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Remote Denials Management Jobs (NOW HIRING)

TEKsystems

Denials Specialist

Atlanta, GA · Remote

$22 - $25/hr

Denials Specialist (Remote) Overview We are seeking a highly analytical and detail-oriented Denials Specialist to join our team. This role is responsible for managing and resolving denied claims ...

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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 ...

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How much do remote denials management jobs pay per hour?

As of Jun 27, 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.
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Remote Denials Management jobs near you
Infographic showing various Remote Denials Management job openings in the United States as of June 2026, with employment types broken down into 2% Full Time, 87% Part Time, and 11% Contract. Highlights an 83% Physical, 2% Hybrid, and 15% Remote job distribution, with an average salary of $43,622 per year, or $21 per hour.
Denials Management Follow Up Representative (Anesthesia)

Denials Management Follow Up Representative (Anesthesia)

Shriners Children's

Remote

Full-time

Medical, Life, Retirement, PTO

Posted 27 days ago

Shriners Children's rating

8.0

Company rating: 8.0 out of 10

Based on 45 frontline employees who took The Breakroom Quiz

123rd of 1,003 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 Follow Up Representative (Anesthesia) is responsible for following up on payor responses to Shriners Children's submitted appeals. The Representative will contact insurance carriers to ensure timely payment and collection of money due to the Shriners Children's organization after the appeals process has successfully taken place.
Responsibilities
  • Coordinating payor denial and appeal follow up activities to ensure timely response from third party payors and the processing of all payor denials, documentation requests and appeals for both institutional and professional claims.
  • Communicating and coordinating with various individuals/distributions and assisting with monitoring of the day to day activities related to appeal follow up and denials.
  • Maintaining the hospital tracking tool/application that stores/communicates all denial and review activity. This will include user access management, updates to software, and end-user training to support all follow-up activities.
  • Collecting/analyzing, report status, metrics and trends of activity by different reviews from multiple systems. Developing reports on a routine basis to specific distribution group.
  • Organizing all data and activity in a retrievable way to ensure timely follow up on appeals to third party payors.
  • Assisting with the coordination of denial and review activities and materials for committee meetings, including analyses, reports, etc.
  • Supporting projects and initiatives of the Revenue Integrity team. This may include coordinating meetings, conducting research for payor criteria, 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:
  • 5-7 Years in a healthcare patient accounting revenue cycle environment
  • 3 years of related Anesthesia experience
  • Knowledge of Hospital Revenue Cycle revenue management EDI Transaction sets including 837I, 837P Insurance contract rates and terms
  • Understanding of Registration and Collections
  • Understanding of Government and Managed Care billing, coverage and payment rules
  • Ability to comprehend payor 835 and paper EOB responses
  • Understanding of CCI edits, CPT, HCPCS, ICD-10 and Revenue Codes
  • Epic EMR (HB and/or PB)
  • Bachelor's Degree or equivalent combination of education and experience in lieu of degree

Preferred:
  • 3 years in Hospital Third Party Collection/AR Receivables

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