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Medical Billing Denial Representative 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 ...

We are seeking an experienced, proactive, and detail-oriented Medical Billing Specialist to manage ... You will play a central role in ensuring clean claim submission, prompt denial resolution, and ...

We are seeking an experienced, proactive, and detail-oriented Medical Billing Specialist to manage ... You will play a central role in ensuring clean claim submission, prompt denial resolution, and ...

Insurance Follow Up Rep

Little Rock, AR ยท On-site

$16.75 - $20.25/hr

This is a first level position for an Insurance Follow-up/Denial Representative. The representative ... Experience in medical billing and collections or ICD-10 and CPT coding or exhibits the capability ...

Insurance Follow Up Rep

Little Rock, AR ยท On-site

$16.75 - $20.25/hr

This is a first level position for an Insurance Follow-up/Denial Representative. The representative ... Experience in medical billing and collections or ICD-10 and CPT coding or exhibits the capability ...

Insurance Follow Up Rep

Little Rock, AR ยท On-site

$16.75 - $20.25/hr

This is a first level position for an Insurance Follow-up/Denial Representative. The representative ... Experience in medical billing and collections or ICD-10 and CPT coding or exhibits the capability ...

Insurance Follow Up Rep

Little Rock, AR ยท On-site

$16.75 - $20.25/hr

This is a first level position for an Insurance Follow-up/Denial Representative. The representative ... Experience in medical billing and collections or ICD-10 and CPT coding or exhibits the capability ...

Physician Biller (V)

Hillside, IL ยท On-site

$18 - $23/hr

Staffed with experts in coding, billing, denial management, CDI, and medical collections, we make it a priority in discovering the root cause of revenue cycle challenges and incorporate trend ...

New

Staffed with experts in coding, billing, denial management, CDI, and medical collections, we make it a priority in discovering the root cause of revenue cycle challenges and incorporate trend ...

Physician Biller

Hillside, IL ยท On-site

$25/hr

Staffed with experts in coding, billing, denial management, CDI, and medical collections, we make it a priority in discovering the root cause of revenue cycle challenges and incorporate trend ...

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Medical Billing Denial Representative information

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How much do medical billing denial representative jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for medical billing denial representative in the United States is $20.52, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $22.60 per hour, depending on experience, location, and employer.

What are popular job titles related to Medical Billing Denial Representative jobs?

For Medical Billing Denial Representative jobs, the most frequently searched job titles are:

Infographic showing various Medical Billing Denial Representative job openings in the United States as of June 2026, with employment types broken down into 2% As Needed, 75% Full Time, 17% Part Time, and 6% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $42,673 per year, or $20.5 per hour.

Medical Billing & Denial Specialist (DME)

Wixom, MI โ€ข On-site

J&B Medical Supply Co Inc
Outpatient Health Careย โ€ขย 201 - 500 employees

$19 - $22/hr

Full-time

Medical, PTO

Posted 15 days ago


Job description

Description:

HIRING REMOTE EXPERIENCED BILLERS IN THE FOLLOWING STATES: AL,FL, GA, IN, LA, MS, NC, SC, TN, TX, VA, & WV

***** MI RESIDENTS WITHIN 40 MILES OF 48393 WILL BE HYBRID


Are you an Experienced Medical Biller LOOKING FOR GROWNING COMPANY WITH ROOM FOR ADVANCEMENT?


APPY NOW!


- Full Benefits after 30 Days!! PTO after 90 Days! and MORE!!!!

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 HDMS platform, this role requires deep regulatory knowledge to craft effective, logic-based written appeals that maximize reimbursement. The ideal candidate takes an analytical approach, identifying payer denial trends to proactively prevent recurring billing errors.

Essential Responsibilities & Tasks

Denial Management & System Workflows

  • HDMS Queue Navigation: Utilize Universal Software Solutions HDMS to monitor, prioritize, and process daily denial workflows and collections worksheets.
  • Audit & Correct: Review denied claims within HDMS for coding accuracy and execute required corrections before submission.
  • Appeal  Excellence: Draft well-researched, logical written appeals based on strict contract, coding, and medical record reviews.
  • Payer  Navigation: Resolve claim bottlenecks across commercial, Medicare, Medicaid, and Medicare Advantage plans.
  • No-Response Claims: Investigate outstanding claims with zero payer response to verify receipt and accelerate processing.

Root-Cause Analysis & Strategy

  • Trend Identification: Detect systemic payer denial patterns within HDMS data streams and communicate findings to management to prevent future errors.
  • Policy Tracking: Monitor regulatory changes, Medicare Local Coverage Determinations (LCDs), and individual payer policy shifts.
  • Team Knowledge Share: Inform internal team members of updated payer guidelines and assist with peer education as needed

Operational Support

  • Internal  Collaboration: Partner with coders, billers, and management to resolve cross-departmental coding disputes.
  • Quality Assurance: Achieve designated organizational goals regarding error-free transactions, compliance metrics, and aging AR timelines.
  • Escalation Support: Act as the primary point of contact for complex, unresolved  billing and denial challenges.

Position Type & Schedule

  • Status:   Full-time (40 hours per week).
  • Schedule: Monday through Friday, Day Shift.
  • Flexibility:  Occasional evening and weekend work may be required based on operational demands.
Requirements:

Minimum Qualifications

  • Experience:  3+ years of dedicated DME billing, coding, and insurance collections  experience.
  • Software  Proficiency: 1+ years of hands-on experience navigating Universal Software Solutions HDMS (or similar broad-scale DME enterprise billing software).
  • Payer  Knowledge: Proven background managing Medicare, Medicaid, and commercial claims.
  • Technical Skills: Experience with Electronic Data Interchange (EDI) transmissions and advanced Excel skills.
  • Education:  High school diploma or GED equivalent.

Preferred Qualifications

  • Advanced HDMS Skills: Familiarity with the HDMS workspace, StowPoint document  management, or automated workflow tools.
  • DMEPOS  Expertise: Deep familiarity with DMEPOS fee scheduling files, laws,      and compliance regulations.
  • Regional  Guidelines: Strong working knowledge of Multi-State Medicare Local Coverage Determinations (LCDs).
  • Portal Proficiency: Hands-on experience navigating CMS and EPS provider portals.

Technical Infrastructure (BYOD)

  • Equipment:  This position requires a Bring Your Own Device (BYOD) setup. Equipment  is not provided.
  • Hardware:  You must own and maintain a reliable computer capable of securely running  healthcare software.

Other Duties

All other duties as assigned by management.