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Denials Management Jobs (NOW HIRING)

Shriners Children's

Denials Management Analyst

Job Overview 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 ...

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 ...

McLaren

Denials Management Specialist

Shelby, MI · On-site

The Denials Management Specialist is responsible for timely and accurate follow-up and appeal of denials/rejections received from third-party payers. The specialist will work independently while ...

McLaren

Denials Management Specialist

Shelby, MI · On-site

The Denials Management Specialist is responsible for timely and accurate follow-up and appeal of denials/rejections received from third-party payers. The specialist will work independently while ...

Children's Health

Denials Management Specialist

Dallas, TX · Remote

$17.75 - $23.75/hr

Denials Management Specialist Department: Utilization Management Location: Children's Health- Trinity Towers Shift: Full-time Monday through Friday 8:00a to 5:00p Job Type: Remote, with some ...

McLaren

Denials Management Specialist

Shelby, MI · On-site

The Denials Management Specialist is responsible for timely and accurate follow-up and appeal of denials/rejections received from third-party payers. The specialist will work independently while ...

McLaren

Denials Management Specialist

Shelby, MI · On-site

The Denials Management Specialist is responsible for timely and accurate follow-up and appeal of denials/rejections received from third-party payers. The specialist will work independently while ...

NorthShore

Denials Management Specialist

Warrenville, IL · On-site

$22.14 - $33.21/hr

Denial Management Specialist * Location: Warrenville IL * Full Time/Part Time: Full Time * Hours: Monday-Friday, 8am-430pm A Brief Overview: Reviews claim denials which pertain to medical necessity ...

McLaren

Denials Management Specialist

Shelby, MI · On-site

The Denials Management Specialist is responsible for timely and accurate follow-up and appeal of denials/rejections received from third-party payers. The specialist will work independently while ...

Children's Health

Denials Management Specialist

Dallas, TX · On-site

$17.75 - $23.75/hr

Denials Management Specialist Department: Utilization Management Location: Children's Health- Trinity Towers Shift: Full-time Monday through Friday 8:00a to 5:00p Job Type: Remote, with some ...

Brownhealth

Mgr Denials Management

Providence, RI · Hybrid

$18.25 - $24.25/hr

Collaborates with the case management department and clinical documentation department on ... Systematically tracks the status and progress of denials and appeals for the Lifespan affiliates.

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Denials Management information

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How much do denials management jobs pay per hour?

As of Jul 4, 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 is the role of denial management?

Denials management is a key function in healthcare billing that involves reviewing, analyzing, and resolving claim denials from insurance companies. The role requires strong attention to detail, knowledge of insurance policies, and the use of billing software to ensure claims are corrected and resubmitted efficiently to maximize revenue recovery.

What is the highest paying job in healthcare management?

In healthcare management, executive roles such as Chief Executive Officer (CEO), Chief Operating Officer (COO), or Chief Financial Officer (CFO) typically have the highest salaries, often exceeding six figures annually. These positions require extensive experience, leadership skills, and often advanced degrees like an MBA or healthcare administration certification.

What are the key skills and qualifications needed to thrive in the Denials Management position, and why are they important?

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 a Denials Management job?

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 jobs make $3,000 a day?

In denials management, high-level roles such as senior claims managers or specialized healthcare reimbursement directors can earn around $3,000 daily, especially with extensive experience and certifications. These positions often require advanced knowledge of insurance policies, strong negotiation skills, and work in fast-paced healthcare or insurance environments. Such earnings are typically associated with executive-level or highly specialized roles rather than entry-level positions.

What does a denial management specialist do?

A denial management specialist reviews insurance claim denials to identify reasons for rejection and corrects errors to ensure proper reimbursement. They analyze claim data, communicate with insurance companies, and use billing software to resolve issues efficiently, often working in healthcare or insurance environments.

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 June 2026, with employment types broken down into 85% Full Time, and 15% Part Time. Highlights an 83% Physical, 2% Hybrid, and 15% Remote job distribution, with an average salary of $48,885 per year, or $23.5 per hour.
DENIALS MANAGEMENT COORDINATOR

DENIALS MANAGEMENT COORDINATOR

Archbold Medical Center

Thomasville, GA

Full-time

Posted 21 days ago

Job description

Denials Management Coordinator - Revenue Integrity

Description:

Responsible for developing, implementing and managing a centralized program to promote greater efficiency with completing, tracking, and reporting coding and retro audit reviews to determine the appropriate appeal of patient accounts.

Combines clinical, business, and regulatory knowledge and skill to reduce significant financial risk and exposure caused by denial and audit of claims billed for rendered services.

Through continuous assessments, problem identification, and education, this individual facilitates the quality of health care delivery in areas of inpatient coding, DRG, outpatient, professional coding, medical necessity, government, and commercial payer requirements.

Furthermore, the individual routinely analyzes data related to payer audit and denial trends specific to coding-denial and takeback concerns.

This position works closely with HIM and CDI as well as key stakeholders across Revenue Cycle.

Responsibilities:

  • Reviews and analyzes current audit information to identify opportunities for improvement internally and payers.
  • Maintains reporting specific to audit statuses, identifying internal and payer patterns to better manage payer issues proactively.
  • Update and maintain audit tracking spreadsheets outside of RAC software.
  • Develop and maintain procedural documentation.
  • Identify and resolve system and payer issues that result in payment delays, incorrect payments.
  • Service as a PFS, PAS, HIM, Compliance, Contract Management, Clinical Liaison to third party payers, and other parties in a problem-solving or information capacity.
  • Monitor deadlines and ensure all parties meet timely filing for appeal deadlines.
  • Assist with auditing involving any third-party commercial payer.
  • Participate in payer meetings to discuss appeal progress and identify trends with payer processing appeals to resolve cases.
  • Establish and enforce internal audit policies including pre-payments audits.
  • Collect and analyze data from audits and concurrent reviews to identify recurring problems.
  • Acts as a coordinator and mentor to RID Denial Staff.

Education/Experience:

Minimum of an Associate’s Degree in Business, Paralegal Studies, Coding, Healthcare, or related field.

Two (2) years of relevant experience in Compliance, Coding, HIM, Insurance denials, or Legal experience may be considered in lieu of an Associate’s degree

Minimum three (3) years’ experience within the healthcare field performing any variety of organizational, administrative, or process improvement functions.

Preferred experience:

Experience in compliance, coding, insurance denials, and/or a legal setting.

Experience or background in denials management.

Experience working with 3rd party payers.

Licenses/Certifications: None Required

Required Skills, Knowledge, and Abilities:

  • Excellent oral and written communication skills.
  • Establish and maintain professional and cooperative relationships.
  • Efficient and effective analytical skills.
  • Ability to research regulatory requirements.
  • Effective human relations abilities.
  • Proficiency with Microsoft applications and other applicable software and database management applications.
  • Effective problem-solving abilities.
  • Strong ability to effectively collaborate alliances and promote teamwork.

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