Identify and resolve denials and underpayments. Review contract management system to explain and resolve denials and arrange for payment or adjustment. Collaborates with other departments to obtain ...
Identify and resolve denials and underpayments. Review contract management system to explain and resolve denials and arrange for payment or adjustment. Collaborates with other departments to obtain ...
Lead the denial management strategy to significantly reduce clinical and coding payer denials. Establish accountability mechanisms for denial reduction and appeal recovery performance. Ensure ...
New
Lead the denial management strategy to significantly reduce clinical and coding payer denials. Establish accountability mechanisms for denial reduction and appeal recovery performance. Ensure ...
New
Chief Clinical Revenue Cycle Officer
Charlottesville, VA · On-site
$190 - $270/hr
Lead the denial management strategy to significantly reduce clinical and coding payer denials. Establish accountability mechanisms for denial reduction and appeal recovery performance. Ensure ...
New
Chief Clinical Revenue Cycle Officer
Charlottesville, VA · On-site
$190 - $270/hr
Lead the denial management strategy to significantly reduce clinical and coding payer denials. Establish accountability mechanisms for denial reduction and appeal recovery performance. Ensure ...
New
Billing Patient Service Representative (AR)
Glen Allen, VA · On-site
$20 - $25/hr
Post insurance denials and pends for information. * Contact insurance companies verbally, in ... Other duties as assigned by manager. What You'll Need: * Minimum of one-year (1) experience in ...
Billing Patient Service Representative (AR)
Glen Allen, VA · On-site
$20 - $25/hr
Post insurance denials and pends for information. * Contact insurance companies verbally, in ... Other duties as assigned by manager. What You'll Need: * Minimum of one-year (1) experience in ...
Medical Billing Specialist
Broadway, VA · On-site
$49K - $69K/yr
This role is centered predominantly around denials. The incumbent will be expected to understand ... This position will also possess the ability to manage assigned projects and present findings with ...
Medical Billing Specialist
Broadway, VA · On-site
$49K - $69K/yr
This role is centered predominantly around denials. The incumbent will be expected to understand ... This position will also possess the ability to manage assigned projects and present findings with ...
Medical Billing Specialist
Ashburn, VA · On-site
$18.75 - $24/hr
Cirrus iNtegrated Practice Management (CiPM) is seeking a full-time Medical Billing Specialist to ... Disputing / Appealing Insurance claim denials * Communicating with Insurances and Patients to ...
Medical Billing Specialist
Ashburn, VA · On-site
$18.75 - $24/hr
Cirrus iNtegrated Practice Management (CiPM) is seeking a full-time Medical Billing Specialist to ... Disputing / Appealing Insurance claim denials * Communicating with Insurances and Patients to ...
Coding Payment Resolution Spec
Richmond, VA · On-site
$18.50 - $23.75/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
Richmond, VA · On-site
$18.50 - $23.75/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 ...
Management of our Risk Management * Assess service capacity and staffing needs; ensures adequate ... Identifies and documents trends/problems with approvals and denials with authorizations * Modify ...
Management of our Risk Management * Assess service capacity and staffing needs; ensures adequate ... Identifies and documents trends/problems with approvals and denials with authorizations * Modify ...
Provides updates on approvals and denials to Care Managers and Social Workers as information is received or requested from Ensemble * Provides assistance for non-complex arrangements related to ...
Provides updates on approvals and denials to Care Managers and Social Workers as information is received or requested from Ensemble * Provides assistance for non-complex arrangements related to ...
Management of our Risk Management * Assess service capacity and staffing needs; ensures adequate ... Identifies and documents trends/problems with approvals and denials with authorizations * Modify ...
Management of our Risk Management * Assess service capacity and staffing needs; ensures adequate ... Identifies and documents trends/problems with approvals and denials with authorizations * Modify ...
medical billing analyst
Broadway, VA · On-site
$46K - $65K/yr
The denials assigned in this role are more intricate than others and the denial response may ... Revenue Cycle Management * This position will identify accounts that need to be placed on the payer ...
medical billing analyst
Broadway, VA · On-site
$46K - $65K/yr
The denials assigned in this role are more intricate than others and the denial response may ... Revenue Cycle Management * This position will identify accounts that need to be placed on the payer ...
Insurance Authorization Specialist
Reston, VA · On-site
$18.75 - $25/hr
Coordinates with workers' compensation case managers to streamline authorizations for care * Tracks ... Works directly with the Director of Billing to identify trends in denials and opportunities for ...
Insurance Authorization Specialist
Reston, VA · On-site
$18.75 - $25/hr
Coordinates with workers' compensation case managers to streamline authorizations for care * Tracks ... Works directly with the Director of Billing to identify trends in denials and opportunities for ...
Insurance Authorization Specialist
$19 - $25.25/hr
Coordinates with workers' compensation case managers to streamline authorizations for care * Tracks ... Works directly with the Director of Billing to identify trends in denials and opportunities for ...
Insurance Authorization Specialist
$19 - $25.25/hr
Coordinates with workers' compensation case managers to streamline authorizations for care * Tracks ... Works directly with the Director of Billing to identify trends in denials and opportunities for ...
The denials assigned in this role are more intricate than others and the denial response may ... Revenue Cycle Management * This position will identify accounts that need to be placed on the payer ...
