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Um Denial Letter Writer Jobs (NOW HIRING)

Astrana Health

UM Coordinator - Denials

Monterey Park, CA · Hybrid

$20 - $24/hr

Verify that denial verbiage is written at the appropriate reading ease and grade level based on LOB ... Ensure denial packets are complete before finalization, including denial letter, authorization ...

Icon Consultants

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Denial Letter Specialist (Remote)

Jacksonville, FL · Remote

$20/hr

Denial Letter Specialist (Remote) Location: Remote (Candidates must reside in Florida) Schedule ... This role requires strong written communication skills, exceptional attention to detail, and the ...

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Point32Health

UM Specialist

Canton, MA · On-site +1

The UM Specialist is responsible for coordination of coverage determinations for special handling ... Writes and edits all denial letters for medical necessity. * Participates in a structured training ...

Point32health

UM Specialist

Canton, MA · Hybrid

The UM Specialist is responsible for coordination of coverage determinations for special handling ... Writes and edits all denial letters for medical necessity. * Participates in a structured training ...

Fabergent

Clinical Care Reviewer

Doral, FL

Generates denial letter in a timely manner. Adheres to Process Standards, Standard Operating Procedures, and Policies and Procedures, as defined by specific UM role (Prior Authorization, Concurrent ...

Astiva Health

UM Nurse Reviewer

Orange, CA · On-site

$75K - $95K/yr

... written, especially in creating clear and compliant deferral and denial letters. * Ability to ... internal UM teams. * Exceptional follow-through abilities to track all outstanding tasks and ...

Astiva Health

UM Nurse Reviewer

Orange, CA · On-site

$75K - $95K/yr

... written, especially in creating clear and compliant deferral and denial letters. * Ability to ... internal UM teams. * Exceptional follow-through abilities to track all outstanding tasks and ...

Healthfirst., Inc.

UM Pharmacy Technician-1

$18 - $21.75/hr

The UM Pharmacy Technician makes approval decisions and denial recommendations based on ... Experience requiring written, verbal, and telephonic communication in English that is clear ...

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Um Denial Letter Writer information

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$42K

$78.9K

$136K

How much do um denial letter writer jobs pay per year?

As of Jul 30, 2026, the average yearly pay for um denial letter writer in the United States is $78,865.00, according to ZipRecruiter salary data. Most workers in this role earn between $57,500.00 and $102,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Um Denial Letter Writer position, and why are they important?

To thrive as a UM Denial Letter Writer, you need a solid understanding of healthcare terminology, medical necessity criteria, and strong written communication skills, often supported by experience in medical billing, coding, or case management. Proficiency in healthcare management systems, electronic medical records (EMR), and relevant compliance standards such as HIPAA is critical. Attention to detail, professionalism, and the ability to convey sensitive information with empathy are key soft skills in this position. These abilities are essential to ensure legal compliance, clear explanations to providers or patients, and the overall integrity of the denial process.

What is a Um Denial Letter Writer job?

A UM (Utilization Management) Denial Letter Writer is responsible for drafting letters that communicate the denial of healthcare services based on medical necessity, insurance policies, or clinical guidelines. They ensure the letters are clear, accurate, and compliant with regulatory requirements. Their role involves reviewing medical records, collaborating with clinicians, and adhering to legal and organizational standards.

What are the typical challenges faced by a UM Denial Letter Writer, and how can you prepare for them?

UM Denial Letter Writers often encounter challenges like translating complex clinical or insurance information into clear, understandable language while ensuring compliance with legal and company standards. You may need to navigate tight deadlines, evolving payer requirements, and interactions with clinical staff and patients who may be upset about a denial. To prepare, it’s helpful to stay updated on industry guidelines, maintain excellent time-management skills, and develop strategies for balancing empathy with objectivity in your writing. Many employers also provide training and templates to support consistency and accuracy in this role. Building collaborative relationships with utilization review teams and medical professionals can further streamline the process and help resolve inquiries more efficiently.

