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Denials Manager Jobs (NOW HIRING)

McLaren

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 ...

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$87.9K

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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.
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What are the most commonly searched types of Denials jobs? The most popular types of Denials jobs are:
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Denials Manager jobs near you
Denials Management Specialist

Denials Management Specialist

McLaren

Shelby, MI • On-site

Full-time

Posted yesterday

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:
  • 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
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About McLaren

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McLaren Group is globally renowned as one of the world’s most illustrious high-technology brands. Since the formation of McLaren Racing in 1963, McLaren has been pioneering and innovating in the competitive world of Formula 1, forging a formidable reputation which has seen the racing team win 20 World Championships and over 180 races. The Group has built on its successful racing expertise and diversified to include a global, high-performance sports car business, McLaren Automotive, and a game-changing technology and innovation business, McLaren Applied. Despite the broadening of the group’s business interests, McLaren’s goal remains singular: we exist to win in everything we do.

Industry

Automobile dealers and manufacturing

Company size

10,000+ Employees

Headquarters location

Woking, Surrey, GB

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