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Remote Denials Management Jobs (NOW HIRING)

Aspirion

Supervisor, Denials

Delray Beach, FL · Remote

$55K - $70K/yr

Manage real-time work distribution to balance workloads and ensure continuous progress * Monitor ... US remote-based colleagues are not permitted to work from a location outside of the United States ...

Naveris

Reimbursement Specialist - Appeals

Waltham, MA · Remote

While Naveris partners with an outsourced RCM vendor, this role focuses on denials management and ... Fully remote role (U.S.-based) with occasional travel for trainings, meetings, or on-site presence ...

Naveris

Reimbursement Specialist - Appeals

Waltham, MA · On-site +1

While Naveris partners with an outsourced RCM vendor, this role focuses on denials management and ... Fully remote role (U.S.-based) with occasional travel for trainings, meetings, or on-site presence ...

Gifthealth Inc

Manager of Reimbursement

Columbus, OH · Remote

$65K - $80K/yr

This is a fully remote, desk-based role with frequent phone and computer use. Key Responsibilities ... appeals, denials management, and patient assistance programs, to maximize timely and accurate ...

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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:
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Remote Denials Management jobs near you
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.
Appeals Manager - Fully Remote | Upto $93/hr

Appeals Manager - Fully Remote | Upto $93/hr

Mercor

San Francisco, CA • Remote

$93/hr

Full-time

Posted 16 days ago

Job description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.

Position: Denials Management & Appeals Manager
Type: Contract
Compensation: $93/hour
Location: Remote

Role Responsibilities

  • Lead denials management and appeals operations. Oversee the identification, categorization, and resolution of claim denials.
  • Evaluate AI-generated appeal letters, denial root cause analyses, and denial prevention recommendations for accuracy and effectiveness.
  • Analyze denial trends by payer, denial code (CARC/RARC), and denial category to identify systemic root causes.
  • Develop and manage clinical and technical appeal strategies across multiple payer types.
  • Coordinate with clinical, coding, billing, and compliance teams to implement denial prevention initiatives.
  • Monitor denial management KPIs including denial rates, appeal overturn rates, revenue recovery, and days in A/R.
  • Ensure compliance with payer appeal requirements, CMS regulations, and timely filing deadlines.
  • Annotate AI outputs and provide structured feedback to support AI training datasets.

Qualifications

Must-Have

  • 5+ years of experience in denials management, appeals, or revenue cycle operations, with at least 2 years in a management role.
  • Deep knowledge of CARC/RARC denial codes, payer denial patterns, and appeal strategies across commercial, Medicare, and Medicaid payers.
  • Strong understanding of clinical and technical appeal processes including peer-to-peer reviews and external reviews.
  • Experience with denial analytics platforms and revenue cycle reporting tools.
  • Proficiency with EHR systems and billing platforms.
  • Exceptional written and verbal English communication skills.
  • High attention to detail with the ability to evaluate appeal quality and identify errors in AI-generated denial management content.

Preferred

  • CPC, CCS, CRCR, or CHFP certification.
  • Experience with AI-assisted denial management platforms (e.g., Waystar, Experian Health, Nthrive).
  • Background in complex clinical appeals including medical necessity, experimental/investigational, and level of care denials.
  • Familiarity with AI tools and comfort evaluating AI-generated appeal and denial content.
  • Experience presenting denial management performance to revenue cycle leadership.

Application Process (Takes 20–30 mins to complete)

  • Upload resume
  • AI interview based on your resume
  • Submit form

Resources & Support

  • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
  • For any help or support, reach out to: support@mercor.com

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.