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Flexible Denial Management Jobs (NOW HIRING)

Denial Management Specialist

Kirkland, WA · On-site

$28.83 - $46.14/hr

Description Wage Range: $28.83 - $46.14 per hour 5 years of experience in denial management ... Flexible Spending Account * Life and disability insurance * Retirement plans (457(b) and 401(a ...

Denial Management Specialist

Kirkland, WA · Remote

$28.83 - $46.14/hr

Wage Range: $28.83 - $46.14 per hour 5 years of experience in denial management, utilization review ... Flexible Spending Account * Life and disability insurance * Retirement plans (457(b) and 401(a ...

Denial Management Specialist

Kirkland, WA · Remote

$28.83 - $46.14/hr

Wage Range: $28.83 - $46.14 per hour 5 years of experience in denial management, utilization review ... Flexible Spending Account * Life and disability insurance * Retirement plans (457(b) and 401(a ...

EHPB Denial Management Spec

Kirkland, WA · On-site

$21.52 - $34.43/hr

Denial management criteria include accounts that have potential financial impact such as ... Flexible Spending Account * Life and disability insurance * Retirement plans (457(b) and 401(a ...

EHPB Denial Management Spec

Kirkland, WA · On-site

$21.52 - $34.43/hr

Denial management criteria include accounts that have potential financial impact such as ... Flexible Spending Account * Life and disability insurance * Retirement plans (457(b) and 401(a ...

EHPB Denial Management Spec

Kirkland, WA · On-site

$21.52 - $34.43/hr

Denial management criteria include accounts that have potential financial impact such as ... Flexible Spending Account * Life and disability insurance * Retirement plans (457(b) and 401(a ...

Flexible hours & Work from home remote option Starting Salary: $17 AND UP (depending on specific ... management crew making magic happen in the billing follow-up and denial management world. You'll ...

If you have a strong background in billing, denial management, collections, and a comprehensive ... Competitive paid parental leave and flexible return to work policy. * We invest in your career. Our ...

... claims processing, denial management, and accounts receivable follow-up in a fully remote ... Unlimited PTO -- Enjoy flexible, unlimited paid time off, provided weekly, monthly, and annual ...

This position also oversees escalations, payer communications, denial management, and compliance ... Flexible Spending and Health Saving Accounts * Employee Assistance Program * Free Parking * Paid ...

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Showing results 1-20

Flexible Denial Management information

See salary details

$39.5K

$120.2K

$198.5K

How much do flexible denial management jobs pay per year?

As of Aug 8, 2026, the average yearly pay for flexible denial management in the United States is $120,205.00, according to ZipRecruiter salary data. Most workers in this role earn between $87,000.00 and $150,000.00 per year, depending on experience, location, and employer.

What is flexible denial management?

Flexible Denial Management refers to the strategies and processes used by healthcare organizations to identify, manage, and resolve denied insurance claims efficiently. It involves using analytics, workflow automation, and best practices to address the root causes of claim denials and maximize revenue recovery. By adapting to changing payer rules and proactively managing denials, organizations can improve cash flow, reduce administrative costs, and enhance overall revenue cycle performance.

What is the difference between Flexible Denial Management vs Claims Analyst?

AspectFlexible Denial ManagementClaims Analyst
CredentialsTypically requires knowledge of insurance policies, coding, and denial processesRequires understanding of insurance policies, data analysis, and claims processing
Work EnvironmentHealthcare or insurance companies, often in office settingsInsurance companies, healthcare providers, or third-party administrators
Industry UsageCommonly used in healthcare billing and insurance claimsUsed across insurance, healthcare, and financial sectors

Flexible Denial Management focuses on identifying, appealing, and resolving denied insurance claims, often requiring specialized knowledge of denial reasons and coding. Claims Analysts analyze claims data, identify issues, and ensure accurate processing. While both roles involve insurance claims, Flexible Denial Management is more specialized in handling claim denials and appeals, whereas Claims Analysts focus on overall claims processing and data analysis.

What skills and qualifications are needed to thrive as a denial management specialist?

To thrive as a Denial Management Specialist, you need in-depth knowledge of medical billing, coding, claims processing, and insurance policies, often supported by a degree in healthcare administration or a related field. Familiarity with healthcare reimbursement systems, EHRs, and claims management software such as Epic or Cerner is typically required. Strong analytical abilities, attention to detail, and effective communication skills help in resolving claim denials and collaborating with payers or providers. These skills ensure accurate claim resolution, maximize revenue recovery, and support the financial health of healthcare organizations.

How does a flexible denial management professional collaborate with clinical and billing teams to resolve claim denials?

