Focused denials and appeals management experience. Preferred License/Registration/Certifications * CPC and/or CPC-H certification Core Job Responsibilities * Research and resolve all outstanding ...
Focused denials and appeals management experience. Preferred License/Registration/Certifications * CPC and/or CPC-H certification Core Job Responsibilities * Research and resolve all outstanding ...
Focused denials and appeals management experience. Preferred License/Registration/Certifications * CPC and/or CPC-H certification Core Job Responsibilities * Research and resolve all outstanding ...
Focused denials and appeals management experience. Preferred License/Registration/Certifications * CPC and/or CPC-H certification Core Job Responsibilities * Research and resolve all outstanding ...
Mgr Denials Management
$18.50 - $24.50/hr
Collaborates with the case management department and clinical documentation department on ... Remote-Rhode Island - N/A Providence, Rhode Island 02901 Work Type: M-F 8 to 5 Work Shift: Day ...
Mgr Denials Management
$18.50 - $24.50/hr
Collaborates with the case management department and clinical documentation department on ... Remote-Rhode Island - N/A Providence, Rhode Island 02901 Work Type: M-F 8 to 5 Work Shift: Day ...
Focused denials and appeals management experience. Preferred License/Registration/Certifications * CPC and/or CPC-H certification Core Job Responsibilities * Research and resolve all outstanding ...
Focused denials and appeals management experience. Preferred License/Registration/Certifications * CPC and/or CPC-H certification Core Job Responsibilities * Research and resolve all outstanding ...
Focused denials and appeals management experience. Preferred License/Registration/Certifications * CPC and/or CPC-H certification Core Job Responsibilities * Research and resolve all outstanding ...
Focused denials and appeals management experience. Preferred License/Registration/Certifications * CPC and/or CPC-H certification Core Job Responsibilities * Research and resolve all outstanding ...
Focused denials and appeals management experience. Preferred License/Registration/Certifications * CPC and/or CPC-H certification Core Job Responsibilities * Research and resolve all outstanding ...
Focused denials and appeals management experience. Preferred License/Registration/Certifications * CPC and/or CPC-H certification Core Job Responsibilities * Research and resolve all outstanding ...
Focused denials and appeals management experience. Preferred License/Registration/Certifications * CPC and/or CPC-H certification Core Job Responsibilities * Research and resolve all outstanding ...
Focused denials and appeals management experience. Preferred License/Registration/Certifications * CPC and/or CPC-H certification Core Job Responsibilities * Research and resolve all outstanding ...
Focused denials and appeals management experience. Preferred License/Registration/Certifications * CPC and/or CPC-H certification Core Job Responsibilities * Research and resolve all outstanding ...
Focused denials and appeals management experience. Preferred License/Registration/Certifications * CPC and/or CPC-H certification Core Job Responsibilities * Research and resolve all outstanding ...
Focused denials and appeals management experience. Preferred License/Registration/Certifications * CPC and/or CPC-H certification Core Job Responsibilities * Research and resolve all outstanding ...
Focused denials and appeals management experience. Preferred License/Registration/Certifications * CPC and/or CPC-H certification Core Job Responsibilities * Research and resolve all outstanding ...
Focused denials and appeals management experience. Preferred License/Registration/Certifications * CPC and/or CPC-H certification Core Job Responsibilities * Research and resolve all outstanding ...
Focused denials and appeals management experience. Preferred License/Registration/Certifications * CPC and/or CPC-H certification Core Job Responsibilities * Research and resolve all outstanding ...
Focused denials and appeals management experience. Preferred License/Registration/Certifications * CPC and/or CPC-H certification Core Job Responsibilities * Research and resolve all outstanding ...
Focused denials and appeals management experience. Preferred License/Registration/Certifications * CPC and/or CPC-H certification Core Job Responsibilities * Research and resolve all outstanding ...
Reviews, analyzes and documents all outpatient denials received by payors. Follows up with ... This position is a remote/work from home - Local to Northeast Ohio Only
Reviews, analyzes and documents all outpatient denials received by payors. Follows up with ... This position is a remote/work from home - Local to Northeast Ohio Only
Focused denials and appeals management experience. * Possess an in-depth working knowledge and experience with all types of insurance billing guidelines: Commercial, Medicare Part A and B, Medicaid ...
Focused denials and appeals management experience. * Possess an in-depth working knowledge and experience with all types of insurance billing guidelines: Commercial, Medicare Part A and B, Medicaid ...
Focused denials and appeals management experience. * Possess an in-depth working knowledge and experience with all types of insurance billing guidelines: Commercial, Medicare Part A and B, Medicaid ...
