Participates in special projects and/or assignments as requested by Manager /Director. * Resolve insurance claim denials PROFESSIONAL: * Excellent organizational skills and ability to do detailed ...
Participates in special projects and/or assignments as requested by Manager /Director. * Resolve insurance claim denials PROFESSIONAL: * Excellent organizational skills and ability to do detailed ...
Provides oversight for authorizations and denials and forwards to Medical Records * Assists UR Manager in developing strategies for overturning appeals and reversing denied claims * Applies critical ...
Provides oversight for authorizations and denials and forwards to Medical Records * Assists UR Manager in developing strategies for overturning appeals and reversing denied claims * Applies critical ...
Provides oversight for authorizations and denials and forwards to Medical Records * Assists UR Manager in developing strategies for overturning appeals and reversing denied claims * Applies critical ...
Provides oversight for authorizations and denials and forwards to Medical Records * Assists UR Manager in developing strategies for overturning appeals and reversing denied claims * Applies critical ...
Provides oversight for authorizations and denials and forwards to Medical Records * Assists UR Manager in developing strategies for overturning appeals and reversing denied claims * Applies critical ...
Provides oversight for authorizations and denials and forwards to Medical Records * Assists UR Manager in developing strategies for overturning appeals and reversing denied claims * Applies critical ...
American Traveler is hiring an experienced RN Case Manager for a 13-week acute hospital assignment ... and denials, benefits eligibility, care coordination, discharge planning, needs assessment/DME ...
American Traveler is hiring an experienced RN Case Manager for a 13-week acute hospital assignment ... and denials, benefits eligibility, care coordination, discharge planning, needs assessment/DME ...
Utilization Review Technician
Gadsden, AL · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Document and track all communication attempts with insurance providers and health plans * Follow up on denials while partnering with Utilization Review, Business Office, and Case Management teams
Utilization Review Technician
Gadsden, AL · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Document and track all communication attempts with insurance providers and health plans * Follow up on denials while partnering with Utilization Review, Business Office, and Case Management teams
Utilization Review Technician
Gadsden, AL · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Document and track all communication attempts with insurance providers and health plans * Follow up on denials while partnering with Utilization Review, Business Office, and Case Management teams
Utilization Review Technician
Gadsden, AL · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Document and track all communication attempts with insurance providers and health plans * Follow up on denials while partnering with Utilization Review, Business Office, and Case Management teams
Utilization Review Technician
Gadsden, AL · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Document and track all communication attempts with insurance providers and health plans * Follow up on denials while partnering with Utilization Review, Business Office, and Case Management teams
New
Utilization Review Technician
Gadsden, AL · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Document and track all communication attempts with insurance providers and health plans * Follow up on denials while partnering with Utilization Review, Business Office, and Case Management teams
New
Utilization Review Technician
Gadsden, AL · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Document and track all communication attempts with insurance providers and health plans * Follow up on denials while partnering with Utilization Review, Business Office, and Case Management teams
Utilization Review Technician
Gadsden, AL · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Document and track all communication attempts with insurance providers and health plans * Follow up on denials while partnering with Utilization Review, Business Office, and Case Management teams
Billing F/U Specialist, FT, Day Shift
Decatur, AL · On-site
$17.25 - $23.25/hr
... denials, and secure payment. * Collaborate with coding, patient access, and billing departments to resolve claim issues * Communicates repetitive or unusual errors to manager and/or others to resolve ...
Billing F/U Specialist, FT, Day Shift
Decatur, AL · On-site
$17.25 - $23.25/hr
... denials, and secure payment. * Collaborate with coding, patient access, and billing departments to resolve claim issues * Communicates repetitive or unusual errors to manager and/or others to resolve ...
Utilization Review Technician
Gadsden, AL · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Document and track all communication attempts with insurance providers and health plans * Follow up on denials while partnering with Utilization Review, Business Office, and Case Management teams
Utilization Review Technician
Gadsden, AL · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Document and track all communication attempts with insurance providers and health plans * Follow up on denials while partnering with Utilization Review, Business Office, and Case Management teams
Billing F/U Specialist, FT, Day Shift
$17.25 - $23.25/hr
... denials, and secure payment. * Collaborate with coding, patient access, and billing departments to resolve claim issues * Communicates repetitive or unusual errors to manager and/or others to resolve ...
Billing F/U Specialist, FT, Day Shift
$17.25 - $23.25/hr
... denials, and secure payment. * Collaborate with coding, patient access, and billing departments to resolve claim issues * Communicates repetitive or unusual errors to manager and/or others to resolve ...
RN Care Manager
Phenix City, AL · On-site
$40 - $42/hr
Medical
Dental
Vision
Life
Retirement
PTO
Partner with the Central Authorization Team to prevent authorization lapses and reduce denials ... Experience with case management, care coordination, utilization review, managed care, or insurance ...
Quick apply
RN Care Manager
Phenix City, AL · On-site
$40 - $42/hr
Medical
Dental
Vision
Life
Retirement
PTO
Partner with the Central Authorization Team to prevent authorization lapses and reduce denials ... Experience with case management, care coordination, utilization review, managed care, or insurance ...
Forwards denials to manager and appropriate staff for further review and decision making. Maintains strict confidentiality. Performs other duties as assigned. Qualifications Education required: HS ...
Forwards denials to manager and appropriate staff for further review and decision making. Maintains strict confidentiality. Performs other duties as assigned. Qualifications Education required: HS ...
Coding Payment Resolution Spec
Homewood, AL · On-site
$18.75 - $24/hr
Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive ... company, managed care organization or other health care financial service setting, performing ...
