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Remote Denials Management Jobs (NOW HIRING)

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 ...

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 ...

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Remote Denials Management information

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How much do remote denials management jobs pay per hour?

As of Jul 18, 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 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 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 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.

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.
More about Remote Denials Management jobs
What cities are hiring for Remote Denials Management jobs? Cities with the most Remote Denials Management job openings:
What are the most commonly searched types of Denials Management jobs? The most popular types of Denials Management jobs are:
What states have the most Remote Denials Management jobs? States with the most job openings for Remote Denials Management jobs include:
Infographic showing various Remote Denials Management job openings in the United States as of July 2026, with employment types broken down into 17% Locum Tenens, 1% As Needed, 71% Full Time, 6% Part Time, 1% Contract, and 4% Summer. Highlights an 84% Physical, 2% Hybrid, and 14% Remote job distribution, with an average salary of $43,622 per year, or $21 per hour.
Specialist-Denials Management (remote)

Specialist-Denials Management (remote)

Spartanburg Regional Medical Center

Spartanburg, SC • On-site, Remote

Full-time

Re-posted 14 days ago


Spartanburg Regional Healthcare System rating

6.7

Company rating: 6.7 out of 10

Based on 117 frontline employees who took The Breakroom Quiz

526th of 886 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.

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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