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Denials Management Jobs (NOW HIRING)

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 Management Operator

Atlanta, GA · On-site

$17.25 - $23/hr

Share this job: Share: Share Epic Denials Management Operator with Facebook Share Epic Denials Management Operator with LinkedIn Share Epic Denials Management Operator with Twitter Caution against ...

Baptist Health

Denials Management Specialist

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 ...

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 ...

Deloitte

Epic Denials Management Operator

Tempe, AZ · Remote

$17.25 - $23/hr

Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be responsible for supporting review denials (835/277 processing) received from third party payers.

Deloitte

Epic Denials Management Operator

Raleigh, NC · Remote

$17.50 - $23.25/hr

Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be responsible for supporting review denials (835/277 processing) received from third party payers.

Deloitte

Epic Denials Management Operator

Hermitage, TN · Remote

$15.75 - $21/hr

Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be responsible for supporting review denials (835/277 processing) received from third party payers.

Deloitte

Epic Denials Management Operator

Stamford, CT · Remote

$19.25 - $25.50/hr

Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be responsible for supporting review denials (835/277 processing) received from third party payers.

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How much do denials management jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for denials management in the United States is $23.50, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $25.72 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in denials management?

To succeed in Denials Management, you need expertise in medical billing, insurance claims processing, and healthcare regulations, often supported by a degree in healthcare administration or a related field. Familiarity with billing software, electronic health records (EHR) systems, and denial management platforms such as Epic or Cerner is highly beneficial. Strong analytical skills, attention to detail, effective communication, and persistence are essential soft skills for the role. These abilities are crucial to accurately review and resolve denied insurance claims, maximize revenue, and ensure compliance in a complex healthcare environment.

What is denials management?

A Denials Management job involves analyzing and resolving rejected or denied insurance claims to ensure healthcare providers receive proper reimbursement. Professionals in this role investigate the reasons for claim denials, appeal when necessary, and work with insurance companies to correct errors or discrepancies. They also identify patterns in denials to implement process improvements and reduce future claim rejections. Strong knowledge of medical billing, insurance policies, and coding guidelines is essential for success in this role.

What are the most common challenges faced in denials management roles?

Professionals in Denials Management often encounter challenges such as navigating complex insurance policies, processing high volumes of claim denials, and keeping up with frequently changing payer requirements. Working in this role requires meticulous attention to detail and the ability to communicate effectively with both insurance companies and internal departments to resolve issues quickly. You may frequently collaborate with coding specialists, clinicians, and finance teams to gather documentation and appeal denials. Overcoming these challenges not only helps recover lost revenue but also improves overall workflow efficiency within the organization.

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Denials Management jobs near you
Infographic showing various Denials Management job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 14% Part Time, and 3% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $48,885 per year, or $23.5 per hour.

Denials Management Analyst

Shriners Children's

Remote

$66K - $100K/yr

Full-time

Re-posted 2 days ago

Shriners Children's rating

8.0

Company rating: 8.0 out of 10

Based on 45 frontline employees who took The Breakroom Quiz

134th of 1,059 rated hospitals

Job description

Company Overview
Shriners Children's is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families.
With 20+ hospitals, outpatient clinics, ambulatory care centers and outreach locations across the globe, we provide excellent care to children up to age 18 regardless of their family's ability to pay or insurance status. Please click here to learn more about our locations.
Job Description
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 identify and trend root causes and report out findings as well as assist in mapping out process improvement opportunities. The analyst will coordinate payor denials and audit activities to ensure timely response for the processing of all payor denials, audit requests and appeals. The analyst will communicate and coordinate with various individuals/distributions and assist with monitoring of the day-to-day activities related to claims denials and audit reviews.
Key Responsibilities:
  • Collecting/analyzing, report status, metrics and trends of activity by different reviews from multiple systems Distributing reports on a routine basis to specific distribution group
    • Managing Epic work queues and resolving denials.
    • Gathering data to substantiate the request for rule creations in Epic.
    • Research payer fee schedules and provider manuals to ensure appropriate non covered denials.
  • Organizing all data and activity in a retrievable way Coordinating payor denial and audit activities to ensure timely response for the processing of all payor denials, audit request and appeals for both institutional and professional claims
  • Assisting with the coordination of denial and review activities and materials for committee meetings, including analyses, reports, etc.
  • Communicating and coordinating with various individuals/distributions and assisting with monitoring of the day-to-day activities related to claim denials and audit reviews
  • Maintaining the healthcare tracking tool/application that stores/communicates all denial and review activity. This will include user access management, updates to software, and end-user training
  • Supporting projects and initiatives of the Denials Management Team. This may include coordinating meetings, conducting research, performing audits or data analysis, and preparing documents
  • Strong communication skills and a commitment to delivering the highest level of quality work

Required Qualifications:
  • Bachelor's degree, or equivalent combination of education and experience
  • 5-7 Years in a Healthcare Revenue Cycle Environment including 3 years in Third Party Collection/AR Receivables and Denials Management
  • Epic PB Resolute experience
  • Healthcare Revenue Cycle management including:
    • Therapy (Physical/Occupational/Speech)
    • Radiology
    • Pediatrics/Pediatric Orthopedics
    • Anesthesia
  • EDI Transaction sets including 837I, 837P
  • Knowledge of insurance contract rates and terms
  • Knowledge and understanding of Registration and Collections
  • Knowledge and understanding of Government and Managed Care billing, coverage and payment rules
  • Ability to comprehend payor 835 and paper EOB responses
  • Knowledge and understanding of NCCI edits, CPT-4, HCPCS, ICD-10 and Revenue Codes standards
  • Intermediate Excel skills

Preferred Qualifications:
  • CRCR Certification
  • Epic Certification

The pay range for this position is $66,872.00 - $100,318.40. Compensation is determined based on years of relevant experience and departmental equity.

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