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Director Denials Management Jobs (NOW HIRING)

Credence Global Solutions

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Revenue Cycle Manager

Poplar Bluff, MO · On-site

$60K - $65K/yr

... • Direct denials management operations, including research, appeals, reimbursement analysis, and follow-up on pending claims • Ensure timely, accurate submission of claims and resolution of ...

USSM

Revenue Cycle Director

Arlington, TX · On-site

This includes direct oversight of billing, coding, collections, denials management, and credentialing teams. The Revenue Cycle Director ensures policies, objectives, and initiatives support ...

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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 Jul 4, 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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What cities are hiring for Director Denials Management jobs? Cities with the most Director Denials Management job openings:
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Director Denials Management jobs near you
Infographic showing various Director Denials Management job openings in the United States as of June 2026, with employment types broken down into 41% Full Time, 53% Part Time, and 6% Contract. Highlights an 83% Physical, 2% Hybrid, and 15% Remote job distribution, with an average salary of $126,879 per year, or $61 per hour.
Revenue Cycle Manager

Revenue Cycle Manager

Credence Global Solutions

Poplar Bluff, MO • On-site

$60K - $65K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 14 days ago

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Job description

Position Summary

The Operations Manager (RCM) is responsible for leading end-to-end revenue cycle operations with a strong focus on billing, prior authorization, denials, and appeals management. This role ensures operational performance, regulatory compliance, and delivery against client and organizational objectives. The Operations Manager oversees large-scale teams, manages inventory and workflow, and implements strategies to improve collections, reduce denials, and optimize revenue outcomes. This position requires a deep understanding of billing systems, payer requirements, and denial management processes, while driving cross-functional collaboration and continuous improvement. Performs other duties as assigned.

Job Roles & Responsibilities

• Lead and oversee daily operations across billing, eligibility, prior authorization, denials, appeals, AR follow-up, and payment posting functions

• Manage and develop large teams (100+ FTEs), including direct supervision, coaching, performance management, and employee development

• Direct denials management operations, including research, appeals, reimbursement analysis, and follow-up on pending claims

• Ensure timely, accurate submission of claims and resolution of accounts to maximize reimbursement and minimize denials

• Analyze reimbursement trends, payer behavior, and denial patterns to drive corrective actions and improve outcomes

• Oversee inventory management, workload distribution, and prioritization to ensure timely execution and reduce aging risk

• Collaborate with cross-functional teams (HR, IT, Compliance, Quality, Training) to support operational initiatives and process improvements

• Act as a liaison across departments to ensure alignment, communication, and execution of revenue cycle initiatives

• Monitor adherence to policies, procedures, and compliance requirements, including auditing and quality assurance activities

• Provide reporting and insights to leadership and clients, including operational performance, KPIs, and improvement plans

• Lead Monthly Business Reviews (MBRs) and support client-facing discussions

• Support hiring, onboarding, training, and ongoing development of team members

• Foster a high-performance culture focused on accountability, engagement, and retention

• Ensure proper payer setup, eligibility validation, and billing system accuracy

• Maintain confidentiality and ensure proper handling of Protected Health Information (PHI)
Qualifications & Requirements

Experience & Education

• Bachelor’s degree required (or equivalent experience)

• 8+ years of experience in end-to-end Revenue Cycle Management (RCM)

• Minimum 3+ years of leadership experience in a high-volume billing or denials management environment

• Experience managing large teams (100+ FTEs) in fast-paced operations

• Laboratory billing experience preferred

Technical & Functional Expertise

• Strong knowledge of reimbursement, billing, coding, and healthcare compliance regulations

• Deep understanding of payer eligibility, benefits, and denial management processes

• Experience with billing systems and revenue cycle platforms

• Proficiency in Microsoft Office Suite, particularly Excel and PowerPoint

• Ability to perform complex data analysis and present findings to leadership

Leadership & Behavioral Competencies

• Strong leadership and team management skills with the ability to drive performance and accountability

• Excellent communication, presentation, and stakeholder management abilities

• Strong analytical, problem-solving, and decision-making skills

• Ability to manage multiple priorities, projects, and workflows simultaneously

• Strong organizational skills and attention to detail

• Ability to collaborate effectively across all levels of the organization

• Demonstrated ability to resolve employee and operational issues efficiently

• Adaptability and ability to operate in a fast-paced, evolving environment

• Commitment to high standards of customer service and operational excellence

Performance Expectations

• Deliver consistent operational performance aligned to KPIs & client expectations

• Proactively identify and resolve operational risks, bottlenecks, and inefficiencies

• Maintain strong ownership of assigned portfolios with measurable improvements in performance

• Provide clear visibility into performance, risks, and action plans

• Lead with accountability while driving team engagement, development, and retention

Company Description

Credence Global Solutions (“CGS”) is a Dallas, Texas based diversified technology driven financial transformation company with deep expertise in receivables management and voice based BPO. With focus on Receivables Management, Healthcare RCM, Technology Platforms and Contact Center verticals, CGS services leading telecommunication, healthcare, and media companies.
Healthcare providers serviced by CGS include medical transport providers, emergency physicians, health infusion service providers and diagnostic laboratories. In the telecommunication vertical, CGS serves four of the top five providers in United States.
Credence Resource Management is the flagship company of the Credence Group.
Our mantra is Excellence Beyond Belief. Challenges, growth opportunities and a passion for the Job enables us to repeatedly deliver excellence to our clients. Our teams are encouraged to continually explore their talents and pursue their interests, giving them the authority to gain knowledge and skills to truly be the expert in their domain. We strive to bring on the best and brightest, as well as to invest in their training and education, making them a seamless extension of your team.
Headquartered in Dallas TX, we have delivery offices in San Jose CA; Natchez MS; Mesa AZ & Pune India. Visit www.credencegs.com to know more about the company.