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Director Denials Management Jobs (NOW HIRING)

Revecore

Head of Denials

Franklin, TN · Remote

For over 25 years, we've been at the forefront of specialized claims management, helping healthcare ... Remote - USA As Revecore's Head of Denials and Receivables, you will: Primarily be responsible ...

Credence Global Solutions

Be Seen First

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 ...

Private Practice

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Director of Billing and Credentialing

Miami, FL · On-site

... denials management, and ensuring contract compliance. The Director will collaborate with internal ... departments to enhance revenue cycle performance, leveraging both analytical insights and ...

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All JobsDirector Denials Management Jobs

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 Jun 9, 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:
What are the most commonly searched types of Denials Management jobs? The most popular types of Denials Management jobs are:
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What job categories do people searching Director Denials Management jobs look for? The top searched job categories for Director Denials Management jobs are:
Director Denials Management jobs near you
Infographic showing various Director Denials Management job openings in the United States as of May 2026, with employment types broken down into 1% As Needed, 95% Full Time, 2% Part Time, and 2% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $126,879 per year, or $61 per hour.
Head of Denials

Head of Denials

Revecore

Franklin, TN • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

Revecore rating

8.1

Company rating: 8.1 out of 10

Based on 22 frontline employees who took The Breakroom Quiz

Job description

Our Company:

Start your next chapter at Revecore! For over 25 years, we've been at the forefront of specialized claims management, helping healthcare providers recover meaningful revenue to enhance quality patient care in their communities. We're powered by people, driven by technology, and dedicated to our clients and employees. If you're looking for a collaborative and diverse culture with a great work/life balance, look no further.

As part of our team, you'll be rewarded with:

  • Comprehensive medical, dental, vision, and life insurance benefits from the start of your employment
  • 12 paid holidays and flexible paid time off
  • 401(k) contributions
  • Employee Resource Groups that build community
  • Career growth opportunities
  • An excellent work/life balance

Location:Remote - USA

As Revecore's Head of Denials and Receivables, you will:

Primarily be responsible forthe overall delivery of the Denials & Receivables solutions. Establish and execute operations strategies for solutions beginning with planning and through client delivery.The successful candidate will have the following: Expert-level knowledge of acute care hospital provider revenue cycle operations and systems best practices; expert-level knowledge of denial management strategies and tactics; technical and data savvy; operations savvy and efficiency conscious; excellent communication and collaboration skills; excellent critical thinking skills; experience leading and motivating large teams; deep understanding of the end-to-end RCM and denials business from an RCM vendor perspective; ability to leverage AI-driven tools and technologies to enhance solution delivery

The Role:

  • Lead delivery of Denials & Receivables solutions, including provide leadership, direction, and guidance to solution delivery team
  • Serve as a strategic thought leader in the denials and RCM space, contributing to industry conversations, internal innovation, and competitive positioning
  • Develop and execute resource plan to support solution objectives
  • Contribute to solution roadmap including technology and resource requirements, including evaluation and adoption of AI and automation capabilities
  • Champion a culture of innovation within the team by identifying emerging industry trends, piloting new approaches to denials management, and scaling solutions that deliver measurable outcomes
  • Utilizes advanced data analytics to identify trends, track performance, and make data-driven decisions
  • Develop and monitor key performance indicators to ensure solution objectives are met. Production Management, Core Metrics, KPIs driven.
  • Collaborate with information technology to achieve development objectives
  • Identify and implement process improvements to streamline operations
  • Develop and execute workforce planning and resource strategies to support solution objectives and organizational scaling
  • Ensure adherence to industry regulations and compliance requirements
  • Collaborates with other internal departments, such as sales, client success, finance, and human resources to achieve business objectives
  • Develop and monitor departmental budgets and forecasts; ownership of solution P&L
  • Represent firm in the marketplace to build brand and new business development
  • Performs other duties as assigned

You'll be successful if you have:

  • Minimum 10 years' back-end revenue cycle operations experience with a focus on hospital acute care clients
  • Previous executive leadership experience from an RCM vendor environment, both onshore and offshore (i.e. India and Philippines)
  • Executive-level communication skills, both written and verbal, with demonstrated ability to present to C-suite and board-level audiences
  • Demonstrated experience leveraging AI solutions to improve denials outcomes, workflow efficiency, or predictive analytics. Demonstrated history of bringing innovative solutions or approaches to denials management or broader RCM operations, including process redesign, technology adoption, or new service models
  • Technically savvy with the ability to manage large sets of data. You stay current on the technologies that matter in the healthcare revenue cycle space. Strong data analytics abilities, including experience translating complex data sets into actionable operational and strategic insights
  • Proven workforce planning capabilities, including forecasting, capacity modeling, and talent strategy in a high-volume operational environment
  • Financial acumen - a strong understanding of financial metrics and ability to connect the dots between day-to-day work and business performance
  • Demonstrated ability to consistently deliver results. Whether the conditions are ideal or not, you find a way to hit your goals and deliver outcomes that matter to your clients
  • Ability and desire to operate at strategic and tactical levels
  • Demonstrated computer proficiency including advanced proficiency in Microsoft Excel and working knowledge of MS Office Suite

Work at Home Requirements:

  • A quiet, distraction-free environment to work from in your home.
  • A secure home internet connection with speeds >20 Mbps for downloads and >10 Mbps for uploads is required.
  • The workspace area accommodates all workstation equipment and related materials and provides adequate surface area to be productive.

Employment is contingent upon eligibility to work in the U.S., employment history verification, and a background check.

Revecore is an equal opportunity employer that does not discriminate based on race, color, religion, sex or gender, gender identity or expression, sexual orientation, national origin, age, disability status, veteran status, genetic information, or any other legally protected status. We believe that a diverse workforce fosters innovation and creativity, enriches our culture, and enables us to better serve the needs of our clients and communities. We welcome and encourage individuals of all backgrounds, perspectives, and abilities to apply.

Must reside in the United Stateswithin one of the states listed below:

Alabama, Arkansas, Florida, Georgia, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Massachusetts Michigan, Minnesota, Mississippi Missouri, Nebraska, New Hampshire North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Vermont, Virginia, West Virginia and Wisconsin

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