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Denials Coordinator Jobs (NOW HIRING)

Brown University Health

Mgr Denials Management

Providence, RI · Hybrid

$18.25 - $24.25/hr

Coordinates and facilitates education programs for medical staff, department heads, managers, and ... Federal and state regulations relating to denials and appeals and strong writing and communication ...

Brown University Health

Mgr Denials Management

$18.50 - $24.50/hr

Coordinates and facilitates education programs for medical staff, department heads, managers and ... Federal and state regulations relating to denials and appeals and strong writing and communication ...

Brown University Health

Mgr Denials Management

Providence, RI · Hybrid

$18.25 - $24.25/hr

Coordinates and facilitates education programs for medical staff, department heads, managers, and ... Federal and state regulations relating to denials and appeals and strong writing and communication ...

DCH Health System

Denials Specialist III

Tuscaloosa, AL

$16.75 - $22.25/hr

Overview The Denials and Insurance Follow-Up Specialist is responsible for managing denied claims ... Review and analyze denied claims to determine the cause of denial, coordinating with coding ...

Aspirion

Eliminate silos and strengthen coordination across teams, enabling seamless handoffs and consistent ... denials lifecycle * Ensure alignment between workflow statuses, system routing, and functional ...

DCH Health System

Denials Specialist III

Tuscaloosa, AL

$16.75 - $22.25/hr

The Denials and Insurance Follow-Up Specialist is responsible for managing denied claims, following ... Review and analyze denied claims to determine the cause of denial, coordinating with coding ...

DCH Health System

Denials Specialist III

Tuscaloosa, AL · On-site

$16.75 - $22.25/hr

Overview The Denials and Insurance Follow-Up Specialist is responsible for managing denied claims ... Review and analyze denied claims to determine the cause of denial, coordinating with coding ...

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How much do denials coordinator jobs pay per hour?

As of May 28, 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 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.

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.

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Denials Coordinator jobs near you
Infographic showing various Denials Coordinator job openings in the United States as of May 2026, with employment types broken down into 4% As Needed, 18% Full Time, 76% Part Time, 1% Contract, and 1% Nights. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $51,569 per year, or $24.8 per hour.
Denials Management Coordinator - Denials Management - FT 1.0 (80 hrs biweekly) (67791)

Denials Management Coordinator - Denials Management - FT 1.0 (80 hrs biweekly) (67791)

MEMORIAL HEALTH SYSTEM

Reno, OH • On-site

$14.25 - $19/hr

Full-time

Posted 4 days ago

Job description

In an environment of continuous quality improvement, the Denials Management Coordinator is responsible for reviewing all denials to determine patterns in errors, payors, and internal processes to improve our denial rate. Exhibits the MHS Standards of Excellence and exercises strict confidentiality at all times.

Job Functions:

  1. Analyzes all denials for patterns.
  2. Works with front line staff and educate on proper processes.
  3. Ability to verbalize to insurance carriers and write appeal details to support additional payment on denied claims.
  4. Accurately and consistently documents the results of all denial reviews in the hospital information system.
  5. Prepares reports as required by management regarding audit results, process improvement recommendations and systemic payment errors.
  6. Makes monthly observations and recommendations to prevent future denials.
  7. Assumes all other duties and responsibilities as necessary.

Minimum Education/Experience Required:

  • High School Diploma or GED required.
  • Minimum of two years of previous experience in a healthcare-related position required.
  • Experience in coding, medical necessity, registration, insurances, and precertification processes and/or denials preferred.
  • Minimum of 2 years of experience or formal education in basic ICD10 coding, medical terminology, Anatomy/pathophysiology, and disease process preferred.
  • Depending on healthcare-related experience, may require coding certification within 2 years of date of hire. Experience reviewing ambulatory claim denials preferred.

Special Knowledge, Skills, Training:

  • Computer skills (word processing, spreadsheet, graphics, and database software applications).
  • Strong quantitative, analytical and organization skills.
  • Strong negotiation skills.
  • Proficient in payment review systems, hospital information systems and coding methodologies.
  • Ability to understand medical records, hospital bills, and the charge master.
  • Ability to understand all ancillary department functions for the facility.
  • Ability to understand complex insurance terms and payment methodologies.
  • Ability to effectively negotiate with insurance carriers and customers.
  • Ability to utilize and understand computer technology.
  • Ability to communicate orally and in written form.
  • Team-orientated with strong interpersonal skills.

Compensation Details: Education, experience, and tenure may be considered along with internal equity when job offers are extended.

Benefits: Memorial Health System is proud to offer an affordable, comprehensive benefit package to all full time and flex time employees. To learn more about the many benefits we offer, please visit our website at www.mhsystem.org/benefits.

Bonus Eligibility: Available to qualifying full or flex time employees. Eligibility will be determined upon offer.

Memorial Health System is an equal opportunity provider and employer.

If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online athttps://www.ocio.usda.gov/document/ad-3027, or at any USDA office, or call (866) 632-9992 to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, S.W., Stop 9410, Washington, D.C. 20250-9410, by fax (202) 690-7442 or email atprogram.intake@usda.gov.

*Memorial Health System is a federal drug-free workplace. This policy prohibits marijuana use by employees.

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