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Director Denials Management Jobs (NOW HIRING)

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 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.

Chief Revenue Officer (CRO) - Administration - Full Time

OakBend Medical Center

Richmond, TX • On-site

$150 - $200/hr

Other

Re-posted 20 days ago

Job description

Responsibilities

The Chief Revenue Officer (CRO) is responsible for the strategic oversight and management of the entire revenue cycle process within the hospital, from billing to collections. This role demands an intimate knowledge of payor requirements and contracts, denials and appeals, and key business office KPIs such as clean claim rate, days in AR, Denial Rate, etc. The CRO will develop and execute strategies to enhance revenue cycle efficiency, minimize denials, and ensure optimal financial performance.

KEY RESPONSIBILITIES

Revenue Cycle Management:

  • Oversee all aspects of the hospital’s revenue cycle, including billing, coding, charge capture, and collections.
  • Develop and implement strategies to improve revenue cycle efficiency and effectiveness, ensuring the achievement of key financial goals.
  • Monitor and analyze revenue cycle performance metrics, including clean claim rate, days in AR, net collection rate, etc.

Payor Requirements & Compliance:

  • Maintain a thorough understanding of payor contracts, regulations, and reimbursement policies.
  • Ensure compliance with all federal, state, and local regulations related to billing, coding, and reimbursement.
  • Collaborate with payors to resolve issues, negotiate terms, and optimize reimbursement rates.

Denials Management:

  • Develop and implement a comprehensive denials management program to reduce denial rates and recover lost revenue.
  • Analyze denial trends to identify root causes and implement corrective actions.
  • Lead a team responsible for the timely review, correction, and resubmission of denied claims.

Appeals Process:

  • Oversee the appeals process, ensuring timely and effective resolution of denied claims.
  • Work closely with the clinical and coding teams to gather necessary documentation for successful appeals.
  • Track and report on the success rate of appeals, making improvements to the process as needed.

Team Leadership & Development:

  • Lead, mentor, and develop a team of revenue cycle professionals, including billing, collections, and denials management staff.
  • Promote a culture of collaboration and accountability, focusing on continuous improvement. Work closely with cross-functional partners to achieve shared goals.
  • Conduct regular performance reviews, offering continuous feedback, training, and development opportunities to enhance team capabilities

Strategic Planning & Reporting:

  • Work with executive leadership to develop and execute revenue cycle strategies that align with the organization's financial goals.
  • Prepare and present regular reports on revenue cycle performance, including trends in denials and appeals, to senior management.
  • Identify and implement best practices and emerging technologies to enhance revenue cycle efficiency and effectiveness.
Qualifications

MINIMUM EDUCATION:

Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field; Master’s degree preferred.

MINIMUM WORK EXPERIENCE:

Minimum of 7-10 years of experience in healthcare revenue cycle management, with at least 5 years in a leadership role.

REQUIRED LICENSES/CERTIFICATIONS:

None.

REQUIRED SKILLS, KNOWLEDGE, AND ABILITIES:

Knowledge and expertise in hospital managed‑care contracting, billing and collection for services provided. Intimate knowledge of payor requirements, including Medicare, Medicaid, and commercial insurance. Proven expertise in denials management and the appeals process. Excellent communication, negotiation, and leadership skills.

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