1

Denials Manager Jobs in Colorado (NOW HIRING)

Billing Manager

Denver, CO · On-site

$70K - $90K/yr

Manages claim submissions, payment posting, denial management, and accounts receivable ... denials. * Monitor claim statuses and follow up promptly on unpaid, denied, or underpaid claims.

Billing Manager

Denver, CO · On-site

$70K - $90K/yr

Manages claim submissions, payment posting, denial management, and accounts receivable ... denials. * Monitor claim statuses and follow up promptly on unpaid, denied, or underpaid claims.

Director of Rehabilitation

Boulder, CO · On-site

$85K - $110K/yr

This includes assurance that department records are completed and maintained, such as medical record documentation, reimbursement denials management and other survey compliance requirements.

Coding Payment Resolution Spec

Littleton, CO · On-site

$18.75 - $24/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 ...

Experience with healthcare claims processing, payer workflows, denials management, reimbursement processes, or other healthcare revenue cycle functions.

Showing results 21-40

Denials Manager information

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 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?

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 are the most commonly searched types of Denials jobs in Colorado? The most popular types of Denials jobs in Colorado are:
What cities in Colorado are hiring for Denials Manager jobs? Cities in Colorado with the most Denials Manager job openings:

Clinical Manager, Home Health

BAYADA Home Health Care

Loveland, CO

Full-time

Posted 6 days ago


Bayada Home Health Care rating

7.0

Company rating: 7.0 out of 10

Based on 250 frontline employees who took The Breakroom Quiz

417th of 887 rated healthcare providers


Job description

Clinical Manager – Home Health

Practice: Home Health (Medicare-certified)
Position Type: Full-time, Exempt, In-office (M-F; 8:30-5pm)

Location: Loveland, CO


Position Summary

The Clinical Manager – This leader is responsible for internal case management, clinical oversight, field staff evaluation and development, and the delivery of safe, high-quality, client-centered care that reflects The BAYADA Way values of compassion, excellence, and reliability.

In partnership with office leadership and Client Services, the Clinical Manager conducts client assessments and care planning, oversees clinical services, and drives quality, regulatory compliance, and performance improvement across the practice.

Key Responsibilities

Clinical Leadership & Client Care Management

  • Lead field staff in delivering superior home health and home care services in accordance with BAYADA policies, state and federal regulations, and accreditation standards.
  • Coordinate client care, referrals, and internal case management; act as client advocate and collaborate with physicians, payers, case managers, and interdisciplinary team members to optimize outcomes and prevent avoidable hospitalizations.
  • Oversee the delivery of all services, including review of clinical documentation to ensure accuracy, completeness, and clinical appropriateness from start of care through discharge.
  • Work with internal offices (e.g., Medicare Care Management, Managed Care, finance) to support accurate coding, authorization management, supplies coordination, and timely responses to payer documentation requests and denials.

Field Staff Supervision, Coaching & Performance

  • Participate in hiring and interviewing of field staff as applicable to practice needs; collaborate with Directors and Client Services on workforce planning and recruitment priorities.
  • Observe and confirm clinical competency of field staff through direct supervision, skills validation, and documentation review; assign appropriate skill codes to support safe, appropriate client assignments.
  • Conduct field supervisory visits and documentation reviews, providing real-time feedback, recognition, and coaching to reinforce clinical excellence and adherence to policies and procedures.
  • Complete regular performance evaluations for field staff, jointly with Client Services Managers as appropriate; address performance issues and support professional growth through coaching and development plans.
  • Maintain knowledge of productivity expectations for field staff and support staff in meeting visit and shift productivity standards

Quality, Compliance & Documentation

  • Demonstrate and communicate The BAYADA Way and ensure all care is delivered in alignment with BAYADA policies, procedures, and clinical standards.
  • Review clinical documentation to ensure it is accurate, timely, complete, and compliant with regulatory, payer, and accreditation requirements; ensure documentation progresses efficiently through each stage of the care delivery process.
  • Partner with leadership to monitor and respond to Key Performance Indicators (KPIs) and process measures related to quality, outcomes, documentation, and clinician engagement.
  • Participate in the Infection Control Program by identifying and reporting infections and risks, investigating trends, and developing action plans for improvement.
  • Support responses to Additional Documentation Requests (ADRs), denials, and other payer inquiries in collaboration with the office team.

Collaboration, Communication & Practice Leadership

  • Develop strong working knowledge of BAYADA’s mission, services, people, organization, and systems; model engagement and alignment with practice and regional goals.
  • Work closely with Directors, Client Services Managers, Rehabilitation Managers (where applicable), Clinical Practice Leadership, and Learning & Development to ensure cohesive management of field staff and alignment of clinical practice across Home Health and Home Care.
  • Function as a liaison between field and office staff, promoting open communication, collaborative problem-solving, and shared accountability for quality and service.
  • Participate in performance improvement initiatives, councils, and committees, sharing insights and best practices to advance clinical excellence and consistency across offices and divisions.
  • Represent BAYADA in community, referral source, and professional activities as requested, reinforcing BAYADA’s reputation for exceptional home-based care.

Administrative & Other Responsibilities

  • Support general office operations as part of a collaborative team, including phones, filing, and special projects as needed.
  • Maintain current knowledge of, and adherence to, BAYADA policies and procedures; applicable government, contract, and accrediting body regulations; and home care industry trends.
  • Strive continually for professional growth and development through continuing education, training, and organizational involvement.
  • When necessary and appropriate, fill in to support the field staff to ensure continuity of safe, reliable client care.

Minimum Qualifications

  • Education:
    • Graduate of an accredited and approved nursing program
  • Licensure:
    • Current license in good standing as a Registered Nurse (RN) in CO.
  • Experience:
    • Minimum two (2) years of recent nursing experience, with home health and/or home care/community health experience strongly preferred.
    • Prior supervisory and/or leadership experience (e.g., preceptor, charge nurse, educator, manager) commensurate with program requirements.
  • Clinical & Professional Skills:
    • Demonstrated expertise in home-based clinical practice, including assessment, care planning, and case management.
    • Strong interpersonal, communication, and team-building skills, with the ability to coach, mentor, and influence others positively.
    • Demonstrated record of goal achievement and successful assumption of increasing responsibility over time.
  • Other:
    • Meets BAYADA pre-employment and ongoing requirements, including background/exclusion checks and any role- or state-specific criteria.
    • Ability to read, write, and effectively communicate in English.
    • Comprehensive salary (base up to $95k/year plus quarterly incentives)..

This Clinical Manager – Home Health role is designed for a mission-driven clinical leader who is passionate about elevating care, supporting clinicians through mentorship and education, and advancing BAYADA’s vision of helping people have a safe home life with comfort, independence, and dignity.

As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.

BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here.

BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.


What Bayada Home Health Care employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom


Bayada Home Healthcare logo

About Bayada Home Healthcare

Sourced by ZipRecruiter

BAYADA has a special purpose: to help people of all ages have a safe home life with comfort, independence, and dignity. We believe our clients and their families deserve the highest quality home health care delivered with compassion, excellence, and reliability - our core values, affording them the opportunity to remain at home and receive the medical care required.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Moorestown, NJ, US

Year founded

1975