Denial Management Jobs

The Revenue Cycle Manager leads the financial operations for Gardner Health Services, a Federally Qualified Health Center serving the Bay Area. Reporting to the Sr. Director of Revenue Cycle, this role oversees billing, coding, claims processing, and denial management for both Primary Care and Behavioral Health programs. Key responsibilities include ensuring regulatory compliance, optimizing reimbursement strategies, and collaborating with cross-functional teams to improve operational efficiency. The position offers the appeal of working within a mission-driven organization dedicated to providing culturally competent care to underserved communities. Employees benefit from a supportive culture that values teamwork, professional growth, and work-life balance, with opportunities for advancement in a stable, community-focused environment.

This full-time leadership role combines Revenue Cycle Management and Privacy Officer duties within the Clinic Administration department at Des Moines University. The position involves leading a comprehensive revenue cycle transformation to eliminate financial leakage, optimize accounts receivable performance, and ensure strict regulatory compliance including HIPAA privacy and security. Key responsibilities include overseeing end-to-end billing operations, developing executive financial dashboards, and standardizing workflows to improve collection rates and denial management. The role is appealing due to its high-impact nature within a premier medical institution, offering opportunities for professional growth, flexible work arrangements, and a supportive culture that values operational integrity and community service.

This management role within the Health Information Management department oversees Clinical Documentation Integrity and education across the Hartford HealthCare system. The position involves leading a team of specialists to manage audits, prevent revenue denials, and ensure regulatory compliance with Medicare and coding standards. Key responsibilities include developing staff education programs, analyzing performance metrics, and collaborating with revenue cycle leadership to improve data quality and patient safety reporting. The role appeals to experienced nursing professionals seeking career growth within a comprehensive healthcare network that values innovation and work-life balance. The position requires travel between facilities and offers the opportunity to influence system-wide clinical documentation strategies.

The Clinical Denials Management Program Coordinator RN role operates within Patient Financial Services at a nationally recognized hospital. The position manages clinically based appeals between the organization and external payers while serving as a liaison for Case Management and other departments. Key responsibilities include reviewing denials against InterQual guidelines, constructing clinically oriented appeal letters, tracking denial trends, and developing corrective action plans to reduce future denials. The role also involves providing educational sessions to staff on reimbursement changes and denial prevention strategies. This position is appealing due to the organization's reputation for excellence, its award-winning workplace culture, and a commitment to fostering a dynamic, inclusive environment. The role requires a current California RN license and significant case management experience.

The RN Admissions Coordinator - Utilization Management role operates within Carle Health's interdisciplinary team to manage patient admissions and care transitions across Eureka and BroMenn facilities. Key responsibilities include conducting clinical assessments, coordinating with payers for preauthorization and concurrent reviews, and facilitating safe transitions from acute care to appropriate levels of care such as swing beds or home. The position requires collaboration with physicians and families to optimize patient outcomes while ensuring compliance with Medicare and state regulations. This opportunity appeals to nurses seeking a purpose-driven career in a Magnet-designated organization that values professional growth, community impact, and a supportive culture. The work arrangement involves on-site presence at Eureka with occasional afternoons at BroMenn based on census needs.

The RN Admissions Coordinator - Utilization Management role operates within Carle Health's interdisciplinary team to oversee patient admissions and care transitions across Eureka and BroMenn facilities. Key responsibilities include conducting clinical assessments, coordinating with payers for preauthorization and concurrent reviews, and managing the discharge planning process to ensure appropriate levels of care. The position requires collaboration with physicians and families to optimize patient outcomes while maintaining compliance with Medicare and state regulations. This opportunity appeals to experienced nurses seeking a position that combines clinical expertise with strategic case management in a supportive environment. The role offers a hybrid work arrangement with on-site requirements at Eureka and occasional shifts at BroMenn, providing a chance to contribute to a Magnet-designated organization dedicated to community health and professional growth.

The Manager Care Management RN role at Swedish Edmonds leads the Case Management department within a large not-for-profit healthcare system. This position serves as a liaison between patients, families, physicians, and community agencies while overseeing daily operations including staff supervision, discharge planning, and utilization management. Key responsibilities involve establishing clinical standards, analyzing patient data to improve care quality, managing departmental budgets, and collaborating with multidisciplinary teams to optimize resource utilization. The role appeals to nursing leaders seeking to drive process improvement in a culture that values whole-person care, mutual respect, and professional growth. The position is full-time and on-site, offering opportunities to support a diverse workforce and contribute to the organization's mission of serving the community.

This role serves as a Patient Care Coordinator within the Case Management team, focusing on optimizing patient outcomes through strategic care planning and utilization review. The position involves collaborating with physicians and multidisciplinary teams to develop comprehensive discharge plans, conduct daily utilization reviews, and ensure compliance with Medicare regulations and health plan benefits. Key responsibilities include monitoring care progression, identifying cost-effective protocols, and maintaining continuity of care across skilled nursing facilities and community services. The position offers the opportunity to work in a collaborative Labor/Management Partnership environment that values the nursing vision and continuous quality improvement. While the role is primarily administrative, it includes direct patient care duties to maintain clinical competency.

