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Denials Management Jobs (NOW HIRING)

Deloitte

Epic Denials Management Operator

Lake Mary, FL · Remote

$15.75 - $21/hr

Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be responsible for supporting review denials (835/277 processing) received from third party payers.

Deloitte

Epic Denials Management Operator

San Antonio, TX · Remote

$16.25 - $21.75/hr

Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be responsible for supporting review denials (835/277 processing) received from third party payers.

Deloitte

Epic Denials Management Operator

Philadelphia, PA · Remote

$18.25 - $24.25/hr

Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be responsible for supporting review denials (835/277 processing) received from third party payers.

Deloitte

Epic Denials Management Operator

Tallahassee, FL · Remote

$17 - $22.75/hr

Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be responsible for supporting review denials (835/277 processing) received from third party payers.

Deloitte

Epic Denials Management Operator

Kansas City, MO · Remote

$17.50 - $23.50/hr

Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be responsible for supporting review denials (835/277 processing) received from third party payers.

Deloitte

Epic Denials Management Operator

Detroit, MI · Remote

$17.75 - $23.75/hr

Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be responsible for supporting review denials (835/277 processing) received from third party payers.

Deloitte

Epic Denials Management Operator

Boise, ID · Remote

$17.25 - $22.75/hr

Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be responsible for supporting review denials (835/277 processing) received from third party payers.

Deloitte

Epic Denials Management Operator

Hartford, CT · Remote

$18.25 - $24.25/hr

Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be responsible for supporting review denials (835/277 processing) received from third party payers.

Deloitte

Epic Denials Management Operator

Jacksonville, FL · Remote

$16.75 - $22.25/hr

Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be responsible for supporting review denials (835/277 processing) received from third party payers.

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Denials Management information

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How much do denials management jobs pay per hour?

As of Sep 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 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?

A denials management specialist reviews and analyzes insurance claim denials to identify reasons for rejection and implements corrective actions to recover revenue. They often use billing software, communicate with insurance companies, and ensure compliance with healthcare regulations to reduce future denials.

What is the role of denials management?

Denials management is a key function in healthcare billing that involves reviewing, appealing, and resolving insurance claim denials to ensure accurate reimbursement. It requires knowledge of insurance policies, coding, and billing systems to reduce revenue loss and improve cash flow.
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Denials Management jobs near you
Infographic showing various Denials Management job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 14% Part Time, and 2% Contract. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution, with an average salary of $48,885 per year, or $23.5 per hour.

Denials Management Appeals Nurse (Anesthesia)

Shrinerschildrens

Remote

$80K - $121K/yr

Full-time

Re-posted 7 days ago

Job description

Company Overview

Shriners Children's is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families.

With 20+ hospitals, outpatient clinics, ambulatory care centers and outreach locations across the globe, we provide excellent care to children up to age 18 regardless of their family's ability to pay or insurance status. Please click here to learn more about our locations.

Job Description

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 an appeal is warranted. The Denials Management Appeals Nurse (Anesthesia) will utilize their clinical background to address the clinical denials, as well as write sound, compelling factual arguments for appealing denials.

The Denials Management Appeals Nurse (Anesthesia) is also responsible for maintaining a detailed knowledge of Third Party Payors and Governmental Payors clinical/medical necessity criteria, as well as filing compliant appeals in accordance with Third party and governmental contracts

Key Responsibilities:

  • Performs a review of assigned cases comparing the bill to the medical record.

  • Performs a detailed comparison of charges to documentation to ensure services documented have been captured through the charge process

  • Performs a detailed comparison of charges to documentation to ensure services not documented are not charged.

  • Reviews documentation to ensure that services typically performed with specific procedures are being documented so that charge capture may occur

  • Review findings with the hospital representatives and obtains an agreement on the discrepancies.

  • Demonstrates tact and understanding in handling problems, has a good rapport with hospital and corporate staffs.

  • Follows up on appeals in a timely fashion to ensure that cases are completed.

  • Re-checks mathematical computations before finalizing letter and report.

  • Updates status of all cases assigned on minimum weekly basis

  • Informs supervisor of any changes, problems, or concerns that arise at a facility.

  • In the event of a dispute with the requesting party's audit findings, files an appeal with the third party or governmental payor

  • Analyzes and interprets all medical necessity/clinical denials from third party payors or governmental payors.

  • Files appeals based on medical documentation and interpretation of medical necessity guidelines or InterQual criteria.

Required Qualifications:

  • 5 years of clinical healthcare/hospital experience

  • 3 years of related Anesthesia experience

  • Third Party Payor Appeals/Revenue Cycle experience

  • Current RN license in State of employment

  • Working experience with Utilization Review activities and general knowledge of TJC, PRO, and other regulatory bodies.

  • High School Diploma/GED

Preferred Qualifications:

  • Bachelor's degree - BSN highly desired

  • Case Management certification

  • Experience reviewing hospital and professional claims, denials and EOB's, appealing claims and working on claims in an audit

  • Experience with Epic, Craneware, Waystar, software and applications

The pay range for this position is $80,912.00 - $121,388.80. Compensation is determined based on years of relevant experience and departmental equity.

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