ZipRecruiter

Log In

1

Insurance Denial Jobs (NOW HIRING)

Revco Solutions

Denial Insurance Follow Up Specialist

$19 - $21/hr

The Denial Follow Up Specialist handles inbound and outbound calls with insurances and follow up on accounts within a timely manner working towards a one touch resolution. Duties & Responsibilities:

University Health

Reimbursement Specialist

San Antonio, TX · On-site

$19.55 - $29.75/hr

Serves as a resource in facilitating resolution of insurance denial referrals. Communicates effectively with pharmacy, hospital administration, medical staff, patients and personnel in the patient ...

University Health

Reimbursement Specialist

San Antonio, TX · On-site

$19.55 - $29.75/hr

Serves as a resource in facilitating resolution of insurance denial referrals. Communicates effectively with pharmacy, hospital administration, medical staff, patients and personnel in the patient ...

next page

Showing results 1-20

People also search for

All JobsInsurance Denial Jobs

Insurance Denial information

See salary details

$28K

$62.3K

$105K

How much do insurance denial jobs pay per year?

As of Jun 1, 2026, the average yearly pay for insurance denial in the United States is $62,283.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,000.00 and $83,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an Insurance Denial Specialist, and why are they important?

To thrive as an Insurance Denial Specialist, you need a solid understanding of medical billing, insurance policies, and claims processing, often supported by experience in healthcare administration or a related certification. Familiarity with billing software, electronic health records (EHRs), and denial management systems is typically required. Strong analytical thinking, attention to detail, and effective communication skills help in resolving claim issues and collaborating with both patients and insurance providers. These skills are crucial for efficiently overturning denials, optimizing reimbursements, and ensuring financial stability for healthcare organizations.

What are some common challenges faced by professionals working in insurance denial roles and how can they be addressed?

Professionals in insurance denial roles often encounter challenges such as navigating complex insurance policies, handling high volumes of denied claims, and communicating with both patients and insurance providers to resolve issues. Staying updated on payer guidelines and developing strong organizational skills are essential to efficiently manage appeals and minimize errors. Collaboration with billing and clinical teams can help identify patterns in denials and implement process improvements, ultimately leading to higher claim approval rates and smoother workflows.

What is insurance denial?

Insurance denial occurs when an insurance company refuses to pay for a healthcare service, treatment, or medication that was submitted in a claim. This can happen for various reasons, such as missing information, services not being covered under the policy, or lack of pre-authorization. Understanding the reason for the denial is important, as patients or providers can often appeal the decision if they believe it was made in error. Handling insurance denials is a critical part of medical billing and revenue cycle management.

What is the difference between Insurance Denial vs Insurance Claims Specialist?

AspectInsurance DenialInsurance Claims Specialist
Primary RoleHandling and resolving denied insurance claimsProcessing, reviewing, and submitting insurance claims
Required CredentialsKnowledge of insurance policies, denial reasonsUnderstanding of claims procedures, certifications vary
Work EnvironmentHealthcare providers, insurance companies, legal settingsHospitals, clinics, insurance companies
Industry UsageFocuses on appeals and resolution of denialsFocuses on claim submission and processing

Insurance Denial specialists focus on addressing and resolving claims that have been denied, often involving appeals and detailed review. Insurance Claims Specialists handle the entire claims process, from submission to follow-up. While both roles require knowledge of insurance policies, their primary functions differ: one resolves denials, the other manages claims from start to finish.

What cities are hiring for Insurance Denial jobs? Cities with the most Insurance Denial job openings:
What states have the most Insurance Denial jobs? States with the most job openings for Insurance Denial jobs include:
Insurance Denial jobs near you
Insurance Denial Specialist

Insurance Denial Specialist

Madera Community Hospital

Madera, CA • On-site

Full-time

Posted 12 days ago

Job description

Position Summary

The Insurance Denial Specialist is responsible for reviewing, analyzing, and resolving denied or underpaid insurance claims to ensure accurate and timely reimbursement for hospital and professional services. This position works closely with billing staff, clinical departments, physicians, and insurance payers to identify denial trends, correct claim issues, submit appeals, and improve overall revenue cycle performance.

The ideal candidate demonstrates strong analytical skills, knowledge of healthcare insurance processes, payer regulations, medical terminology, and hospital billing practices.

Essential Duties and Responsibilities

  • Review and resolve denied, rejected, and underpaid claims from commercial, government, and managed care payers.
  • Investigate denial reasons and determine appropriate corrective action.
  • Prepare and submit timely appeals with supporting documentation.
  • Work closely with coding, billing, case management, utilization review, and clinical departments to obtain necessary information for appeals and claim corrections.
  • Monitor payer portals and insurance correspondence for claim status updates.
  • Identify recurring denial trends and communicate findings to leadership.
  • Ensure compliance with payer guidelines, CMS regulations, and hospital policies.
  • Maintain productivity and accuracy standards established by the department.
  • Follow up on outstanding accounts receivable related to denials and appeals.
  • Document all actions taken within the billing and patient accounting systems.
  • Assist with payer audits and requests for additional information.
  • Participate in process improvement initiatives to reduce future denials and improve reimbursement.
  • Maintain confidentiality of patient information in accordance with HIPAA regulations.
  • Perform other duties as assigned.

Minimum Qualifications

Education

  • High school diploma or equivalent required.
  • Associate degree in Healthcare Administration, Medical Billing & Coding, or related field preferred.

Experience

  • Minimum of two (2) years of healthcare billing, insurance follow-up, denial management, or revenue cycle experience preferred.
  • Hospital acute care billing experience preferred.

Knowledge, Skills, and Abilities

  • Knowledge of medical terminology, CPT, ICD-10, and HCPCS coding concepts.
  • Understanding of commercial insurance, Medicare, Medi-Cal, and managed care reimbursement methodologies.
  • Familiarity with claim appeals and denial resolution processes.
  • Strong analytical and problem-solving skills.
  • Ability to prioritize workload and meet deadlines.
  • Excellent written and verbal communication skills.
  • Proficient computer skills, including EMR and billing systems.
  • Ability to work independently and collaboratively in a fast-paced environment.

Preferred Qualifications

  • Certified Professional Biller (CPB) or related certification preferred.
  • Experience with hospital information systems and revenue cycle platforms.
  • Prior experience with payer audits and appeals management.
  • Experience with Meditech Electronic Health Record (EHR) system preferred.

Apply