence to regulatory and health plan guidelines. Our Values: * Put ...

1 Legacy, Inc

Full Time UM RN

Clovis, NM

Provides back~up coverage for the Denials Coordinator position. Interacts with external review agencies to insure compliance with regulations affecting financial reimbursement to the facility.

Shriners Children's

Denials Management Analyst

Job Overview The Denials Management Analyst is responsible for analyzing denials data, creating ... Assisting with the coordination of denial and review activities and materials for committee ...

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How much do denials coordinator jobs pay per hour?

As of Jul 2, 2026, the average hourly pay for denials coordinator in the United States is $24.79, according to ZipRecruiter salary data. Most workers in this role earn between $18.75 and $30.29 per hour, depending on experience, location, and employer.

What is the difference between Denials Coordinator vs Claims Specialist?

AspectDenials CoordinatorClaims Specialist
CredentialsTypically requires healthcare or insurance-related certifications, such as CPC or equivalentOften requires similar certifications, with a focus on claims processing
Work EnvironmentHealthcare facilities, insurance companies, or billing departmentsInsurance companies, healthcare providers, or billing offices
Employer & IndustryHospitals, clinics, insurance payersInsurance carriers, healthcare providers, third-party administrators

Both roles involve working with healthcare claims, but Denials Coordinators focus on resolving denied claims and appeals, while Claims Specialists handle the initial processing of claims. The roles often overlap in credentials and work environment, but their primary responsibilities differ in claim resolution versus processing.

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

To thrive as a Denials Coordinator, you need a strong understanding of medical billing, insurance claims processing, and healthcare regulations, typically supported by experience in healthcare administration or a related field. Familiarity with electronic health record (EHR) systems, claims management software, and knowledge of coding standards such as ICD-10 and CPT are crucial. Excellent attention to detail, problem-solving abilities, and effective communication skills help in resolving claim denials and collaborating with payers and providers. These skills ensure accurate and timely resolution of denied claims, which is essential for maintaining healthcare revenue cycles and patient satisfaction.

What are the most common challenges faced by a Denials Coordinator, and how can they be managed effectively?

Denials Coordinators often encounter challenges such as resolving complex insurance denials, navigating evolving payer requirements, and managing large volumes of appeals within tight deadlines. To address these issues, it's important to stay organized, communicate efficiently with both clinical staff and insurers, and maintain up-to-date knowledge of payer policies. Developing strong analytical skills and attention to detail can also help in identifying denial trends and implementing corrective actions, ultimately improving reimbursement rates and workflow efficiency.

What is a Denials Coordinator?

A Denials Coordinator is a healthcare professional responsible for managing and resolving insurance claim denials. They review denied claims, investigate the reasons for denial, gather necessary documentation, and submit appeals to insurance companies. Their goal is to ensure that healthcare providers receive appropriate reimbursement for services rendered and to minimize financial losses due to claim denials. Denials Coordinators often work closely with billing departments, healthcare providers, and insurance representatives to resolve issues efficiently.
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Denials Coordinator jobs near you
Infographic showing various Denials Coordinator job openings in the United States as of June 2026, with employment types broken down into 96% Full Time, and 4% Part Time. Highlights an 96% In-person, and 4% Hybrid job distribution, with an average salary of $51,569 per year, or $24.8 per hour.
Hospital Denials Coordinator

Hospital Denials Coordinator

Oklahoma Heart Hospital

Oklahoma City, OK • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 2 days ago

Oklahoma Heart Hospital rating

8.6

Company rating: 8.6 out of 10

Based on 39 frontline employees who took The Breakroom Quiz

34th of 1,004 rated hospitals

Job description

Overview
Join Our Team at Oklahoma Heart Hospital (OHH)
ONE TEAM. ALL HEART. At OHH, we believe that patient care is truly at the heart of everything we do. Our dedicated team members are involved in every step of our patients' journeys, bringing hope, compassion, and healing to both patients and their families. Together with our physicians and caregivers, we're shaping the future of heart care in Oklahoma by serving the state and leading the nation.
Why You'll Love Working Here:
  • Comprehensive Benefits:
    • Medical, Dental, and Vision coverage
    • 401(k) plan with employer match
    • Long-term and short-term disability
    • Employee Assistance Programs (EAP)
    • Paid Time Off (PTO)
    • Extended Medical Benefits (EMB)
    • Opportunities for continuing education and professional growth

Please note that benefits may vary by position, and some roles (like PRN, Flex, Float, etc.) may have exclusions. For eligible positions, benefits start on your first day!
We can't wait for you to join our heart-centered team!
Responsibilities
The Hospital Denials Coordinator will work on targeted insurance denials to improve collections and reduce open balances. They will deal with inpatient notices of admission, authorizations, and subsequent denials. The Hospital Denials Coordinator will assist with first and second level appeals under the Denials and Appeals RN's guidance. The Denials Coordinator will assist in identifying trends and finding root causes to prevent future denials, providing high-impact findings to the Denials Manager.
  • Works under the guidance of a Denials Manager and Denials and Appeals RN to prepare appeals on clinical denials.
  • Submits Notices of Admission for any missing inpatient admission to insurance companies.
  • Defend and appeal claims, including researching root cause, collecting required information, adjusting the account as necessary, resubmitting claims and all appropriate follow up activities.
  • Requests inpatient authorizations on any admissions that did not receive authorization while the patient was in-house.
  • Works with Denials Analyst and Underpayments Coordinator to call attention to areas of opportunity or system/process errors.

Qualifications
Education: High school graduate or equivalent preferred.
Experience: Minimum of two (2) years in technical Insurance Follow-Up or Denials. Clinical Denials experience is preferred; Epic experience is a plus but not required.
Working Knowledge: Insurance collections and denials, with an emphasis on inpatient workflows is preferred.
Essential Cognitive Abilities: Requires strong communication and organizational skills. Must demonstrate independent judgment and sound reasoning ability. Ability to maintain concentration and organization while dealing with multiple issues and frequent interruptions.
Every team member at OHH plays an integral role in our patients' experience. They are the reason OHH continues to serve the state and lead the nation. Be part of the future of cardiac care.
Learn more about diversity at Oklahoma Heart Hospital.
As part of our team, you are empowered to work collaboratively with our physicians and other caregivers, and play an integral role in setting the standard for excellence in patient care. Every team member at OHH plays an integral role in our patients' experience. They are the reason OHH continues to serve the state and lead the nation. Be part of the future of cardiac care.

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