The denials assigned in this role are more intricate than others and the denial response may ... Revenue Cycle Management * This position will identify accounts that need to be placed on the payer ...
Insurance Authorization Specialist
Reston, VA · On-site
$23/hr
Coordinates with workers' compensation case managers to streamline authorizations for care * Tracks ... Works directly with the Director of Billing to identify trends in denials and opportunities for ...
Insurance Authorization Specialist
Reston, VA · On-site
$23/hr
Coordinates with workers' compensation case managers to streamline authorizations for care * Tracks ... Works directly with the Director of Billing to identify trends in denials and opportunities for ...
Medical Billing Analyst
$46K - $65K/yr
The denials assigned in this role are more intricate than others and the denial response may ... Revenue Cycle Management * This position will identify accounts that need to be placed on the payer ...
Medical Billing Analyst
$46K - $65K/yr
The denials assigned in this role are more intricate than others and the denial response may ... Revenue Cycle Management * This position will identify accounts that need to be placed on the payer ...
Medical Billing Analyst
Broadway, VA · On-site
$46K - $65K/yr
The denials assigned in this role are more intricate than others and the denial response may ... Revenue Cycle Management * This position will identify accounts that need to be placed on the payer ...
Medical Billing Analyst
Broadway, VA · On-site
$46K - $65K/yr
The denials assigned in this role are more intricate than others and the denial response may ... Revenue Cycle Management * This position will identify accounts that need to be placed on the payer ...
Insurance Authorization Specialist
Reston, VA · On-site
$19 - $25.25/hr
Coordinates with workers' compensation case managers to streamline authorizations for care * Tracks ... Works directly with the Director of Billing to identify trends in denials and opportunities for ...
Quick apply
Insurance Authorization Specialist
Reston, VA · On-site
$19 - $25.25/hr
Coordinates with workers' compensation case managers to streamline authorizations for care * Tracks ... Works directly with the Director of Billing to identify trends in denials and opportunities for ...
medical billing analyst
Broadway, VA · On-site
$46K - $65K/yr
The denials assigned in this role are more intricate than others and the denial response may ... Revenue Cycle Management * This position will identify accounts that need to be placed on the payer ...
medical billing analyst
Broadway, VA · On-site
$46K - $65K/yr
The denials assigned in this role are more intricate than others and the denial response may ... Revenue Cycle Management * This position will identify accounts that need to be placed on the payer ...
Medical Billing Analyst
$46K - $65K/yr
The denials assigned in this role are more intricate than others and the denial response may ... Revenue Cycle Management * This position will identify accounts that need to be placed on the payer ...
Medical Billing Analyst
$46K - $65K/yr
The denials assigned in this role are more intricate than others and the denial response may ... Revenue Cycle Management * This position will identify accounts that need to be placed on the payer ...
Denials Management information
See Virginia salary details
$12.63 - $15.36
8% of jobs
$17.18 is the 25th percentile. Wages below this are outliers.
$15.36 - $18.09
25% of jobs
The median wage is $20.17 / hr.
$18.09 - $20.82
22% of jobs
$20.82 - $23.55
15% of jobs
$24.79 is the 75th percentile. Wages above this are outliers.
$23.55 - $26.28
11% of jobs
$26.28 - $29.01
5% of jobs
$29.01 - $31.74
3% of jobs
$31.74 - $34.47
3% of jobs
$34.47 - $37.20
3% of jobs
$37.20 - $39.93
3% of jobs
$39.93 - $42.66
1% of jobs
$12
$23
$42
How much do denials management jobs pay per hour?
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 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 does a denials management specialist do?
What is the role of denials management?
What are the most commonly searched types of Denials Management jobs in Virginia?
The most popular types of Denials Management jobs in Virginia are:
What are popular job titles related to Denials Management jobs in Virginia?
For Denials Management jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Denials Management jobs in Virginia look for?
The top searched job categories for Denials Management jobs in Virginia are:

Full-time
Re-posted 25 days ago
Centra Health rating
6.6
Based on 121 frontline employees who took The Breakroom Quiz
568th of 888 rated healthcare providers
Job description
The Revenue Cycle Denial and Underpayment Analyst contributes to the collection of revenue through denial and underpayment appeals. The analyst works assigned claims to correct errors in payment and submitted claim information to optimize the collected revenue for Centra. The goal of the analyst work is to reduce denial dollars and underpayments to increase the bottom line collections for Centra.
Required Qualifications:
High School Diploma
Minimum three (3) years' experience in denials, underpayments, or healthcare accounts receivable.
Ability to analyze and reconcile multiple accounts and large volumes of claim data.
Working knowledge of denial and underpayment processes.
Preferred Qualifications:
Certified Coding Specialist
Certified Professional Coder
Certified Inpatient Coder
salary range 20.47-29.69/hourly
Essential Duties and Responsibilities:
Comparison of contracted rates versus claim payment to identify underpayments for assigned payers.
Identify and resolve denials and underpayments.
Review contract management system to explain and resolve denials and arrange for payment or adjustment.
Collaborates with other departments to obtain clinical data to resolve denials or underpayments.
Other Functions:
Performs special projects as needed and assigned.
Performs other duties as assigned.
What Centra Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Centra Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
5,001 - 10,000 Employees
Headquarters location
Lynchburg, VA, US
Year founded
1987