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Remote Denial Management Jobs in California (NOW HIRING)

Deloitte

Epic Denials Management Operator

Costa Mesa, CA · Remote

$19.25 - $25.75/hr

This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...

Deloitte

Epic Denials Management Operator

San Diego, CA · Remote

$19 - $25.50/hr

This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...

Deloitte

Epic Denials Management Operator

Los Angeles, CA · Remote

$19.50 - $25.75/hr

This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...

Deloitte

Epic Denials Management Operator

San Jose, CA · Remote

$21 - $28.25/hr

This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...

Deloitte

Epic Denials Management Operator

Sacramento, CA · Remote

$19.25 - $25.50/hr

This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...

Deloitte

Epic Denials Management Operator

San Francisco, CA · Remote

$21.25 - $28.25/hr

This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...

Deloitte

Epic Denials Management Operator

Inglewood, CA · Remote

$18.75 - $25/hr

This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...

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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 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.

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 the most commonly searched types of Denial Management jobs in California?

The most popular types of Denial Management jobs in California are:

What are popular job titles related to Remote Denial Management jobs in California?

For Remote Denial Management jobs in California, the most frequently searched job titles are:

What job categories do people searching Remote Denial Management jobs in California look for?

The top searched job categories for Remote Denial Management jobs in California are:

What cities in California are hiring for Remote Denial Management jobs?

Cities in California with the most Remote Denial Management job openings:

Remote Denial Management jobs near you
Infographic showing various Remote Denial Management job openings in California as of August 2026, with employment types broken down into 92% Full Time, 4% Part Time, and 4% Contract. Highlights an 100% Remote job distribution.

Appeals Manager - Fully Remote | Upto $93/hr

Mercor

San Francisco, CA • Remote

$93/hr

Full-time

Re-posted 18 days ago

Job description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.

Position: Denials Management & Appeals Manager
Type: Contract
Compensation: $93/hour
Location: Remote

Role Responsibilities

  • Lead denials management and appeals operations. Oversee the identification, categorization, and resolution of claim denials.
  • Evaluate AI-generated appeal letters, denial root cause analyses, and denial prevention recommendations for accuracy and effectiveness.
  • Analyze denial trends by payer, denial code (CARC/RARC), and denial category to identify systemic root causes.
  • Develop and manage clinical and technical appeal strategies across multiple payer types.
  • Coordinate with clinical, coding, billing, and compliance teams to implement denial prevention initiatives.
  • Monitor denial management KPIs including denial rates, appeal overturn rates, revenue recovery, and days in A/R.
  • Ensure compliance with payer appeal requirements, CMS regulations, and timely filing deadlines.
  • Annotate AI outputs and provide structured feedback to support AI training datasets.

Qualifications

Must-Have

  • 5+ years of experience in denials management, appeals, or revenue cycle operations, with at least 2 years in a management role.
  • Deep knowledge of CARC/RARC denial codes, payer denial patterns, and appeal strategies across commercial, Medicare, and Medicaid payers.
  • Strong understanding of clinical and technical appeal processes including peer-to-peer reviews and external reviews.
  • Experience with denial analytics platforms and revenue cycle reporting tools.
  • Proficiency with EHR systems and billing platforms.
  • Exceptional written and verbal English communication skills.
  • High attention to detail with the ability to evaluate appeal quality and identify errors in AI-generated denial management content.

Preferred

  • CPC, CCS, CRCR, or CHFP certification.
  • Experience with AI-assisted denial management platforms (e.g., Waystar, Experian Health, Nthrive).
  • Background in complex clinical appeals including medical necessity, experimental/investigational, and level of care denials.
  • Familiarity with AI tools and comfort evaluating AI-generated appeal and denial content.
  • Experience presenting denial management performance to revenue cycle leadership.

Application Process (Takes 20–30 mins to complete)

  • Upload resume
  • AI interview based on your resume
  • Submit form

Resources & Support

  • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
  • For any help or support, reach out to: support@mercor.com

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.