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Denials Manager Jobs (NOW HIRING)

AHMC Healthcare

Denials Manager RN

San Gabriel, CA

$53.10 - $58.39/hr

The Denials Case Manager, RN appeals all denials using InterQual criteria and medical necessity. Collaboratively works with all members of the revenue cycle team and all types of payers to resolve ...

AHMC Healthcare

Denials Manager RN

San Gabriel, CA · On-site

$53.10/hr

Overview The Denials Case Manager, RN appeals all denials using InterQual criteria and medical necessity. Collaboratively works with all members of the revenue cycle team and all types of payers to ...

AHMC Healthcare

Denials Manager RN

San Gabriel, CA · On-site

Overview The Denials Case Manager, RN appeals all denials using InterQual criteria and medical necessity. Collaboratively works with all members of the revenue cycle team and all types of payers to ...

GIBSON AREA HOSPITAL

Denials Analyst FT

Gibson City, IL

$20 - $26/hr

REPORTING RELATIONSHIP Reports to Clinical Denials Manager EDUCATION, KNOWLEDGE, AND ABILITIES REQUIRED: 1. High school graduate or equivalent. 2. Ability to deal with the public in a pleasing and ...

Baptistfirst

Summary The Denials Management Specialist shall be responsible to validate dispute reasons, escalate payment variance trends or issues to management, and generate appeals for denied or underpaid ...

Baptist Health

Denials Management Specialist

Summary The Denials Management Specialist shall be responsible to validate dispute reasons, escalate payment variance trends or issues to management, and generate appeals for denied or underpaid ...

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$87.9K

$139K

How much do denials manager jobs pay per year?

As of Jul 23, 2026, the average yearly pay for denials manager in the United States is $87,861.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,000.00 and $105,000.00 per year, depending on experience, location, and employer.

What is a denial manager job description?

A denial manager oversees the process of reviewing and resolving insurance claim denials to ensure proper reimbursement. They analyze denial reasons, coordinate with healthcare providers and insurance companies, and implement strategies to reduce future denials, often using claims management software. Strong knowledge of billing, coding, and insurance policies is essential for this role.

What is the difference between Denials Manager vs Claims Supervisor?

AspectDenials ManagerClaims Supervisor
CredentialsTypically requires healthcare administration, billing, or coding certificationsOften requires similar certifications, with additional supervisory or management training
Work EnvironmentManages denial appeals, reviews claim rejections, collaborates with billing and coding teamsOversees claims processing, supervises claims staff, ensures compliance with policies
Industry UsageCommon in healthcare, insurance, and hospital settingsCommon in healthcare organizations, insurance companies, and billing departments

While both roles focus on claims processing, the Denials Manager specializes in managing claim denials and appeals, whereas the Claims Supervisor oversees the entire claims process and staff. Both positions require healthcare billing knowledge and certification, but their primary responsibilities differ in scope and focus.

What are the top 5 denials in medical billing?

For a Denials Manager, the top five medical billing denials typically include missing or incorrect patient information, coding errors such as CPT or ICD-10 mistakes, lack of pre-authorization or referral, services deemed not medically necessary, and duplicate claims. Addressing these common issues requires strong attention to detail, accurate documentation, and familiarity with billing software and coding guidelines.

What are some common challenges faced by Denials Managers, and how can they effectively address them?

Denials Managers often encounter challenges such as identifying root causes of claim denials, staying updated with changing payer policies, and coordinating between billing, coding, and clinical teams. To address these challenges, Denials Managers typically implement robust tracking systems, conduct regular staff training, and foster open communication across departments. Proactively analyzing denial trends and collaborating on process improvements are key strategies to reduce future denials and enhance overall revenue cycle performance.

What is a Denials Manager?

A Denials Manager is a healthcare professional responsible for overseeing and managing the process of claim denials from insurance companies. Their primary role is to identify the causes of denied claims, implement strategies to reduce future denials, and ensure timely resolution and appeal of denied claims to maximize revenue for healthcare organizations. Denials Managers often collaborate with billing, coding, and clinical staff to ensure compliance with payer requirements and improve the overall reimbursement process. They play a crucial role in maintaining the financial health of medical practices or hospitals by minimizing lost revenue due to claim denials.

What are the key skills and qualifications needed to thrive as a Denials Manager, and why are they important?

To thrive as a Denials Manager, you need a deep understanding of medical billing, coding, insurance processes, and healthcare regulations, usually supported by a degree in healthcare administration or a related field. Familiarity with revenue cycle management systems, electronic health records (EHRs), and data analytics tools is essential, and certification like Certified Revenue Cycle Representative (CRCR) can be advantageous. Strong analytical thinking, problem-solving, and communication skills help in effectively leading teams and negotiating appeals with payers. These skills are critical for minimizing revenue loss, ensuring compliance, and optimizing reimbursement processes within healthcare organizations.

What is the 3 month rule for jobs?

