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Director Denials Management Jobs (NOW HIRING)

McLaren

Denials Management Specialist

Shelby, MI · On-site

Position Summary: The Denials Management Specialist is responsible for timely and accurate ... from direct supervisor. Maintains required levels of productivity while managing tasks in work ...

McLaren

Denials Management Specialist

Shelby, MI · On-site

Position Summary: The Denials Management Specialist is responsible for timely and accurate ... from direct supervisor. Maintains required levels of productivity while managing tasks in work ...

McLaren

Denials Management Specialist

Shelby, MI · On-site

Position Summary: The Denials Management Specialist is responsible for timely and accurate ... from direct supervisor. Maintains required levels of productivity while managing tasks in work ...

McLaren

Denials Management Specialist

Shelby, MI · On-site

Position Summary: The Denials Management Specialist is responsible for timely and accurate ... from direct supervisor. Maintains required levels of productivity while managing tasks in work ...

Brown University Health

Mgr Denials Management

Providence, RI · Hybrid

$18.25 - $24.25/hr

SUMMARY The Manager of Denial appeals reports to the Director of Claims Admin/Follow up. Under ... Systematically tracks the status and progress of denials and appeals for the Lifespan affiliates.

McLaren

Denials Management Specialist

Shelby, MI · On-site

Position Summary: The Denials Management Specialist is responsible for timely and accurate ... from direct supervisor. Maintains required levels of productivity while managing tasks in work ...

Brownhealth

Mgr Denials Management

Providence, RI · Hybrid

$18.25 - $24.25/hr

The Manager of Denial appeals reports to the Director of Claims Admin/Follow up. Under general ... Systematically tracks the status and progress of denials and appeals for the Lifespan affiliates.

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Director Denials Management information

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$83.5K

$126.9K

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How much do director denials management jobs pay per year?

As of Jul 25, 2026, the average yearly pay for director denials management in the United States is $126,879.00, according to ZipRecruiter salary data. Most workers in this role earn between $105,500.00 and $141,000.00 per year, depending on experience, location, and employer.

What is the difference between Director Denials Management vs Denials Management Specialist?

AspectDirector Denials ManagementDenials Management Specialist
CredentialsBachelor's degree, leadership experienceHigh school diploma or associate's, healthcare or insurance knowledge
Work EnvironmentManagement, strategic planning, team oversightOperational, claims review, denial resolution
Industry UsageHealthcare, insurance companies, hospital systemsHealthcare providers, insurance payers, billing departments
Search/Comparison IntentLeadership roles, strategic denial managementOperational roles, claims processing

While both roles focus on managing claim denials, the Director Denials Management oversees teams and strategies, whereas the Denials Management Specialist handles day-to-day claim review and resolution tasks.

What are the primary challenges faced by a Director of Denials Management, and how can they address them effectively?

A Director of Denials Management often encounters challenges such as staying ahead of frequently changing payer regulations, identifying root causes of denials, and leading cross-departmental initiatives to improve claim approval rates. Success in this role requires strong analytical skills to interpret denial trends, effective communication to collaborate with clinical, coding, and billing teams, and the ability to implement process improvements. Addressing these challenges involves fostering a culture of accountability, providing ongoing staff education, and leveraging technology to streamline workflows and monitor performance metrics.

What does a Director of Denials Management do?

A Director of Denials Management is responsible for overseeing the strategies and processes that address insurance claim denials in a healthcare organization. They lead teams to analyze denial trends, develop solutions to reduce future denials, and work closely with billing, coding, and clinical staff to ensure accurate claims submission and appeals. Their role is crucial in optimizing revenue cycle performance and ensuring the organization receives appropriate reimbursement for services provided.

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

To thrive as a Director of Denials Management, you need in-depth knowledge of healthcare revenue cycle management, denial prevention strategies, and a relevant degree in healthcare administration or business. Experience with claims management systems, EHRs, and analytics tools such as Epic, Cerner, or similar platforms is typically required. Strong leadership, problem-solving, and communication skills help drive team performance and facilitate cross-departmental collaboration. These skills are crucial for minimizing denials, optimizing reimbursement, and ensuring financial health for healthcare organizations.
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Director Denials Management jobs near you
Infographic showing various Director Denials Management job openings in the United States as of July 2026, with employment types broken down into 3% Internship, 1% As Needed, 85% Full Time, 8% Part Time, 2% Contract, and 1% Summer. Highlights an 82% Physical, 2% Hybrid, and 16% Remote job distribution, with an average salary of $126,879 per year, or $61 per hour.
Denials Management Assistant, Part Time

