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Remote Denial Management Jobs (NOW HIRING)

US Remote Denial Recovery Analyst Primarily responsible for thorough review of managed care contracts and comparison of such contracts against healthcare claims to identify underpayments for the ...

US Remote Denial Recovery Analyst Primarily responsible for thorough review of managed care contracts and comparison of such contracts against healthcare claims to identify underpayments for the ...

Remote US Citizen SCOPE This position manages the end-to-end medical billing cycle with primary focus on claims follow-up, denial management, and payment posting. You'll be the bridge between ...

Denial Specialist (Remote) Pay Rate: $22.47/hr Remote: Must reside in US Schedule: Tuesday-Saturday ... One virtual interview with the hiring manager. CLIENT does not discriminate in employment on the ...

RCM LEAD

Glendale, AZ · On-site +1

$7 - $8/hr

Accounts Receivable (AR) follow-up * Denial management * Insurance verification * Ensure timely and ... Remote Hourly salary $7 - $8

This is a fully remote role within a small, specialized medical billing/RCM organization, where ... Accounts receivable follow-up * Denial management * Customer service and credentialing support

... hands-on denial and rejection management experience, and deep knowledge of insurance billing ... Remote WHAT YOU'LL DO Denial & Rejection Analysis * Conduct structured analysis of denial and ...

... hands-on denial and rejection management experience, and deep knowledge of insurance billing ... Remote WHAT YOU'LL DO Denial & Rejection Analysis * Conduct structured analysis of denial and ...

This is a fully remote role within a small, specialized medical billing/RCM organization, where ... Accounts receivable follow-up * Denial management * Customer service and credentialing support

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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.
Specialist-Denials Management (Remote)

Specialist-Denials Management (Remote)

Spartanburg Regional Medical Center

Spartanburg, SC • On-site, Remote

Full-time

Posted 25 days ago


Spartanburg Regional Healthcare System rating

6.6

Company rating: 6.6 out of 10

Based on 113 frontline employees who took The Breakroom Quiz

555th of 864 rated healthcare providers


Job description

Job Requirements
Position Summary
The Denial Management Specialist is responsible for denial and AR management for the department as defined by their supervisor/manager.
* Only Applicants from the following states: Alabama, Arizona, Connecticut, Delaware, Florida, Georgia, Indiana, Kansas, Kentucky, Louisiana, Maryland, Michigan, North Carolina, Pennsylvania, Rhode Island, South Carolina, Virginia, West Virginia, Wisconsin.
Minimum Requirements
Education
  • High School Diploma or equivalency

Experience
  • 4 years' experience in medical billing, setting with exposure to denials, appeals, insurance collections and related follow-up.
  • Must have good knowledge of ICD9 and CPT-4 coding
  • Must have a good working knowledge with insurance explanation of benefits (EOB) and comprehensive understanding of remittance and remark codes.
  • Be familiar with multiple payer requirements for claims processing
  • Solid skills with Microsoft office with a focus on Excel and Word.
  • Good Communication Skills

License/Registration/Certifications
  • N/A

Preferred Requirements
Preferred Education
  • Associates or Bachelor's degree in a Healthcare related field.

Preferred Experience
  • Focused denials and appeals management experience.

Preferred License/Registration/Certifications
  • CPC and/or CPC-H certification

Core Job Responsibilities
  • Research and resolve all outstanding denials within workque and complete all necessary follow up within a timely and accurate manner
  • Identify all denial trends and provide education of steps to prevent future avoidable denials.
  • Initiate/manage all insurance appeals in a timely manner
  • Manage outstanding AR related to denials.
  • Communicate all denial trends and denial increases to direct supervisor/manager in order to positively affect the volume of denials
  • Organize the workflow to ensure that denials are worked according to departmental policy and standards.
  • Manage correspondences and any ADR requests as defined within department workflow procedure to ensure timeless and accuracy of response.
  • Complete special projects as assigned by Supervisor/Manager
  • Prepare/attend AR denial meetings as required.

What Spartanburg Regional Healthcare System employees say

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About Spartanburg Regional Healthcare System

Sourced by ZipRecruiter

Spartanburg Regional Healthcare System is a leader in the healthcare industry, located in Spartanburg, SC, US. As a comprehensive health system, it offers services encompassing everything from wellness, prevention, and care coordination to specific medical treatments for a wide range of diseases and health issues. Spartanburg Regional Healthcare System was founded in 1921 and has since developed a reputation for excellence and innovative care, growing to include six hospitals, 100 medical offices, 8,000 associates and more than 900 medical staff.

Industry

Recruiting and staffing services

Company size

5,001 - 10,000 Employees

Headquarters location

Spartanburg, SC, US

Year founded

1921