In a Flexible Denial Management role, professionals work closely with both clinical and billing teams to investigate the root causes of claim denials and develop strategies for resolution. They often review denial codes, communicate with healthcare providers to clarify documentation, and coordinate with billing specialists to resubmit corrected claims. This collaborative approach helps ensure timely reimbursements and reduces the likelihood of recurring denials. Effective communication and a proactive attitude are key to successfully navigating the complexities of insurance requirements and healthcare regulations.
More about Flexible Denial Management jobs
What cities are hiring for Flexible Denial Management jobs? Cities with the most Flexible Denial Management job openings:
What are the most commonly searched types of Denial Management jobs? The most popular types of Denial Management jobs are:
What states have the most Flexible Denial Management jobs? States with the most job openings for Flexible Denial Management jobs include:
Infographic showing various Flexible Denial Management job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 88% Physical, 2% Hybrid, and 10% Remote job distribution, with an average salary of $120,205 per year, or $57.8 per hour.

Denial Management Specialist

EvergreenHealth

Kirkland, WA • On-site

$28.83 - $46.14/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 26 days ago


Job description

Description
Wage Range: $28.83 - $46.14 per hour
5 years of experience in denial management, utilization review or prior authorization in a hospital, provider, or healthcare system.
Healthcare medical billing and reimbursement
Remote in Washington State only
Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity.
Job Summary:
Responsible for the review, appeal strategy, resolution and reporting of payer claim denials to recover reimbursement for EvergreenHealth. Maintains accountability for final appeal determinations and financial outcomes of assigned denials, including validation of triage decisions and direction of appeal activities. Analyzes denial trends, develops appeal strategies, collaborates with clinical and operational departments, and maintains detailed documentation throughout the appeal lifecycle. Communicates with payer representatives, contributes to denial prevention efforts, and adapts to evolving payer policies and system upgrades.
Primary Duties:
1. Reviews and validates recommended next steps for referred claim denials. Maintains final responsibility for appeal strategy and financial outcome.
2. Maintains accurate documentation of denial activity and appeal actions in electronic medical record (EMR) system and supporting tools.
3. Develops appeal strategy and drafts and submits timely appeals supported by documentation, clinical input, and payer criteria.
4. Collaborates with departments including Case Management, Coding, and Health Information Management (HIM) to gather supporting documentation that will strengthen the appeals.
5. Refers complex or escalated denials to senior team members or leadership as appropriate.
6. Reviews and validates denial trends and communicates payer feedback to promote consistency in documentation, appeal strategy, and resolution processes.
7. Monitors payer websites for changes in reimbursement requirements that impact denial management processes.
8. Participates in training focused on denial trends, payer-specific appeal strategies, and continuous learning around EMR tools.
9. Performs other duties as assigned.
License, Certification, Education or Experience:
REQUIRED for the position:
• Associate's degree in related area or equivalent combination of education and experience
• 5 years of experience in denial management, utilization review or prior authorization in a hospital, provider, or healthcare system.
• Experience in healthcare billing and reimbursement
• Experience with EMR system workflows
• Strong knowledge of health care services reimbursement methodologies
• Knowledge of claim forms and remittance advices, including coding and billing practices
• Ability to interpret contract language
• Working knowledge of medical terminology
DESIRED for the position:
• Bachelor's degree
• Previous training experience and knowledge of adult learning
• Experience with Epic EMR
Benefit Information:Choices that care for you and your family
At EvergreenHealth, we appreciate our employees' commitment and contribution to our success. We are proud to offer a suite of quality benefits and resources that are comprehensive, flexible, and competitive to help our staff and their loved ones maintain and improve health and financial well-being.
  • Medical, vision and dental insurance
  • On-demand virtual health care
  • Health Savings Account
  • Flexible Spending Account
  • Life and disability insurance
  • Retirement plans (457(b) and 401(a) with employer contribution)
  • Tuition assistance for undergraduate and graduate degrees
  • Federal Public Service Loan Forgiveness program
  • Paid Time Off/Vacation
  • Extended Illness Bank/Sick Leave
  • Paid holidays
  • Voluntary hospital indemnity insurance
  • Voluntary identity theft protection
  • Voluntary legal insurance
  • Pay in lieu of benefits premium program
  • Free parking
  • Commuter benefits

View a summary of our total rewards available to you as an EvergreenHealth team member by clicking on the link below.
Kirkland Employee Benefits Kirkland, WA EvergreenHealth

EvergreenHealth logo

About EvergreenHealth

Sourced by ZipRecruiter

At EvergreenHealth, we appreciate our employees' commitment and contribution to our success. We are proud to offer a suite of quality benefits and resources that are comprehensive, flexible, and competitive to help our staff and their loved ones maintain and improve health and financial well-being.

Industry

Hospitals

Company size

1,001 - 5,000 Employees

Headquarters location

Kirkland, WA, US

Year founded

1972