UTILIZATION REVIEW RN
Seymour, IN · On-site
... Denials Management and Appeals Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please ...
Seymour, IN · On-site
... Denials Management and Appeals Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please ...
Seymour, IN · On-site
... Denials Management and Appeals Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please ...
Merrillville, IN · On-site
$21.85 - $25.30/hr
... denials management and appeals procedures. • Ability to review account details carefully and address discrepancies with accuracy. • Experience handling administrative support duties in a detail ...
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Merrillville, IN · On-site
$21.85 - $25.30/hr
... denials management and appeals procedures. • Ability to review account details carefully and address discrepancies with accuracy. • Experience handling administrative support duties in a detail ...
Collaborates with facility and corporate Denials Management Specialist regarding any ADR/denied therapy claims. * Conducts staff/family training and education when appropriate by formal and informal ...
Collaborates with facility and corporate Denials Management Specialist regarding any ADR/denied therapy claims. * Conducts staff/family training and education when appropriate by formal and informal ...
Collaborates with facility and corporate Denials Management Specialist regarding any ADR/denied therapy claims. * Conducts staff/family training and education when appropriate by formal and informal ...
Collaborates with facility and corporate Denials Management Specialist regarding any ADR/denied therapy claims. * Conducts staff/family training and education when appropriate by formal and informal ...
Collaborates with facility and corporate Denials Management Specialist regarding any ADR/denied therapy claims. * Conducts staff/family training and education when appropriate by formal and informal ...
Collaborates with facility and corporate Denials Management Specialist regarding any ADR/denied therapy claims. * Conducts staff/family training and education when appropriate by formal and informal ...
Indianapolis, IN · Remote
$23 - $29.25/hr
... Denials Management, Payment Posting, and Credits and Refunds, for health care provider client * Review AR aging reports and work queues to identify unpaid and delayed claims. * Follow up with third ...
Indianapolis, IN · Remote
$23 - $29.25/hr
... Denials Management, Payment Posting, and Credits and Refunds, for health care provider client * Review AR aging reports and work queues to identify unpaid and delayed claims. * Follow up with third ...
Uses WQ sort/filter options to categorize denials to work to overturn denials. * Researches ... Makes management aware of any issues or changes in the billing system, insurance carriers, and/or ...
Uses WQ sort/filter options to categorize denials to work to overturn denials. * Researches ... Makes management aware of any issues or changes in the billing system, insurance carriers, and/or ...
Coordinating with the Manager/Director (and other management as appropriate) to identify and correct weaknesses in the admission and patient care process that can mitigate future denials. * Issuing ...
Coordinating with the Manager/Director (and other management as appropriate) to identify and correct weaknesses in the admission and patient care process that can mitigate future denials. * Issuing ...
Granger, IN · On-site
Coordinating with the Manager/Director (and other management as appropriate) to identify and correct weaknesses in the admission and patient care process that can mitigate future denials. * Issuing ...
Granger, IN · On-site
Coordinating with the Manager/Director (and other management as appropriate) to identify and correct weaknesses in the admission and patient care process that can mitigate future denials. * Issuing ...
Agency Management System * Document (attach in TAM) claim acknowledgements, denials, closings, (all documentation) received from carriers. * Document (attach in TAM) all claim submissions to carriers.
Agency Management System * Document (attach in TAM) claim acknowledgements, denials, closings, (all documentation) received from carriers. * Document (attach in TAM) all claim submissions to carriers.
Carmel, IN · On-site
Agency Management System * Document (attach in TAM) claim acknowledgements, denials, closings, (all documentation) received from carriers. * Document (attach in TAM) all claim submissions to carriers.
Carmel, IN · On-site
Agency Management System * Document (attach in TAM) claim acknowledgements, denials, closings, (all documentation) received from carriers. * Document (attach in TAM) all claim submissions to carriers.
Granger, IN · On-site
$16.25 - $21.50/hr
Reports to the Manager of Denials & Appeals. Performs a variety of duties related to Denial management efforts in coordination with multi-disciplines as assigned, by working collaboratively with all ...
Granger, IN · On-site
$16.25 - $21.50/hr
Reports to the Manager of Denials & Appeals. Performs a variety of duties related to Denial management efforts in coordination with multi-disciplines as assigned, by working collaboratively with all ...
