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Denials Manager Jobs in Nevada (NOW HIRING)

UHS

PATIENT ACCOUNTS SPECIALIST-MEDICARE

Las Vegas, NV

$17 - $21.50/hr

... manages Medicare billing and collections, including verifying medical insurance, processing reimbursements, correcting cash posting errors, and handling denials and appeals. Additional duties include ...

UHS

PATIENT ACCOUNTS SPECIALIST-MEDICARE

Las Vegas, NV · On-site

$17 - $21.50/hr

... manages Medicare billing and collections, including verifying medical insurance, processing reimbursements, correcting cash posting errors, and handling denials and appeals. Additional duties include ...

UHS

PATIENT ACCOUNTS SPECIALIST-MEDICARE

Las Vegas, NV · On-site

$17 - $21.50/hr

... manages Medicare billing and collections, including verifying medical insurance, processing reimbursements, correcting cash posting errors, and handling denials and appeals. Additional duties include ...

UHS

PATIENT ACCOUNTS SPECIALIST-MEDICARE

Las Vegas, NV · On-site

$18 - $23.31/hr

... manages Medicare billing and collections, including verifying medical insurance, processing reimbursements, correcting cash posting errors, and handling denials and appeals. Additional duties include ...

Las Vegas Urology

Medical Billing Specialist

Las Vegas, NV

$17.50 - $22.50/hr

Work and complete correspondence daily and complete monthly A/R reports provided by Billing Managers. * Call insurance companies to research claims, dispute denials and/or underpayments, submit ...

New

UHS

PATIENT ACCOUNTS SPECIALIST-MEDICARE

Las Vegas, NV · On-site

$18 - $23.31/hr

... manages Medicare billing and collections, including verifying medical insurance, processing reimbursements, correcting cash posting errors, and handling denials and appeals. Additional duties include ...

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All JobsDenials JobsDenials Manager JobsDenials Manager Jobs in Nevada

Denials Manager information

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 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 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 most commonly searched types of Denials jobs in Nevada?

The most popular types of Denials jobs in Nevada are:

What are popular job titles related to Denials Manager jobs in Nevada?

For Denials Manager jobs in Nevada, the most frequently searched job titles are:

What job categories do people searching Denials Manager jobs in Nevada look for?

The top searched job categories for Denials Manager jobs in Nevada are:

What cities in Nevada are hiring for Denials Manager jobs?

Cities in Nevada with the most Denials Manager job openings:

Denials Manager jobs near you

Clinical Insurance Coordinator

Cornerstone Staffing Solutions Inc

Las Vegas, NV • On-site

$20 - $22/hr

Full-time

Medical

Posted 8 days ago

Job description

Clinical Insurance Coordinator
Location: Las Vegas, NV
Employment Type: Full-Time | Onsite
Pay: $20.00 - $22.00 per hour
Specialty: Orthopedics and Hand Surgery

Help Patients Move Forward with Care

Cornerstone Staffing Solutions is seeking an organized and experienced Clinical Insurance Coordinator for a busy orthopedic specialty practice. This position helps patients receive timely care by coordinating insurance benefits, authorizations, workers’ compensation claims, and personal-injury lien accounts.
The ideal candidate understands medical insurance requirements, follows cases closely, and communicates confidently with patients, providers, insurance carriers, adjusters, and legal offices.

What You’ll Do
  • Verify insurance eligibility, benefits, referrals, and patient financial responsibility.
  • Obtain authorizations for consultations, imaging, injections, therapy, medical equipment, procedures, and surgery.
  • Review provider orders and records for required authorization documentation.
  • Submit clinical records and supporting information through payer portals.
  • Track pending requests, approvals, denials, and requests for additional information.
  • Document authorization numbers, approved services, dates, and visit limits.
  • Notify scheduling and clinical teams when patients are cleared for care.
  • Assist with reconsiderations, appeals, and peer-to-peer coordination.
  • Maintain accurate patient, insurance, claim, adjuster, attorney, and employer information.
  • Identify recurring payer issues and escalate unresolved cases appropriately.
Workers’ Compensation and Lien Coordination
  • Verify claim status, date of injury, accepted body parts, carrier, adjuster, and claim number.
  • Coordinate authorization requests with adjusters, case managers, employers, and attorneys.
  • Track utilization reviews, approvals, denials, deadlines, and service limitations.
  • Maintain clear documentation of all claim-related communication.
  • Review letters of protection and medical-lien documentation for completeness.
  • Coordinate lien accounts with authorized legal representatives and internal billing staff.
  • Refer settlement, reduction, legal, or clinical decisions to authorized personnel.
What We’re Looking For
  • High school diploma or equivalent
  • At least two years of medical insurance, authorization, billing, referral, or healthcare administration experience
  • Experience verifying commercial insurance eligibility and benefits
  • Strong knowledge of medical terminology, HIPAA, insurance portals, and electronic health records
  • Ability to interpret payer responses and authorization requirements
  • Strong organization, documentation, communication, and follow-through
  • Ability to manage multiple time-sensitive cases and deadlines
  • Proficiency with standard office applications and multiline phone systems
Preferred Experience
  • Orthopedics, hand surgery, occupational medicine, rehabilitation, or another procedural specialty
  • At least one year of direct workers’ compensation and medical-lien experience
  • Surgical, diagnostic imaging, injection, therapy, or medical-equipment authorizations
  • Nevada workers’ compensation claims and authorization processes
  • Communication with adjusters, attorneys, case managers, and third-party administrators
  • Familiarity with CPT, ICD-10-CM, HCPCS, and medical billing terminology

What Success Looks Like
The successful coordinator will keep cases organized, reduce authorization delays, document every step accurately, and communicate proactively so patients can access care as efficiently as possible.

Ready to Take the Next Step?
Bring your insurance knowledge, attention to detail, and patient-first approach to a specialty practice where your coordination directly supports access to care. Apply today through Cornerstone Staffing Solutions.