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Remote Denials Management Jobs (NOW HIRING)

Shriners Children's

Denials Management Analyst

Company Overview #LI-Remote Shriners Children's is an organization that respects, supports, and ... Job Overview The Denials Management Analyst is responsible for analyzing denials data, creating ...

Corrohealth

Coordinator, Denials Management

OR · Remote

Denials Management and Complex Claim Resolution, A/R Outsourcing, Patient Access, Revenue Cycle ... Remote (Within US Only) Required Schedule : Monday - Friday, 8:00 AM - 4:30 PM EST The ideal ...

Shriners Children's

Denials Management Analyst

Company Overview #LI-Remote Shriners Children's is an organization that respects, supports, and ... Job Overview The Denials Management Analyst is responsible for analyzing denials data, creating ...

CorroHealth

Coordinator, Denials Management

Denials Management and Complex Claim Resolution, A/R Outsourcing, Patient Access, Revenue Cycle ... Remote (Within US Only) Required Schedule : Monday - Friday, 8:00 AM - 4:30 PM EST The ideal ...

Brown University Health

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 ...

Brown University Health

Denials Specialist

$18.50 - $24.50/hr

The Denials Specialist reports to the Manager of PFS Denials Management.; Under general direction ... Services Remote Access Policy and Procedure.. Full time schedule worked in office Full time ...

Brown University Health

Denials Specialist

$18.50 - $24.50/hr

The Denials Specialist reports to the Manager of PFS Denials Management.; Under general direction ... Services Remote Access Policy and Procedure.. Full time schedule worked in office Full time ...

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How much do remote denials management jobs pay per hour?

As of Jun 4, 2026, the average hourly pay for remote denials management in the United States is $20.97, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $23.08 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Remote Denials Management Specialist, and why are they important?

To thrive as a Remote Denials Management Specialist, you need expertise in medical billing, coding, insurance guidelines, and a background in healthcare administration or a related field. Familiarity with claims management software, electronic health records (EHR) systems, and certifications like Certified Professional Biller (CPB) or Certified Professional Coder (CPC) are typically required. Strong analytical skills, attention to detail, and effective written and verbal communication distinguish top performers in this role. These skills are crucial for efficiently resolving claim denials, ensuring timely reimbursement, and maintaining compliance with healthcare regulations.

What are the typical challenges faced in a Remote Denials Management role and how can they be effectively addressed?

In a Remote Denials Management role, professionals often encounter challenges such as navigating varying payer requirements, timely follow-up on denied claims, and ensuring accurate documentation. Communication barriers can also arise when collaborating with team members virtually. To address these issues, it is helpful to stay updated on payer policies, use robust tracking systems for appeals, and maintain clear, proactive communication with both internal teams and external stakeholders. Adopting these practices can enhance efficiency and improve denial overturn rates.

What is remote denials management?

Remote denials management refers to the process of handling and resolving denied insurance claims for healthcare providers from a remote location. Professionals in this role review denied claims, identify the reasons for denials, and work to correct errors or provide additional documentation to secure payment. This job can be performed from home or offsite, requiring strong analytical skills and knowledge of insurance policies and billing procedures. Effective remote denials management helps healthcare organizations maximize their revenue and reduce lost income due to claim denials.

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

AspectRemote Denials ManagementRemote Claims Processing
Primary FocusHandling and appealing denied insurance claimsSubmitting and processing insurance claims for reimbursement
Skills RequiredKnowledge of insurance policies, denial codes, appeals processData entry, claim submission, basic insurance knowledge
Work EnvironmentHealthcare providers, insurance companies, remoteHealthcare providers, insurance companies, remote
CertificationsMedical billing/coding certifications often preferredMedical 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.

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Remote Denials Management jobs near you
Infographic showing various Remote Denials Management job openings in the United States as of May 2026, with employment types broken down into 97% Full Time, 2% Part Time, and 1% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $43,622 per year, or $21 per hour.
Denials Management Analyst

Denials Management Analyst

Shriners Children's

Remote

Full-time

Medical, Life, Retirement, PTO

Posted 20 days ago

Shriners Children's rating

7.9

Company rating: 7.9 out of 10

Based on 44 frontline employees who took The Breakroom Quiz

144th of 992 rated hospitals

Job description

Company Overview
#LI-Remote
Shriners Children's is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families.
All employees are eligible for medical coverage on their first day! In addition, upon hire all employees are eligible for a 403(b) and Roth 403 (b) Retirement Saving Plan with matching contributions of up to 6% after one year of service. Employees in a FT or PT status (40+ hours per pay period) will also be eligible for paid time off, life insurance, short term and long-term disability and the Flexible Spending Account (FSA) plans and a Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected. Additional benefits available to FT and PT employees include tuition reimbursement, home & auto, hospitalization, critical illness, pet insurance and much more! Coverage is available to employees and their qualified dependents in accordance with the plans. Benefits may vary based on state law.
Job Overview
The Denials Management Analyst is responsible for analyzing denials data, creating payor metrics, as well as tracking and trending denials and result out of multiple systems. The analyst will identify and trend root causes and report out findings as well as assist in mapping out process improvement opportunities. The analyst will coordinate payor denials and audit activities to ensure timely response for the processing of all payor denials, audit requests and appeals. The analyst will communicate and coordinate with various individuals/distributions and assist with monitoring of the day-to-day activities related to claims denials and audit reviews.
Responsibilities
  • Collecting/analyzing, report status, metrics and trends of activity by different reviews from multiple systems Distributing reports on a routine basis to specific distribution group
    • Managing Epic work queues and resolving denials.
    • Gathering data to substantiate the request for rule creations in Epic.
    • Research payer fee schedules and provider manuals to ensure appropriate non covered denials.
  • Organizing all data and activity in a retrievable way Coordinating payor denial and audit activities to ensure timely response for the processing of all payor denials, audit request and appeals for both institutional and professional claims
  • Assisting with the coordination of denial and review activities and materials for committee meetings, including analyses, reports, etc.
  • Communicating and coordinating with various individuals/distributions and assisting with monitoring of the day-to-day activities related to claim denials and audit reviews
  • Maintaining the healthcare tracking tool/application that stores/communicates all denial and review activity. This will include user access management, updates to software, and end-user training
  • Supporting projects and initiatives of the Denials Management Team. This may include coordinating meetings, conducting research, performing audits or data analysis, and preparing documents
  • Strong communication skills and a commitment to delivering the highest level of quality work

This is not an all-inclusive list of this job's responsibilities. The incumbent may be required to perform other related duties and participate in special projects as assigned.
Qualifications
Required:
  • Bachelor's degree, or equivalent combination of education and experience
  • 5-7 Years in a Healthcare Revenue Cycle Environment including 3 years in Third Party Collection/AR Receivables and Denials Management
  • Epic PB Resolute experience
  • Healthcare Revenue Cycle management including:
    • Therapy (Physical/Occupational/Speech)
    • Radiology
    • Pediatrics/Pediatric Orthopedics
    • Anesthesia
  • EDI Transaction sets including 837I, 837P
  • Knowledge of insurance contract rates and terms
  • Knowledge and understanding of Registration and Collections
  • Knowledge and understanding of Government and Managed Care billing, coverage and payment rules
  • Ability to comprehend payor 835 and paper EOB responses
  • Knowledge and understanding of NCCI edits, CPT-4, HCPCS, ICD-10 and Revenue Codes standards
  • Intermediate Excel skills

Preferred:
  • CRCR Certification
  • Epic Certification

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