The 3 month rule for a Denials Manager typically refers to the standard review period for insurance claim denials, where claims are reassessed or appealed within three months of denial. This timeframe helps ensure timely resolution and compliance with payer policies, often requiring the manager to track and document denials and appeals efficiently.

What is the highest paying job in healthcare management?

In healthcare management, the highest paying roles are typically executive positions such as Chief Executive Officer (CEO) or Chief Operating Officer (COO), with salaries often exceeding $150,000 annually. These roles require extensive experience, leadership skills, and often advanced degrees like an MBA or healthcare administration certification.
What cities are hiring for Denials Manager jobs? Cities with the most Denials Manager job openings:
What are the most commonly searched types of Denials jobs? The most popular types of Denials jobs are:
What states have the most Denials Manager jobs? States with the most job openings for Denials Manager jobs include:
Denials Manager jobs near you
Professional Denials Coordinator

Professional Denials Coordinator

Oklahoma Heart Hospital

Oklahoma City, OK • On-site

Other

Medical, Dental, Vision, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Oklahoma Heart Hospital rating

8.3

Company rating: 8.3 out of 10

Based on 41 frontline employees who took The Breakroom Quiz

74th of 1,023 rated hospitals

Job description

Overview
Join Our Team at Oklahoma Heart Hospital (OHH)

ONE TEAM. ALL HEART. At OHH, we believe that patient care is truly at the heart of everything we do. Our dedicated team members are involved in every step of our patients' journeys, bringing hope, compassion, and healing to both patients and their families. Together with our physicians and caregivers, we're shaping the future of heart care in Oklahoma by serving the state and leading the nation.

Why You'll Love Working Here:
  • Comprehensive Benefits:
    • Medical, Dental, and Vision coverage
    • 401(k) plan with employer match
    • Long-term and short-term disability
    • Employee Assistance Programs (EAP)
    • Paid Time Off (PTO)
    • Extended Medical Benefits (EMB)
    • Opportunities for continuing education and professional growth

Please note that benefits may vary by position, and some roles (like PRN, Flex, Float, etc.) may have exclusions. For eligible positions, benefits start on your first day!

We can't wait for you to join our heart-centered team!

Location: Hartford: 7800 NW 85th Terrace, OKC OK 73132

Shift: Full-Time, Days Monday-Friday.


Responsibilities

The Professional Denials Coordinator will work on targeted insurance denials to improve collections and reduce open balances. They will deal with inpatient notices of admission, authorizations, and subsequent denials. The Professional Denials Coordinator will assist with first and second level appeals under the Denials Manager's guidance. The Denials Coordinator will assist in identifying trends and finding root causes to prevent future denials, providing high-impact findings to the Denials Manager.

  • Works under the guidance of a Denials Manager and Denials RN to prepare appeals on denials.
  • Defend and appeal claims, including researching root cause, collecting required information, adjusting the account as necessary, resubmitting claims and all appropriate follow up activities.
  • Submits requests to clarify clinical documentation for accurate coding of denials.
  • Works with Denials Analyst and Underpayments Coordinator to call attention to areas of opportunity or system/process errors.

Qualifications

Education: High school graduate or equivalent preferred.

Experience: Minimum of two (2) years in professional/clinic Insurance Follow-Up or Denials. Clinical Denials experience is preferred; Epic experience is a plus but not required. CPC is strongly encouraged.

Working Knowledge: Insurance collections and denials, with an emphasis on professional coding is preferred.

As part of our team, you are empowered to work collaboratively with our physicians and other caregivers, and play an integral role in setting the standard for excellence in patient care.Every team member at OHH plays an integral role in our patients' experience. Theyare the reason OHH continues to serve the state and lead the nation. Be part of the future of cardiac care.


The Professional Denials Coordinator will work on targeted insurance denials to improve collections and reduce open balances. They will deal with inpatient notices of admission, authorizations, and subsequent denials. The Professional Denials Coordinator will assist with first and second level appeals under the Denials Manager's guidance. The Denials Coordinator will assist in identifying trends and finding root causes to prevent future denials, providing high-impact findings to the Denials Manager.

  • Works under the guidance of a Denials Manager and Denials RN to prepare appeals on denials.
  • Defend and appeal claims, including researching root cause, collecting required information, adjusting the account as necessary, resubmitting claims and all appropriate follow up activities.
  • Submits requests to clarify clinical documentation for accurate coding of denials.
  • Works with Denials Analyst and Underpayments Coordinator to call attention to areas of opportunity or system/process errors.

Education: High school graduate or equivalent preferred.

Experience: Minimum of two (2) years in professional/clinic Insurance Follow-Up or Denials. Clinical Denials experience is preferred; Epic experience is a plus but not required. CPC is strongly encouraged.

Working Knowledge: Insurance collections and denials, with an emphasis on professional coding is preferred.

As part of our team, you are empowered to work collaboratively with our physicians and other caregivers, and play an integral role in setting the standard for excellence in patient care. Every team member at OHH plays an integral role in our patients' experience. They are the reason OHH continues to serve the state and lead the nation. Be part of the future of cardiac care.

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