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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
Job Overview The Denials Management Appeals Nurse (Anesthesia) is responsible for managing our medical denials by conducting a comprehensive analytic review of clinical documentation to determine if ...
Job Overview The Denials Management Appeals Nurse (Anesthesia) is responsible for managing our medical denials by conducting a comprehensive analytic review of clinical documentation to determine if ...
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 ...
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 ...
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 ...
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 ...
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.
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.
Denials Management Specialist (PRN)
Findlay, OH · On-site
$17 - $22.50/hr
The denials management specialist will assist in identifying denials trends, research payer policies, understand coding guidelines, and provide assistance in finding resolution to prevent identified ...
Denials Management Specialist (PRN)
Findlay, OH · On-site
$17 - $22.50/hr
The denials management specialist will assist in identifying denials trends, research payer policies, understand coding guidelines, and provide assistance in finding resolution to prevent identified ...
Denials Underpayment Rep
$17 - $22.75/hr
This representative reports to the Manager/Supervisor of Denials Management. Completing the research, follow-up, and resolution of denials and underpayments from third-party payors according to payor ...
Denials Underpayment Rep
$17 - $22.75/hr
This representative reports to the Manager/Supervisor of Denials Management. Completing the research, follow-up, and resolution of denials and underpayments from third-party payors according to payor ...
Denials Underpayment Rep
Atlanta, GA · On-site
This representative reports to the Manager/Supervisor of Denials Management.ResponsibilitiesCompleting the research, follow-up, and resolution of denials and underpayments from third-party payors ...
Denials Underpayment Rep
Atlanta, GA · On-site
This representative reports to the Manager/Supervisor of Denials Management.ResponsibilitiesCompleting the research, follow-up, and resolution of denials and underpayments from third-party payors ...
Job Overview The Denials Management Appeals Nurse (Anesthesia) is responsible for managing our medical denials by conducting a comprehensive analytic review of clinical documentation to determine if ...
Job Overview The Denials Management Appeals Nurse (Anesthesia) is responsible for managing our medical denials by conducting a comprehensive analytic review of clinical documentation to determine if ...
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.
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.
Denials Underpayment Rep
Atlanta, GA · On-site +1
$17 - $22.75/hr
This representative reports to the Manager/Supervisor of Denials Management. Responsibilities Completing the research, follow-up, and resolution of denials and underpayments from third-party payors ...
Denials Underpayment Rep
Atlanta, GA · On-site +1
$17 - $22.75/hr
This representative reports to the Manager/Supervisor of Denials Management. Responsibilities Completing the research, follow-up, and resolution of denials and underpayments from third-party payors ...
The Sr. Director, Denials Management provides enterprise-level strategic and operational leadership over the organization's denial management and post-payment audit defense programs. This is a newly ...
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The Sr. Director, Denials Management provides enterprise-level strategic and operational leadership over the organization's denial management and post-payment audit defense programs. This is a newly ...
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.
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.
Denials Management Specialist (PRN)
Findlay, OH · On-site
$17 - $22.50/hr
The denials management specialist will assist in identifying denials trends, research payer policies, understand coding guidelines, and provide assistance in finding resolution to prevent identified ...
Denials Management Specialist (PRN)
Findlay, OH · On-site
$17 - $22.50/hr
The denials management specialist will assist in identifying denials trends, research payer policies, understand coding guidelines, and provide assistance in finding resolution to prevent identified ...
Focused denials and appeals management experience. Preferred License/Registration/Certifications * CPC and/or CPC-H certification Core Job Responsibilities * Research and resolve all outstanding ...
Focused denials and appeals management experience. Preferred License/Registration/Certifications * CPC and/or CPC-H certification Core Job Responsibilities * Research and resolve all outstanding ...
Manager - Utilization Review & Denials Management
$130K - $160K/yr
In your role as a Utilization Review & Denials Management Manager, you will: * Directs staff performance regarding UR and the analysis, resolution, monitoring & reporting of clinical denials.
Manager - Utilization Review & Denials Management
$130K - $160K/yr
In your role as a Utilization Review & Denials Management Manager, you will: * Directs staff performance regarding UR and the analysis, resolution, monitoring & reporting of clinical denials.
Denials Management information
See salary details
$12.74 - $15.49
8% of jobs
$17.33 is the 25th percentile. Wages below this are outliers.
$15.49 - $18.25
25% of jobs
The median wage is $20.35 / hr.
$18.25 - $21
22% of jobs
$21 - $23.75
15% of jobs
$25.01 is the 75th percentile. Wages above this are outliers.
$23.75 - $26.51
11% of jobs
$26.51 - $29.26
5% of jobs
$29.26 - $32.01
3% of jobs
$32.01 - $34.77
3% of jobs
$34.77 - $37.52
3% of jobs
$37.52 - $40.28
3% of jobs
$40.28 - $43.03
1% of jobs
$12
$23
$43
How much do denials management jobs pay per hour?
As of Jun 6, 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 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 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.
More about Denials Management jobs
What cities are hiring for Denials Management jobs? Cities with the most Denials Management job openings:
What are the most commonly searched types of Denials Management jobs? The most popular types of Denials Management jobs are:
What states have the most Denials Management jobs? States with the most job openings for Denials Management jobs include:
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Job description
Position Summary:
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 managing their assigned work to ensure payer appeal/filing deadlines are met and achieve optimal payment for services rendered.
Essential Functions and Responsibilities as Assigned:
1. Monitors denial work queues and reports in accordance with assignments from direct supervisor. Maintains required levels of productivity while managing tasks in work queues to ensure timeliness of follow-up and appeals.
2. Tracks and investigates denial trends/ root cause.
3. Assists with claim audits as necessary.
4. Makes management aware of any issues or changes in the billing system, insurance carriers, and/or network.
5. Obtain retro authorizations and submit to payers for reimbursement.
6. Ability to write non-clinical appeals with demonstrating proficiency with timely and successful submissions.
7. As needed, participates in A/R clean-up projects or other projects identified by direct supervisor or CBS management.
8. Works independently with other departments to resolve A/R and payer issues.
9. Participates in departmental and team meetings involving discussion of A/R processes and trends.
10. Knowledge of payer edits, rejections, rules, and how to appropriately respond to each to resolution.
Qualifications:
Required:
OR
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 managing their assigned work to ensure payer appeal/filing deadlines are met and achieve optimal payment for services rendered.
Essential Functions and Responsibilities as Assigned:
1. Monitors denial work queues and reports in accordance with assignments from direct supervisor. Maintains required levels of productivity while managing tasks in work queues to ensure timeliness of follow-up and appeals.
2. Tracks and investigates denial trends/ root cause.
3. Assists with claim audits as necessary.
4. Makes management aware of any issues or changes in the billing system, insurance carriers, and/or network.
5. Obtain retro authorizations and submit to payers for reimbursement.
6. Ability to write non-clinical appeals with demonstrating proficiency with timely and successful submissions.
7. As needed, participates in A/R clean-up projects or other projects identified by direct supervisor or CBS management.
8. Works independently with other departments to resolve A/R and payer issues.
9. Participates in departmental and team meetings involving discussion of A/R processes and trends.
10. Knowledge of payer edits, rejections, rules, and how to appropriately respond to each to resolution.
Qualifications:
Required:
- High School Diploma or GED
- 7 years experience in Patient Accounting or Patient Access experience
OR
- Associates Degree with 3 years of Patient Accounting or Patient Access experience