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Um Denial Letter Writer jobs near you
Infographic showing various Um Denial Letter Writer job openings in the United States as of July 2026, with employment types broken down into 90% Full Time, 5% Part Time, and 5% Contract. Highlights an 90% In-person, 5% Hybrid, and 5% Remote job distribution, with an average salary of $78,865 per year, or $37.9 per hour.

UM Coordinator - Denials

Astrana Health

Monterey Park, CA • Hybrid

$20 - $24/hr

Full-time

Re-posted 15 days ago

Job description

Astrana Health is seeking a dedicated Utilization Management (UM) Coordinator - Denials to join our Denial Department. This role ensures timely and accurate processing of all deferrals and denials in compliance with Astrana Health policies, NCQA standards, health plan requirements, and federal and state regulations. The UM Coordinator - Denials will review, monitor, and process prior authorization denials requests while maintaining strict adherence to regulatory and health plan guidelines. 
Our Values: 
  • Put Patients First
  • Empower Entrepreneurial Provider and Care Teams
  • Operate with Integrity & Excellence
  • Be Innovative
  • Work As One Team
  • Adhere to Astrana Health policies and all applicable regulations, including Health Plan, DMHC, DHCS, CMS, and NCQA standards.
  • Process and attach deferrals, denials, and associated documentation accurately. Review eligibility and benefits verification. 
  • Manage provider and interdepartmental communications, delivering excellent customer service. Accurately review and process daily deferrals and denials in accordance with IPA and health plan turnaround guidelines. 
  • Review and process assigned deferrals or denials (e.g., denial, modify, carve-out) in compliance with policies, accreditation, and regulatory standards. 
  • Verify member eligibility, benefits, and deferral/denial requirements. 
  • Maintain accurate UM/Denial system data and meet turnaround time standards. 
  • Apply appropriate denial templates based on Health Plan, Line of Business (LOB), and threshold language. 
  • Ensure correct criteria are used according to hierarchy and LOB, utilizing only approved standards. 
  • Verify that denial verbiage is written at the appropriate reading ease and grade level based on LOB. 
  • Ensure denial packets are complete before finalization, including denial letter, authorization request, proof of receipt, clinical guidelines, and medical records. 
  • Assist with Failed Fax Reports, Denial Inquiries, and Appeal/Grievance Inquiries. 
  • Report activities or issues to the UM Denial Supervisor/Manager throughout the day. Maintain a high level of integrity and confidentiality, ensuring compliance with HIPAA standards. Collaborate with UM department and participate in quality improvement initiatives. 
  • Perform other duties as required to support the department. 

  • High school diploma or GED required. 
  • Knowledge of medical terminology, ICD-10, CPT, HCPCS, and RVS codes.
  • Proficient in Microsoft Office and UM software (e.g., InterQual, MCG). 
  • Strong organizational, decision-making, and problem-solving skills. 
  • Excellent verbal and written communication. 
  • Able to work effectively in a fast-paced, team environment. 
  • Minimum typing speed of 40 wpm. 
  • Preferred: 
    • At least 1 year with a Health Plan or MSO. 
    • Experience with health plans, managed care organizations, or hospital UM departments
    • Familiarity with Health Plan, DMHC, DHCS, CMS, and NCQA requirements. 
    • Ability to prioritize and delegate tasks effectively. 

  • This is a hybrid position. The position will be fully in-office for 3 month probationary period. After successful completion of probationary period, this position will possibly transition to 2 days in-office and 3 days at home, per employee performance. The position is located at 1600 Corporate Center Dr, Monterey Park, CA 91754. 
  • This position requires open availability M-Su 8 A - 8 P. Weekends and holidays are rotated amongst the team, and there is mandatory overtime in this position. 
  • The national target pay range for this role is $21.00 - $26.00 per hour. Actual compensation will be based on geographic location (current or future), experience, and other job-related factors. 
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided based on qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.
 
Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

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