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Remote Denial Management Jobs (NOW HIRING)

Evergreen Health

Denial Management Specialist

Kirkland, WA · Remote

$28.83 - $46.14/hr

... Remote in Washington State only Posted wage ranges represent the entire range from minimum to ... that impact denial management processes. 8. Participates in training focused on denial trends ...

Nationwide Credit & Collection Inc.

Be Seen First

Denial Management Specialist

Oak Brook, IL · Remote

$22 - $25/hr

... a remote setting · Strong organizational skills Experience Preferred: · 2 years previous experience in medical denial management · Minimum of 1-year recent Epic experience with the Resolute ...

EvergreenHealth

Denial Management Specialist

Kirkland, WA · Remote

$28.83 - $46.14/hr

... Remote in Washington State only Posted wage ranges represent the entire range from minimum to ... that impact denial management processes. 8. Participates in training focused on denial trends ...

Vital Connect Inc

Denial Management Specialist

CA · Remote

Description Purpose The Denial Management Specialist role belongs to the Revenue Cycle team and is ... This is a fully remote role** Responsibilities * Comprehensive research and review to resolve payer ...

Akron Children's Hospital

Coding Denial Specialist

Akron, OH · On-site +1

$18 - $23/hr

Full-time, 40 hours/week Monday-Friday 8am-4:30pm Remote Summary: The Denial Coding Specialist ... Reviews EPIC work queues daily for Denial management and makes necessary and appropriate coding ...

REVASCENT LLC

AR Scpecalist

Meridian, ID · On-site +1

$18 - $25/hr

Position Summary The Denial Management Specialist is responsible for reviewing, analyzing, and ... Remote or hybrid based on company structure. * May require occasional payer calls or joint review ...

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Remote Denial Management information

What is remote denial management?

Remote denial management refers to the process of identifying, analyzing, and resolving insurance claim denials from a remote location, typically using digital tools and secure internet connections. Professionals in this role work to ensure that healthcare providers are reimbursed for their services by investigating the reasons for denials, appealing claims, and implementing strategies to reduce future denials. This job is crucial for maintaining healthy cash flow in medical practices and hospitals, and it often involves strong analytical, communication, and problem-solving skills.

What are the key skills and qualifications needed to thrive in remote denial management, and why are they important?

To thrive as a Remote Denial Management Specialist, you need a strong understanding of medical billing, insurance claims processing, and healthcare regulations, often backed by experience in revenue cycle management or a related certification. Familiarity with denial management software, electronic health records (EHRs), and payer portals is essential for efficiently tracking and resolving claim denials. Attention to detail, excellent communication, and problem-solving abilities help specialists effectively appeal denials and collaborate with providers and payers. These competencies are crucial to ensure accurate reimbursement, reduce revenue loss, and maintain compliance in a remote healthcare environment.

What is the difference between Remote Denial Management vs Remote Claims Processing?

AspectRemote Denial ManagementRemote Claims Processing
Primary FocusHandling claim denials, appeals, and resolutionProcessing and submitting insurance claims
Skills & CertificationsKnowledge of insurance policies, denial codes, and appeals processesAttention to detail, data entry, basic insurance knowledge
Work EnvironmentHealthcare providers, insurance companies, remoteHealthcare providers, insurance companies, remote
Industry UsageCommon in medical billing and revenue cycle managementCommon in medical billing and claims submission

Remote Denial Management focuses on resolving denied claims through appeals and follow-up, while Remote Claims Processing involves submitting and managing insurance claims. Both roles require insurance knowledge and are vital in healthcare revenue cycle management, but they differ in their primary responsibilities and workflow.

What are some common challenges faced in remote denial management, and how can they be addressed?

Remote Denial Management professionals often encounter challenges such as limited access to physical records, communication delays with payers or healthcare providers, and navigating various billing systems. To address these, it's important to develop strong digital organizational skills, maintain clear and proactive communication with team members and external parties, and stay updated on payer policies and denial trends. Leveraging robust denial management software and collaborating with other revenue cycle teams can also help overcome these obstacles and improve claim resolution rates.
More about Remote Denial Management jobs
What cities are hiring for Remote Denial Management jobs? Cities with the most Remote Denial Management job openings:
What are the most commonly searched types of Denial Management jobs? The most popular types of Denial Management jobs are:
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Remote Denial Management jobs near you
Infographic showing various Remote Denial Management job openings in the United States as of July 2026, with employment types broken down into 20% Internship, 64% Full Time, 12% Part Time, 1% Contract, and 3% Summer. Highlights an 84% Physical, 2% Hybrid, and 14% Remote job distribution.

Denial Management Specialist

Evergreen Health

Kirkland, WA • Remote

$28.83 - $46.14/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 21 days ago

Job 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:

REQUIREDfor 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

DESIREDfor 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

Employment Type: Full-Time
Evergreen Health logo

About Evergreen Health

Sourced by ZipRecruiter

Evergreen Health, located in Buffalo, NY, US, is a reputable organization in the healthcare industry. Established in 1983 initially as an AIDS Service Organization, it has continually evolved to meet the diverse health needs of the individuals it serves. Their objective extends beyond just providing medical care, as they believe in fostering an environment that promotes comprehensive health, wellness and recovery. The website, evergreenhs.org, provides an insight into their extensive range of services including primary and specialty medical care, supportive services, pharmacy services, community health, behavioral health, and substance use disorders services.

Industry

Health care and social assistance

Company size

201 - 500 Employees

Headquarters location

Buffalo, NY, US

Year founded

1983

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