The Associate Commercial Real Estate Portfolio Manager role within the Corporate & Investment Bank focuses on managing a specialized portfolio of digital real estate loans, primarily in the data center sector. Key responsibilities include underwriting new opportunities, analyzing financial and property-level data, reviewing loan documents, and presenting recommendations to credit committees. The position requires close collaboration with coverage bankers, legal teams, and clients to execute complex transactions and maintain strong relationships. This opportunity is appealing for professionals seeking to work in a high-growth, fast-paced team with exposure to diverse loan structures and facility types. The role involves a mix of on-site work and occasional travel for property site visits, offering a chance to develop deep expertise in a specialized market segment.

This seasonal role serves as a Lighting Crew Manager for Insomniac's Elevated Experiences team, overseeing lighting operations for large-scale music festivals and events globally. The position involves leading technical crews, collaborating with production designers to execute lighting concepts, and managing all phases of pre-production, onsite execution, and post-production. Key duties include creating lighting plots, sourcing rental equipment, negotiating vendor contracts, and troubleshooting DMX-based systems. The opportunity appeals to candidates passionate about dance culture and immersive event experiences, offering a dynamic environment with significant travel to international locations. The role emphasizes professional growth within a fast-paced, creative team dedicated to delivering high-quality fan interactions.

This 1099 Field Adjuster role is based in the Portland, Oregon area, supporting CCMS & Associates in handling complex residential and commercial property claims. The position requires at least one year of first-party adjusting experience and a valid Oregon state license. Key responsibilities include conducting on-site property inspections, investigating claims through interviews and official reports, and preparing detailed loss statements and reserve recommendations using estimating software like Xactimate. The role appeals to professionals seeking flexible independent contractor work with an innovative team that values strong time management and customer service. Candidates will engage in a collaborative environment focused on solving challenging insurance issues while maintaining high product quality standards.

The Eligibility Specialist role within the Department of Economic Security's Division of Developmental Disabilities supports Arizonans with developmental disabilities and their families. Key responsibilities include conducting eligibility interviews, reviewing applications and documentation, making eligibility determinations, and coordinating with community resources. The position appeals to candidates seeking meaningful public service work that strengthens communities. The role is based on-site in Phoenix and offers a comprehensive benefits package including retirement plans, paid leave, and professional development opportunities.

This seasonal Production Assistant role supports the Back of House Department for Insomniac's Project GLOW DC 2026 festival. The position involves assisting the Project Manager with organizing and executing festival area operations, acting as a liaison for vendors, and managing advance documents and credential materials. The role requires strong communication skills, proficiency in office software, and the ability to thrive in a fast-paced, high-energy environment. The position offers an opportunity to work with a global leader in immersive music events, contributing to large-scale productions that feature cutting-edge technology and art. This is an on-site role requiring physical stamina to work in varied conditions, including loud noise and evening hours, while collaborating with a diverse team dedicated to creating unique fan experiences.

This seasonal Production Assistant role supports the Back of House Department for Insomniac's Beyond Wonderland festival at The Gorge. The position involves assisting the Project Manager with festival area operations, acting as a liaison for vendors, and organizing advance documents and credential materials. The role requires strong communication skills and the ability to manage multiple tasks in a fast-paced environment. The position offers an opportunity to work with a leading global event producer known for immersive music festivals and innovative stage production. The job is on-site and requires physical stamina to work in various weather conditions, including evenings and weekends.

The Home Healthcare Revenue Cycle EDI Systems Analyst role supports the Revenue Cycle Management team within CenterWell Home Health, a subsidiary of Humana. This position focuses on managing and optimizing billing systems to ensure accurate claims processing and timely reimbursements for home care patients. Key responsibilities include configuring revenue cycle applications, analyzing EDI transactions such as 837 and 835 files, monitoring denial rates, and ensuring compliance with HIPAA and CMS regulations. The role serves as a liaison between internal departments, IT, and external vendors to resolve system issues and drive process improvements. This position is appealing for its opportunity to impact patient care through efficient financial operations, offering a remote work arrangement with occasional travel for training. The role emphasizes a collaborative culture dedicated to whole-person wellness and professional growth in the healthcare technology sector.

The Director of Revenue Cycle leads financial operations for a multi-specialty medical practice in Princeton, overseeing end-to-end revenue management including billing, collections, and payer relations. Key responsibilities involve developing strategic financial plans, analyzing performance data for executive reporting, managing team development, and ensuring regulatory compliance. This role appeals to candidates seeking a leadership position within a compassionate, growing organization that offers a comprehensive benefits package including vacation time and retirement plans. The position is fully on-site, requiring daily collaboration with clinical and administrative teams to drive operational efficiency and financial growth.

