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Denials Specialist Jobs (NOW HIRING)

TEKsystems

Denials Specialist

Jacksonville, FL · Remote

$26/hr

Denial Specialist REMOTE | $26.00 USD/hour Highlights: • Industry: Healthcare Revenue Cycle • ... claim denials, underpayments, and reimbursement discrepancies. • Perform accounts receivable ...

New

Firstsource

Clinical Denials Specialist

The goal of the Clinical Denial Specialist is to successfully manage claim denials related to referral, authorizations, notifications, non-coverage, medical necessity, and other clinically related ...

Healthrise

Clinical Denials Specialist

Farmington, MI · On-site

$17.75 - $23.50/hr

The Clinical Denial Specialist plays a vital role in ensuring accurate reimbursement for healthcare services by reviewing denied claims, identifying denial reasons, and appealing claim denials. They ...

Phsorg

$16.66 - $26.70/hr

Patient Accounting Denials Specialist Summary: Summary Build your Career. Make a Difference. Presbyterian is hiring a skilled Patient Accounting Denials Specialist I. Responsible for root cause ...

Phsorg

$16.66 - $26.70/hr

Patient Accounting Denials Specialist I Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled Patient Accounting Denials Specialist I- Business-Office Physician Services.

Firstsource

Clinical Denials Specialist

The goal of the Clinical Denial Specialist is to successfully manage claim denials related to referral, authorizations, notifications, non-coverage, medical necessity, and other clinically related ...

TEKsystems

Remote Denials Specialist

Houston, TX · Remote

$26/hr

Denials Specialist (Remote) We are seeking experienced Denials Specialists to support a healthcare organization's Revenue Cycle team. This role will focus on resolving commercial payer claim denials ...

New

Phsorg

$16.66 - $26.70/hr

Claims - Patient Accounting Denials Specialist Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled Patient Accounting Denials Specialist I. Responsible for root cause ...

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How much do denials specialist jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for denials specialist 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 a denials specialist?

A Denials Specialist is a healthcare professional responsible for managing and resolving denied insurance claims. They analyze the reasons claims are denied, gather necessary documentation, and work with insurance companies and healthcare providers to appeal and overturn denials. Their role is crucial in ensuring that healthcare organizations receive proper reimbursement for services rendered. Denials Specialists also help identify trends in denials and recommend process improvements to reduce future claim rejections.

What are the key skills and qualifications needed to thrive as a denials specialist?

To thrive as a Denials Specialist, you need a strong understanding of medical billing, insurance claims processes, and healthcare regulations, often supported by experience in revenue cycle management or a relevant certification. Familiarity with claims management software, electronic health record (EHR) systems, and payer portals is typically required. Attention to detail, analytical thinking, and effective communication are crucial soft skills for resolving denied claims and collaborating with providers and payers. These skills ensure accurate, timely resolution of denials, optimizing revenue and maintaining compliance within healthcare organizations.

How does a denials specialist typically work with other departments to resolve insurance claim denials?

A Denials Specialist frequently collaborates with billing, coding, and clinical teams to gather the necessary documentation and information required to appeal denied claims. They often serve as a bridge between healthcare providers and insurance companies, investigating the reasons for denials and coordinating with various staff to resolve discrepancies. This role requires strong communication and teamwork skills, as Denials Specialists must ensure timely follow-up and accurate resubmissions to maximize reimbursement for the organization.

What is the difference between Denials Specialist vs Claims Processor?

AspectDenials SpecialistClaims Processor
CredentialsKnowledge of insurance policies, coding, and billingBasic understanding of claims submission and processing
Work EnvironmentHealthcare billing departments, insurance companiesMedical offices, hospitals, insurance companies
Job FocusAppealing denied claims, resolving billing issuesSubmitting and processing claims efficiently

While both roles involve handling insurance claims, a Denials Specialist primarily focuses on reviewing and appealing denied claims to recover payments, requiring detailed knowledge of insurance policies and coding. In contrast, a Claims Processor handles the initial submission and processing of claims, ensuring accuracy and timeliness. Both roles are essential in healthcare billing but differ in their specific responsibilities and focus areas.

