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Insurance Denial Specialist Jobs (NOW HIRING)

The Medical Billing & Denial Specialist is responsible for analyzing, appealing, and resolving insurance claim denials for Durable Medical Equipment (DME). Utilizing the Universal Software Solutions ...

Denial Specialist

Austin, TX

$17.75 - $23.75/hr

Research and develop leads for potential claims Reviews and evaluates provider billing itemizations and records Create insurance claims for billing Understand the check disposition process at a high ...

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Insurance Denial Specialist information

See salary details

$27K

$57.4K

$97.5K

How much do insurance denial specialist jobs pay per year?

As of Sep 15, 2026, the average yearly pay for insurance denial specialist in the United States is $57,372.00, according to ZipRecruiter salary data. Most workers in this role earn between $38,500.00 and $74,000.00 per year, depending on experience, location, and employer.

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

AspectInsurance Denial SpecialistInsurance Claims Processor
CredentialsCertifications like CPC, CPC-H often preferredSimilar certifications may be beneficial but less common
Work EnvironmentHealthcare offices, insurance companies, hospitalsInsurance companies, healthcare facilities, billing departments
Job FocusReviewing and appealing denied claims, resolving disputesProcessing and entering insurance claims, data entry
Common UsageHandling claim denials and appealsSubmitting and managing claims for payment

While both roles involve working with insurance claims, the Insurance Denial Specialist primarily focuses on reviewing denied claims and managing appeals, whereas the Insurance Claims Processor handles the initial submission and processing of claims. The Denial Specialist requires specific knowledge of denial reasons and appeals processes, making it more specialized in claim resolution.

Does an insurance denial specialist need to be certified?

Insurance denial specialists typically do not require formal certification, but having certifications such as the Certified Insurance Claims Professional (CICP) or related credentials can enhance credibility and job prospects. Employers may also value knowledge of insurance policies, claims processing, and relevant software skills.

What does an insurance denial specialist do?

An insurance denial specialist reviews and analyzes insurance claim denials to determine reasons for rejection. They communicate with insurance companies, gather supporting documentation, and work to resolve issues to ensure claims are approved or properly appealed. This role requires knowledge of insurance policies, claims processing, and attention to detail.

What cities are hiring for Insurance Denial Specialist jobs?

Cities with the most Insurance Denial Specialist job openings:

What states have the most Insurance Denial Specialist jobs?

States with the most job openings for Insurance Denial Specialist jobs include:

What are popular job titles related to Insurance Denial Specialist jobs?

For Insurance Denial Specialist jobs, the most frequently searched job titles are:

Insurance Denial Specialist

Wichita, KS • On-site

Kansas Surgery & Recovery Center
Health Care and Social Assistance • 11 - 50 employees

Full-time

Medical, Dental, Vision, Retirement

Posted 11 days ago


Job description

Come join the Kansas Surgery and Recovery Center Team!  We are the leading surgery specialty hospital in Kansas with over 100 physicians performing elective procedures across numerous specialties providing exceptional patient care!  Our facility strives to be the preferred choice for surgery for Wichita as well as across Kansas.  With consistently high rankings from HealthGrades, we are a leading surgery specialty hospital in Kansas, continually investing in new technologies allowing us to be a trailblazer in our industry.

Insurance Denial Specialist

We are seeking a detail-oriented, proactive Patient Accounts Specialist with strong experience in insurance denial management.  In this critical revenue cycle role, you will review, analyze, and resolve denied and unpaid claims to ensure accurate and timely reimbursement.  You will collaborate with payers, clinical teams, and billing staff to reduce preventable denials, recover outstanding revenue, and improve overall claims performance.

Hours

Full-time: Monday – Friday 8:00 am-4:30 pm. 

Requirements

Prefer 2+ years of experience in a medical office setting with experience in third party reimbursement and coding in a hospital or medical office setting.

Education

Require high school graduate or GED.  Prefer college education and formal training in medical terminology and computer courses.

Benefits

Full-time employees are eligible for a variety of benefits, including health, dental, vision and 401(k).

From Office of Human Resources

Thank you for your interest in Kansas Surgery & Recovery Center. We are an equal opportunity employer that complies with the Americans with Disabilities act.

Any offer of employment is contingent upon the ability to provide documentation that demonstrates employment eligibility as required by the Immigration Reform and Control Act of 1986, passage of a drug test, and a physical test. Conditions of employment include background check and Medicare sanction check.