$16.25 - $21.50/hr
Reports to the Manager of Denials & Appeals. Performs a variety of duties related to Denial management efforts in coordination with multi-disciplines as assigned, by working collaboratively with all ...
$16.25 - $21.50/hr
Reports to the Manager of Denials & Appeals. Performs a variety of duties related to Denial management efforts in coordination with multi-disciplines as assigned, by working collaboratively with all ...
Indianapolis, IN · On-site
$17.75 - $23.50/hr
Identifies trends with denials (providers/locations/carriers) and works with management to help educate or resolve errors from the start and avoid back-end denials * Willingness and ability to assist ...
Indianapolis, IN · On-site
$17.75 - $23.50/hr
Identifies trends with denials (providers/locations/carriers) and works with management to help educate or resolve errors from the start and avoid back-end denials * Willingness and ability to assist ...
Evansville, IN · On-site
$28.71 - $40.19/hr
This position is responsible for working assigned denials (such as no authorization, medical ... Minimum of two (2) years performing utilization review, charge audit, case management or similar ...
Evansville, IN · On-site
$28.71 - $40.19/hr
This position is responsible for working assigned denials (such as no authorization, medical ... Minimum of two (2) years performing utilization review, charge audit, case management or similar ...
... claims denials, underpayments, claims errors, and provider education. The Claims Research ... Claims Manager, Provider Services You have: Required Qualifications · Must reside in the state of ...
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... claims denials, underpayments, claims errors, and provider education. The Claims Research ... Claims Manager, Provider Services You have: Required Qualifications · Must reside in the state of ...
Evansville, IN · On-site
$20.67 - $28.94/hr
Review, research, and resolve coding-related claim denials to support timely reimbursement ... Provide coding and denial management expertise to internal departments. * Train and educate ...
New
Evansville, IN · On-site
$20.67 - $28.94/hr
Review, research, and resolve coding-related claim denials to support timely reimbursement ... Provide coding and denial management expertise to internal departments. * Train and educate ...
New
Ability to efficiently operate computer software for Electronic Health Record, Practice Management Systems, and Clearinghouses * Ability to evaluate payer denials for appropriateness and take ...
Ability to efficiently operate computer software for Electronic Health Record, Practice Management Systems, and Clearinghouses * Ability to evaluate payer denials for appropriateness and take ...
Indianapolis, IN · On-site
$20 - $22/hr
Manage assigned insurance accounts receivable from follow-up through final resolution * Contact insurance carriers by phone and online portals to resolve outstanding claims * Review denials, identify ...
Indianapolis, IN · On-site
$20 - $22/hr
Manage assigned insurance accounts receivable from follow-up through final resolution * Contact insurance carriers by phone and online portals to resolve outstanding claims * Review denials, identify ...
$15.75 - $19.75/hr
Monitor and track authorization status, denials, appeals and stay reviews timely. * Closely work with Accounts Receivables department to ensure accurate records and manage requests in payer portals ...
Quick apply
$15.75 - $19.75/hr
Monitor and track authorization status, denials, appeals and stay reviews timely. * Closely work with Accounts Receivables department to ensure accurate records and manage requests in payer portals ...
$12.12 - $14.74
8% of jobs
$16.49 is the 25th percentile. Wages below this are outliers.
$14.74 - $17.36
25% of jobs
The median wage is $19.36 / hr.
$17.36 - $19.98
22% of jobs
$19.98 - $22.60
15% of jobs
$23.79 is the 75th percentile. Wages above this are outliers.
$22.60 - $25.22
11% of jobs
$25.22 - $27.84
5% of jobs
$27.84 - $30.46
3% of jobs
$30.46 - $33.08
3% of jobs
$33.08 - $35.70
3% of jobs
$35.70 - $38.33
3% of jobs
$38.33 - $40.95
1% of jobs
$12
$22
$40
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.
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.
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.

7.3
Based on 13 frontline employees who took The Breakroom Quiz
387th of 1,051 rated hospitals
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Health care and social assistance
1,001 - 5,000 Employees
Seymour, IN, US
1911