Focused denials and appeals management experience. * Possess an in-depth working knowledge and experience with all types of insurance billing guidelines: Commercial, Medicare Part A and B, Medicaid ...
Focused denials and appeals management experience. * Possess an in-depth working knowledge and experience with all types of insurance billing guidelines: Commercial, Medicare Part A and B, Medicaid ...
Focused denials and appeals management experience. * Possess an in-depth working knowledge and experience with all types of insurance billing guidelines: Commercial, Medicare Part A and B, Medicaid ...
Focused denials and appeals management experience. * Possess an in-depth working knowledge and experience with all types of insurance billing guidelines: Commercial, Medicare Part A and B, Medicaid ...
Focused denials and appeals management experience. * Possess an in-depth working knowledge and experience with all types of insurance billing guidelines: Commercial, Medicare Part A and B, Medicaid ...
Head of Denials
Franklin, TN · Remote
Remote - USA As Revecore's Head of Denials and Receivables, you will: Primarily be responsible ... Production Management, Core Metrics, KPIs driven. * Collaborate with information technology to ...
Head of Denials
Franklin, TN · Remote
Remote - USA As Revecore's Head of Denials and Receivables, you will: Primarily be responsible ... Production Management, Core Metrics, KPIs driven. * Collaborate with information technology to ...
Remote - PFS Denials Nurse Auditor
Saint Joseph, MO · On-site +1
Remote work will not be permitted from any other state at this time ... The Denials Nurse Auditor works under the supervision of the manager of PFS Denials. The Denials ...
Remote - PFS Denials Nurse Auditor
Saint Joseph, MO · On-site +1
Remote work will not be permitted from any other state at this time ... The Denials Nurse Auditor works under the supervision of the manager of PFS Denials. The Denials ...
Lead, mentor, and develop a team of denials management specialists, fostering a focus on ... HBiz complies with all applicable employment laws for remote and multi-state hiring and provides ...
Lead, mentor, and develop a team of denials management specialists, fostering a focus on ... HBiz complies with all applicable employment laws for remote and multi-state hiring and provides ...
This position offers a fully remote work opportunity. Employees in this role must reside in one of ... Five years of experience in revenue cycle, coding audits, revenue integrity, denials management, or ...
This position offers a fully remote work opportunity. Employees in this role must reside in one of ... Five years of experience in revenue cycle, coding audits, revenue integrity, denials management, or ...
Remote Denials Management information
See salary details
$14.42 - $15.78
3% of jobs
$15.78 - $17.13
12% of jobs
$17.78 is the 25th percentile. Wages below this are outliers.
$17.13 - $18.49
21% of jobs
The median wage is $19.41 / hr.
$18.49 - $19.84
20% of jobs
$19.84 - $21.20
13% of jobs
$21.20 - $22.55
4% of jobs
$22.74 is the 75th percentile. Wages above this are outliers.
$22.55 - $23.91
12% of jobs
$23.91 - $25.26
5% of jobs
$25.26 - $26.62
4% of jobs
$26.62 - $27.97
3% of jobs
$27.97 - $29.33
2% of jobs
$14
$20
$29
How much do remote denials management jobs pay per hour?
What is remote denials management?
What are the typical challenges faced in a Remote Denials Management role and how can they be effectively addressed?
What is the difference between Remote Denials Management vs Remote Claims Processing?
| Aspect | Remote Denials Management | Remote Claims Processing |
|---|---|---|
| Primary Focus | Handling and appealing denied insurance claims | Submitting and processing insurance claims for reimbursement |
| Skills Required | Knowledge of insurance policies, denial codes, appeals process | Data entry, claim submission, basic insurance knowledge |
| Work Environment | Healthcare providers, insurance companies, remote | Healthcare providers, insurance companies, remote |
| Certifications | Medical billing/coding certifications often preferred | Medical billing/coding certifications often preferred |
Remote Denials Management focuses on addressing and appealing denied insurance claims, requiring specialized knowledge of denial reasons and appeals. Remote Claims Processing involves submitting and managing claims for reimbursement, emphasizing accuracy and data entry skills. While both roles operate remotely within healthcare and insurance industries, they serve different stages of the claims lifecycle.
What are the key skills and qualifications needed to thrive as a Remote Denials Management Specialist, and why are they important?

Specialist-Denials Management (remote)
Spartanburg, SC • On-site, Remote
Full-time
Re-posted 14 days ago
Spartanburg Regional Healthcare System rating
6.7
Based on 117 frontline employees who took The Breakroom Quiz
526th of 886 rated healthcare providers
Job description
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.
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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