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Remote Denial Management Jobs (NOW HIRING)

Denial Management Specialist

Kirkland, WA ยท 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 ...

Denial Management Specialist

Kirkland, WA ยท 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 ...

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

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 ...

We are looking for a Denial Management Coordinator to join our team to train AI models. You will ... Benefits Full-time or part-time remote position Choose which projects you want to work on Flexible ...

We are looking for a Denial Management Coordinator to join our team to train AI models. You will ... Benefits Full-time or part-time remote position Choose which projects you want to work on Flexible ...

We are looking for a Denial Management Coordinator to join our team to train AI models. You will ... Benefits Full-time or part-time remote position Choose which projects you want to work on Flexible ...

We are looking for a Denial Management Coordinator to join our team to train AI models. You will ... Benefits Full-time or part-time remote position Choose which projects you want to work on Flexible ...

We are looking for a Denial Management Coordinator to join our team to train AI models. You will ... Benefits Full-time or part-time remote position Choose which projects you want to work on Flexible ...

We are looking for a Denial Management Coordinator to join our team to train AI models. You will ... Benefits Full-time or part-time remote position Choose which projects you want to work on Flexible ...

We are looking for a Denial Management Coordinator to join our team to train AI models. You will ... Benefits Full-time or part-time remote position Choose which projects you want to work on Flexible ...

$20.75 - $28.50/hr

Opportunities for Internal Mobility Job Purpose The Denial Management Coder will be responsible for corrections to individual accounts with include CPT and/or ICD-10 Corrections, applications of ...

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Remote Denial Management information

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How much do remote denial management jobs pay per hour?

As of May 30, 2026, the average hourly pay for remote denial management in the United States is $30.69, according to ZipRecruiter salary data. Most workers in this role earn between $30.05 and $30.05 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Remote Denial Management Specialist, 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 are some common challenges faced in a Remote Denial Management role, 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.

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 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.

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:
What states have the most Remote Denial Management jobs? States with the most job openings for Remote Denial Management jobs include:
Infographic showing various Remote Denial Management job openings in the United States as of May 2026, with employment types broken down into 8% Internship, 15% As Needed, 8% Full Time, 15% Temporary, and 54% Contract. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $63,838 per year, or $30.7 per hour.
Denial Management Specialist

Denial Management Specialist

Evergreen Health

Kirkland, WA โ€ข Remote

$28.83 - $46.14/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 15 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:

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.
EvergreenHealth Benefits Guide
Employment Type: Full-Time