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Director Denials Management Jobs (NOW HIRING)

Healthrise

Manager, Denials Operations

Farmington, MI · On-site

Reporting to the Director of Denials Management, this role leads a team of denial specialists and coordinators focused on resolving technical and coding-related claim denials across all payer types ...

Massgeneralbrigham

Denials Liaison

Somerville, MA · Remote

$63K - $92K/yr

Job Summary Under the direction of the Sr. Manager - Denial Prevention & Training, the Denials ... entity Revenue Directors/denials teams. The Denials Liaison will lead assigned prevention ...

Mass General Brigham

Denials Liaison

Somerville, MA · On-site +1

$63K - $92K/yr

Job Summary Under the direction of the Sr. Manager - Denial Prevention & Training, the Denials ... entity Revenue Directors/denials teams. The Denials Liaison will lead assigned prevention ...

CorroHealth

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This is a remote position As a Medical Director, Denials Management you will have the unique opportunity to evaluate hospitalizations across the country while utilizing your medical knowledge and ...

CorroHealth

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This is a remote position As a Medical Director, Denials Management you will have the unique opportunity to evaluate hospitalizations across the country while utilizing your medical knowledge and ...

Brown University Health

Denials Specialist TC

Providence, RI · Hybrid

$18.25 - $24.25/hr

Evaluates denied accounts sent to the Denials Management Department for review. Assigns denied ... with Supervisor as directed. MINIMUM QUALIFICATIONS BASIC KNOWLEDGE Associate's degree in ...

Brownhealth

Denials Specialist TC

Providence, RI · Hybrid

$18.25 - $24.25/hr

Evaluates denied accounts sent to the Denials Management Department for review. Assigns denied ... directed.MINIMUM QUALIFICATIONS:BASIC KNOWLEDGEAssociate's degree in accounting, business office ...

Brown University Health

Denials Specialist TC

Providence, RI · Hybrid

$18.25 - $24.25/hr

Evaluates denied accounts sent to the Denials Management Department for review. Assigns denied ... with Supervisor as directed. MINIMUM QUALIFICATIONS BASIC KNOWLEDGE Associate's degree in ...

Brown University Health

Denials Specialist TC

Providence, RI · Hybrid

$18.25 - $24.25/hr

Evaluates denied accounts sent to the Denials Management Department for review. Assigns denied ... with Supervisor as directed. MINIMUM QUALIFICATIONS: BASIC KNOWLEDGEAssociate's degree in ...

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Director Denials Management information

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$83.5K

$126.9K

$178K

How much do director denials management jobs pay per year?

As of Aug 15, 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 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 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 denials management?

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 August 2026, with employment types broken down into 93% Full Time, 5% Part Time, and 2% Contract. Highlights an 93% In-person, 2% Hybrid, and 5% Remote job distribution, with an average salary of $126,879 per year, or $61 per hour.

Specialist-Sr Denials Management

Spartanburg Regional Healthcare System

Spartanburg, SC • On-site

Full-time

Re-posted yesterday

Spartanburg Regional Healthcare System rating

6.7

Company rating: 6.7 out of 10

Based on 117 frontline employees who took The Breakroom Quiz

530th of 887 rated healthcare providers

Job description

Job Requirements

Position Summary

The Denial Management Specialist is responsible for denial and AR management for the department as defined by their supervisor/manager. 

* Only Applicants from the following states: Alabama, Arizona, Connecticut, Delaware, Florida, Georgia, Indiana, Kansas, Kentucky, Louisiana, Maryland, Michigan, North Carolina, Pennsylvania, Rhode Island, South Carolina, Virginia, West Virginia, Wisconsin.

Minimum Requirements

Education           

  • High School Graduate with some College

Experience        

  • 5+ years' experience in medical billing/collections setting with experience with denials, appeals, insurance collections and related follow-up.
  • Must have extensive knowledge of ICD9 and CPT-4 coding and modifiers usage. 
  • Must have a good working knowledge with insurance explanation of benefits (EOB) and comprehensive understanding of remittance and remark codes.
  • Be familiar with multiple payer requirements for claims processing
  • Solid skills with Microsoft office with a focus on Excel and Word. 
  • Good Analytical skills. 
  • Good Communication Skills

License/Registration/Certifications       

  • N/A

 

Preferred Requirements

Preferred Education      

  • N/A

Preferred Experience   

  • Focused denials and appeals management experience.  
  • Possess an in-depth working knowledge and experience with all types of insurance billing guidelines: Commercial, Medicare Part A and B, Medicaid, Managed Care plans etc.
  • Team lead or supervisory experience.   

Preferred License/Registration/Certifications   

  • If in Professional Billing Services: CPC certification
  • If in Hospital Billing Services: CRCA or CPC-H certification

Core Job Responsibilities

  • Responsible to review and resolve all daily claim scrubbers edits based on coding/billing guidelines.
  • Research and resolve all outstanding denials within work cue and complete all necessary follow up within a timely and accurate manner
  • Identify all denial trends and provide education of steps to prevent future avoidable denials. 
  • Initiate/manage all insurance appeals in a timely manner
  • Manage outstanding AR related to denials.
  • Communicate all denial trends and denial increases to direct supervisor/manager in order to positively affect the volume of denials
  • Organize the workflow to ensure that denials are worked according to departmental policy and standards.
  • Manage correspondences and any ADR requests as defined within department workflow procedure to ensure timeless and accuracy of response. 
  • Function as a denials team resource to other associates within the department
  • Ability to lead a team meeting and teach specific task and procedures to other associates. 
  • Must be cross-trained and functional in all areas within the department as it relates to A/R and denials. 
  • Ability to work closely with multiple department leaders and/or staff to improve revenue integrity. 
  • Complete special projects as assigned by Supervisor/Manager
  • Prepare/attend AR denial meetings as required.

Employment Type: FULL_TIME

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About Spartanburg Regional Healthcare System

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Spartanburg Regional Healthcare System is a leader in the healthcare industry, located in Spartanburg, SC, US. As a comprehensive health system, it offers services encompassing everything from wellness, prevention, and care coordination to specific medical treatments for a wide range of diseases and health issues. Spartanburg Regional Healthcare System was founded in 1921 and has since developed a reputation for excellence and innovative care, growing to include six hospitals, 100 medical offices, 8,000 associates and more than 900 medical staff.

Industry

Recruiting and staffing services

Company size

5,001 - 10,000 Employees

Headquarters location

Spartanburg, SC, US

Year founded

1921

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