Coding Payment Resolution Spec
Homewood, AL · On-site
$18.75 - $24/hr
Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive ... company, managed care organization or other health care financial service setting, performing ...
... denials, and concurrent review, • Preferred previous charge nurse experience, • Preferred ... managers, medical social workers, and bedside RNs to ensure timely progression of patients to ...
... denials, and concurrent review, • Preferred previous charge nurse experience, • Preferred ... managers, medical social workers, and bedside RNs to ensure timely progression of patients to ...
Director, Insurance
Birmingham, AL · On-site +1
Provide legal guidance on insurance-related matters, including coverage disputes and claim denials. Manage outside counsel and litigation strategy for insured and uninsured claims. * Lead ...
Quick apply
Director, Insurance
Birmingham, AL · On-site +1
Provide legal guidance on insurance-related matters, including coverage disputes and claim denials. Manage outside counsel and litigation strategy for insured and uninsured claims. * Lead ...
PreCertification Specialist
Huntsville, AL · On-site
$17.25 - $23/hr
Medical
Dental
Vision
Retirement
Key Responsibilities Pre-Certification & Authorization Management Obtain prior authorizations and ... Communicate authorization statuses, denials, and additional documentation requirements to ...
PreCertification Specialist
Huntsville, AL · On-site
$17.25 - $23/hr
Medical
Dental
Vision
Retirement
Key Responsibilities Pre-Certification & Authorization Management Obtain prior authorizations and ... Communicate authorization statuses, denials, and additional documentation requirements to ...
Mgr Eligibility Program, Marshall Medical Centers, Full time, 1st Shift
Boaz, AL · On-site
$35K - $46K/yr
Partner with patient access, health information management, coding, and billing teams to resolve eligibility-related denials and payer discrepancies. Serve as a subject matter expert in eligibility ...
Mgr Eligibility Program, Marshall Medical Centers, Full time, 1st Shift
Boaz, AL · On-site
$35K - $46K/yr
Partner with patient access, health information management, coding, and billing teams to resolve eligibility-related denials and payer discrepancies. Serve as a subject matter expert in eligibility ...
Pre-Certification Specialist
Huntsville, AL · On-site
$15 - $20/hr
Medical
Dental
Vision
Retirement
This position plays a critical role in minimizing delays in patient care, reducing claim denials ... Key Responsibilities Pre-Certification & Authorization Management * Obtain prior authorizations and ...
Quick apply
Pre-Certification Specialist
Huntsville, AL · On-site
$15 - $20/hr
Medical
Dental
Vision
Retirement
This position plays a critical role in minimizing delays in patient care, reducing claim denials ... Key Responsibilities Pre-Certification & Authorization Management * Obtain prior authorizations and ...
Denials Management information
See Alabama salary details
$11.55 - $14.04
8% of jobs
$15.71 is the 25th percentile. Wages below this are outliers.
$14.04 - $16.54
25% of jobs
The median wage is $18.44 / hr.
$16.54 - $19.03
22% of jobs
$19.03 - $21.53
15% of jobs
$22.66 is the 75th percentile. Wages above this are outliers.
$21.53 - $24.03
11% of jobs
$24.03 - $26.52
5% of jobs
$26.52 - $29.02
3% of jobs
$29.02 - $31.51
3% of jobs
$31.51 - $34.01
3% of jobs
$34.01 - $36.50
3% of jobs
$36.50 - $39
1% of jobs
$11
$21
$39
How much do denials management jobs pay per hour?
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.
What are the most commonly searched types of Denials Management jobs in Alabama?
The most popular types of Denials Management jobs in Alabama are:
What are popular job titles related to Denials Management jobs in Alabama?
For Denials Management jobs in Alabama, the most frequently searched job titles are:
What job categories do people searching Denials Management jobs in Alabama look for?
The top searched job categories for Denials Management jobs in Alabama are:

Full-time
Re-posted 22 days ago
Job description
3030-Pathology - LMG - Insurance Specialist
DEPARTMENT: Billing
JOB SUMMARY: Successfully bills patient accounts to the appropriate insurance company for payment, reconciles insurance payment and denials, follows up with insurance companies as needed, and resolves issues regarding patient accounts.
HAZARD EXPOSURE CLASSIFICATION:
EDUCATION/EXPERIENCE REQUIREMENTS:
- High school diploma or equivalent required.
- Related computer experience, working knowledge of Microsoft Office, Word, Excel
- Minimum two years’ experience in a medical/billing office setting with a strong knowledge of insurance, managed care, Medicare and Medicaid.
JOB RELATIONSHIPS:
- Reports directly to the Director of Billing.
PHYSICAL REQUIREMENTS:
- Prolonged sitting
- Repetitive hand, wrist and shoulder motion
- Lifting up to 25 lbs. occasion-ally
- Extensive reading ,writing, talking
EXAMPLE OF WORK PERFORMED
The omission of specific statements or descriptions does not preclude management from assigning duties not listed herein if such duties are a logical assignment to the position.
ADMINISTRATIVE:
- Responsible for keying patient information into internal information system.
- Analyzes, works, and appeals denials from EOB’s and correspondence daily. Flags accounts appropriately.
- Fields patient phone calls.
- Process refunds to patients & insurance companies
- Post patient, insurance payments, adjustments & denials
- Answers patient questions on plan issues if the Patient Account Specialists are not able to resolve issues.
- Monitors and reports immediately to management on any claim submission problems.
- Participates in special projects and/or assignments as requested by Manager /Director.
- Resolve insurance claim denials
PROFESSIONAL:
- Excellent organizational skills and ability to do detailed multi-tasks.
- Ability to deal effectively and professionally with patients as well as outside vendors.
- Working knowledge of office equipment.