Denials Management Assistant, Part Time

St. Luke's University Health Network

Allentown, PA • On-site

Part-time

Posted 16 days ago

St. Luke's University Health Network rating

7.1

Company rating: 7.1 out of 10

Based on 268 frontline employees who took The Breakroom Quiz

373rd of 890 rated healthcare providers

Job description

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
Denials Management Assistant provides administrative and clerical support for the denials and appeals team by preparing, organizing, and submitting all levels of appeal documentation to payers within required timeframes. This role ensures accuracy, timeliness, and completeness of appeal packets and assists in tracking appeal outcomes to support the organization's revenue recovery efforts. Also, maintaining good documentation in the appropriate systems and good communication between the Denials Management Manager, and Denials Management Team members to facilitate appeal letter responses throughout all levels of determination.
In addition to the primary role, the liaison may also perform data abstraction and entry as related to the Denials Management Program outcomes, assist with preparing denial reports. This position reports to the Manager of the Denials Management Program.
JOB DUTIES AND RESPONSIBILITIES:
  • Assemble and submit first-level, second-level, and external appeals for medical necessity, technical, and authorization denials. Confirm all data (Payer, Patient and DOS) information is accurate on the appeal letter. Act as a final quality check point for appeal integrity.
  • Work all WQs including Correspondence WQ in a timely manner. Prioritize by due date.
  • Retrieve DS RN information (RN appeal to send list). Check for RN notes for any priority cases.
  • Send medical record requests for the cases the DS RN sent with appropriate payer form (hard copy, CD, electronic).
  • Ensure all required documents (medical records, physician statements, clinical criteria, appeal letters, and forms) are included and correctly formatted.
  • Submit appeals via the required payer method: fax, certified mail, payer portals, or electronic systems within payer deadlines.
  • Retrieve and organize clinical documentation from EMR systems.
  • Maintain accurate logs of appeal submissions, tracking dates, payer responses, and outcomes.
  • File and store appeal documents per HIPPA and organizational policies.
  • Collaborate with RN appeal writers, and coordinator to ensure appeal packets are complete.
  • Communicate with payers and confirm receipt and status of submitted appeals.
  • Notify appeal writers or leadership of upcoming deadlines or missing information.
  • Follow established procedures and payer-specific requirements for each appeal level.
  • Ensure appeal content adheres to regulatory standards, including HIPAA compliance.
  • Assist with internal audits, reporting, and data entry as requested.
  • Maintain open communication between Denials Management Manager, Physician Advisor, Case Management Director, along with other associated departments.
  • Assists in preparing reports regarding denials to include volumes, number of appeals, case resolution, and impact on revenue and trending.
  • Maintains confidentiality of all materials handled within the Network/ Entity as well as the proper release of information.
  • Complies with Network and departmental policies regarding issues of employee, patient and environmental safety and follows appropriate reporting requirements.
  • Demonstrates/models the Network's Service Excellence Standards of Performance in interactions with all customers (internal and external).
  • Demonstrates Performance Improvement in the following areas as appropriate: Clinical Care/Outcomes, Customer/Service Improvement, Operational System/Process, and Safety.
  • Demonstrates financial responsibility and accountability through the effective and efficient use of resources in daily procedures, processes, and practices.
  • Complies with Network and departmental policies regarding attendance and dress code.
  • Other related duties as assigned.

PHYSICAL AND SENSORY REQUIREMENTS:
Sitting for one to two hours at a time, stand for two to three hours at a time, walk on all surfaces for up to five hours per day, and climb stairs. Must be capable of driving a car. Fingering and handling objects frequently. Occasionally firmly grasp, twist, and turn objects weighing up to 75 pounds. Occasionally stoops, bends, squats, kneels, and reaches above shoulder level. Must have the ability to hear as it relates to normal conversations and high and low frequencies, and to see as it relates to general and peripheral vison. Must have the ability to touch as related to telephone and computer keyboard.
EDUCATION:
Associate Degree in Business or Secretarial Field preferred, or High School Diploma with courses in Medical Terminology preferred.
TRAINING AND EXPERIENCE:
Three to five years related health care experience. Proficiency in Microsoft Word/Windows, Excel, and the ability to learn how to work in multiple computer software systems. Ability to enter data and manage data base with 100% accuracy. Ability to work within strict deadlines.
Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!
St. Luke's University Health Network is an Equal Opportunity Employer.

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