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Denials Specialist jobs near you
Infographic showing various Denials Specialist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 12% Part Time, and 2% Contract. Highlights an 79% Physical, 2% Hybrid, and 19% Remote job distribution, with an average salary of $48,885 per year, or $23.5 per hour.

Lead Insurance Denials Specialist

Rayus Radiology

Saint Louis Park, MN

$23.48 - $33.95/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

New

RAYUS Radiology rating

7.7

Company rating: 7.7 out of 10

Based on 52 frontline employees who took The Breakroom Quiz

160th of 891 rated healthcare providers

Job description

RAYUS now offers DailyPay! Work today, get paid today!

The pay range for this position is $23.48-33.95 based on direct and relevant experience.

RAYUS Radiology is looking for a Lead Insurance Denials Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As a Lead Insurance Denials Specialist, you will coordinate communications regarding billing information with patients, carriers, co-workers and attorneys to ensure timely collections of accounts receivables and provides direction and training to account representative team.This is a 100% Full-Time position working Monday thru Friday; 8:00am-5:00pm.

ESSENTIAL DUTIES AND RESPONBILITIES:

Fosters an environment where customer service is a priority by believing in and practicing The Experience

(65%) Accounts Receivable Collection & Leadership

  • Communicates with patients, carriers, co-workers, center staff, attorneys, and other contracted entities and responsible parties in a timely, effective manner to expedite the billing and collection of accounts receivable
  • Contributes to the steady reduction of the days-sales-outstanding (DSO), increase monthly gross collections and increase percentage of collections
  • Ensures that "priority" work, which will enhance bottom line results and achievement of the most important objectives, is identified and assigned appropriately
  • Partners with RCM QA and Training Specialist on quality assurance assessment results and feedback to ensure accuracy and productivity amongst the team
  • Ensures approvals for adjustment requests are in line with protocol
  • Initiates and participates in special accounts receivable and workflow and process improvement projects
  • Prepares reports, presentations and other written communication
  • Oversees denial prevention process by analyzing denial trends, prioritizing issues and identifying root cause. Collaborates with stakeholders to update processes to prevent denials, and monitors and tracks progress.
  • Communicates to supervisor as needed regarding updates on account statuses

(30%) Staff Support

  • Provides training, feedback, expertise and support to Insurance Denials Specialists
  • Collaborates with team members to increase their knowledge of the collection process to effectively reduce accounts receivable
  • Creates an environment that promotes team work and increases engagement
  • Leads staff meetings and associate one-on-ones as needed
  • Allocates specific job responsibilities/specialty tasks and defines priorities
  • Initiates and participates in staff performance evaluations, development of associates including performance improvement plans and disciplinary actions
  • Participates in the hiring and training of new associates
  • Manages department and team schedule and hours
  • Communicates to supervisor as needed regarding updates on account status'

(5%) Performs other duties as assigned

Required:

  • High School diploma or equivalent
  • 5+ years' experience in a medical billing department, prior authorization department or payer claim processing department
  • Knowledge of Workers Compensation, HMO's, PPO's, MA and other third party payers
  • Intermediate proficiency with Microsoft Excel, PowerPoint, Word and Outlook

Preferred:

  • Bachelor's degree strongly preferred
  • Credentialed revenue cycle representative
  • Previous supervisory experience
  • Completion of a coding certificate program in a program with AHIMA approval status

RAYUS is committed to delivering clinical excellence in communities across the U.S., driven by our passion for and superior service to referring providers and patients. RAYUS Radiology is built on our brilliant medicine, brilliant team, brilliant technology and services - all to provide the highest level of patient care possible.

We bring brilliance to health and wellness. Join our team and shine the light on Radiology Services! RAYUS Radiology is an EO Employer/Vets/Disabled.

We offer benefits (based on eligibility) including medical, dental and vision insurance, 401k with company match, life and disability insurance, tuition reimbursement, adoption assistance, pet insurance, PTO and holiday pay and many more! Visit our career page to see them all www.rayuradiology.com/careers.

DailyPay implementation is contingent upon initial set-up period.

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