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Remote Denials Management Jobs in Riverside, CA (NOW HIRING)

Our company is fully remote and offers a flexible work environment as well as schedules. ACTY ... Claims Management: * Conducts timely and accurate follow-up on professional services claims to ...

Remote Denials Management information

See Riverside, CA salary details

$15

$21

$30

How much do remote denials management jobs pay per hour?

As of Jul 15, 2026, the average hourly pay for remote denials management in Riverside, CA is $21.88, according to ZipRecruiter salary data. Most workers in this role earn between $18.08 and $24.09 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.
What are popular job titles related to Remote Denials Management jobs in Riverside, CA? For Remote Denials Management jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Remote Denials Management jobs in Riverside, CA look for? The top searched job categories for Remote Denials Management jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Remote Denials Management jobs? Cities near Riverside, CA with the most Remote Denials Management job openings:
Insurance Specialist (Remote) - Mountain and Pacific Time Zones

Insurance Specialist (Remote) - Mountain and Pacific Time Zones

Meduit

Brea, CA • Remote

$18 - $21/hr

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 9 days ago


Meduit rating

7.1

Company rating: 7.1 out of 10

Based on 20 frontline employees who took The Breakroom Quiz


Job description

About Us: 

Meduit is a national leader in healthcare revenue cycle management, supporting hospitals and physician practices in 48 states. We focus on optimizing payments, allowing clients to focus on patient care, and pride ourselves on our core values: Integrity, Teamwork, Continuous Improvement, Client-Focused, and Results-Oriented. Learn more at www.meduitrcm.com. 

About the Role: 

Insurance Specialists are highly focused on the resolution of insurance processing errors and denials and work to resolve hospital and physician billing challenges. You will utilize your expertise in patient billing, claims submission, and payer guidelines (Medicare, Medicaid, &, commercial insurers) to effectively work with insurance companies, resolve issues, and ensure accurate and timely payments.

Title: Insurance Specialist 
Schedule:  Multiple shifts available between 7:30am - 5pm Pacific time (6:30am-4pm Mountain) Monday – Friday
Location: Remote

Paid Training: 3 weeks 

Compensation: $18 - $21 per hour base
 

Key Responsibilities: 

Reduce outstanding accounts receivable by managing claims inventory

Speak to patients and insurance companies in a professionalmanner regarding their outstanding balances

Gather information from patients, clients/family members, client clinical areas, government agencies, employers, third party payors and/or medical payment programs, etc. both in-person and by telephone to register patients, gather or update information, obtain referrals and pre-authorizations, complete appropriate forms, conduct evaluations, determine benefits and eligibility (insurance, public programs, etc.), determine financial responsibility and/or to identify sources of payment for services

Request, input, verify, and modify patient’s demographic, primary care provider, and payor information

Provide excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc.

Answer questions by phone and provide quotes for services; identify financial resources, etc. in accordance with the client policies and procedures

Utilize various databases and specialized computer software for revenue cycle activities including eligibility verifications, pre-authorizations, medical necessity, review/updating of patient accounts, etc.

Explain charges, answer questions, and communicate a variety of requirements, policies, and procedures regarding patient financial care services and resources to patients, staff, payors, and agencies

Work with Claims and Collections in order to assist patients and their families with billing and payment activities

Skills & Competencies: 

Integrity

Communication

Problem-solving

Teamwork

Required Qualifications: 

High School Diploma/GED

2+ years of Denials Management experience 

2+ years Medical Billing/Follow-up experience  

Medicare, Medicaid, and commercial payor experience

Proficiency with PC-based applications (Microsoft Outlook, Word, and Excel)

Download speed of 30MB or higher & upload speed of 10MB or higher are REQUIRED. (you can test your speed here: https://speedtest.net/)

Access to a Secure and Private workspace (a space in which no one can hear or see you as you may have protected health information on your screen or you may say names, social security numbers or other PHI)

Employment eligibility: 

Candidates must be legally authorized to work in the United States at the time of hire

The company does not provide employment visa sponsorship for this position

As a condition of employment, a pre-employment background check will be conducted

At this time, we are unable to consider candidates residing in the state of New York for this position

 

What We Offer: 

Comprehensive paid training 

Medical, dental, and vision insurance 

HSA and FSA available 

401(k) with company match 

Paid Wellness Time and Holidays 

Employer paid life insurance and long-term disability 

Internal growth opportunities 

Meduit is an Equal Opportunity Employer. We do not discriminate based on any protected class and welcome applicants from all backgrounds, consistent with applicable laws. Employment is contingent upon successful completion of a background check, satisfactory references, and any required documentation. 

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position. 

#LI-Remote


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