The Residential Support Manager role leads the LifeSkills Unlimited group living program, focusing on individuals with intellectual disabilities. Key responsibilities include coordinating personalized support services, developing habilitation plans, and supervising residential training specialists. The position requires managing staff schedules, maintaining comprehensive clinical documentation, and serving as a primary liaison for families, medical providers, and agency leadership. This opportunity appeals to those seeking a mission-driven environment where they can directly impact community integration and quality of life. The role operates within a collaborative management team structure, offering professional growth through direct oversight of care delivery and staff development.

This 1099 field adjuster role is based in the Des Moines, Iowa area, focusing on residential and commercial property claims for CCMS & Associates. The position requires at least one year of first-party adjusting experience and involves conducting on-site property inspections, investigating claims through interviews and official reports, and preparing detailed loss statements and reserve recommendations using estimating software like Xactimate. The role appeals to professionals seeking flexible independent work arrangements within an innovative team that handles complex property and casualty cases. Success in this position relies on strong time management, communication skills, and a valid driver's license to travel to various claim sites.

The Claims Adjuster II role at Amynta Group involves managing complex New York State workers compensation claims, specifically within the construction sector, as part of the Oryx Insurance Brokerage team. Key responsibilities include independently investigating claims, determining coverage and reserves, negotiating settlements, and collaborating with medical professionals to facilitate return-to-work strategies. The position requires maintaining technical proficiency with NYS laws and OSHA standards while providing high-quality customer service to clients. This opportunity appeals to professionals seeking a role that values independent decision-making and offers a collaborative environment with minimal travel requirements. The position supports career growth through the handling of challenging cases and interaction with diverse stakeholders.

The Office Associate II role within the Department of Health and Human Services supports the Division of Support Enforcement & Recovery in Biddeford. This full-time position involves processing legal and administrative documents, managing correspondence, and providing customer service to families regarding child support matters. Key duties include scheduling genetic testing, maintaining case files, and communicating with parents and legal entities. The position offers partial telework flexibility and occasional travel. The role is appealing for its mission-driven focus on family economic stability and access to a comprehensive benefits package, including paid parental leave, health insurance coverage, and retirement contributions.

This seasonal role involves serving as Credential Staff for the Beyond Wonderland SoCal 2026 festival, supporting Insomniac's operations team in managing staff access and security. Key responsibilities include verifying government-issued identification, acting as the primary point of contact for staff check-ins, resolving credential issues proactively, and maintaining office security and inventory. The position appeals to individuals passionate about dance music culture who thrive in fast-paced, high-energy environments. It offers the opportunity to work directly with management on large-scale event logistics while contributing to a diverse and inclusive team that prioritizes fan and staff safety. The role is based on-site at the festival location in Nevada.

This senior executive role leads business development for Banc of California within the Homeowners Association industry vertical. The position focuses on acquiring profitable deposit business, cultivating relationships with community association management companies, and driving cross-selling strategies for banking products. Key responsibilities include generating leads through trade associations, developing strategic sales responses to RFPs, managing client profitability, and participating in team hiring and leadership. The role appeals to candidates seeking a position within a relationship-based bank that values entrepreneurial thinking and operational excellence. It offers a supportive environment with comprehensive benefits, career growth opportunities including mentorship and tuition reimbursement, and a commitment to community impact. The position is based within the bank's regional network.

This remote position involves serving as a Multi-Line Claims Adjuster for a national independent firm supporting insurance carriers across Alabama. The role focuses on handling both property and liability claims, including residential and commercial losses, catastrophe events, and liability investigations. Key responsibilities include conducting field inspections, estimating damages using Xactimate software, determining negligence, preparing detailed loss reports, and evaluating settlement values for bodily injury. The position appeals to experienced professionals seeking autonomy, as the role requires modest supervision and offers the flexibility to work from home. It is ideal for candidates with five or more years of adjusting experience who value a mission-driven environment built by industry executives to deliver quality solutions.

This full-time Senior Claims Examiner role within the Property & Casualty department focuses on managing complex commercial auto and trucking claims. The position involves investigating severe liability cases, determining settlement values, managing litigation processes, and establishing appropriate financial reserves. Key responsibilities include mentoring junior staff, communicating with brokers and attorneys, and ensuring compliance with insurance regulations across multiple jurisdictions. The role offers a hybrid work arrangement requiring weekly office attendance in select locations, with the remainder of the week available for remote work. Candidates are drawn to the company's inclusive culture, reputation as a Best Place to Work, and opportunities for professional growth within a family-owned organization.

This seasonal Project Manager role within Insomniac's Food and Beverage team focuses on delivering exceptional dining experiences at large-scale music festivals and events globally. The position involves coordinating vendor and sponsor relationships, designing festival layouts to optimize crowd flow, and managing logistics such as sanitation, power, and infrastructure. Key responsibilities include leading seasonal operations staff, overseeing on-site execution during events, and ensuring compliance with health and safety regulations. The role appeals to candidates passionate about dance culture and event production, offering a dynamic environment with opportunities for professional growth and travel. This hybrid position requires frequent domestic travel to various festival locations and involves working in diverse weather conditions and high-energy settings.