Remote Denial Management Specialist Job Description

Join a Mission That Matters

Have you ever imagined a workplace where your expertise is valued, your contributions create a tangible impact, and your day-to-day work uplifts patients and teams? As a Remote Denial Management Specialist, you'll be at the heart of a mission-driven organization that places empathy, inclusion, and collaboration at the forefront. This is more than just a remote job—it's a chance to belong, grow, and help ensure quality care through diligent and precise denial management practices.

Annual Salary: $49,173

What You'll Be Responsible For

Navigating Complex Cases With Clarity

• Examine unresolved insurance claims to determine corrective action.
• Partner with internal teams to collect necessary records, correct billing details, or update documentation for resubmission.
• Communicate with insurance carriers to challenge rejected claims, providing clear, policy-based justifications.
• Log and track progress of appeals with strong attention to accuracy.
• Recognize denial trends and suggest preventative improvements.
• Follow all relevant healthcare regulations and insurance protocols.

Supporting Teams, Patients, and Providers

• Coordinate with billing staff, medical professionals, and patient liaisons to align on reimbursement expectations.
• Offer expert guidance to colleagues navigating claim issues.
• Share updates and summaries that help leaders monitor system performance and financial outcomes.

Upholding Ethical and Inclusive Practices

• Safeguard sensitive patient data with care and compliance.
• Embrace and promote inclusivity and fairness in every aspect of your work.

The Environment You’ll Thrive In

An Inclusive Workplace Culture

You’ll be working remotely with a team that believes diversity isn’t a metric—it’s a movement. Our inclusive workplace welcomes people of all backgrounds, identities, and life experiences. From team-building activities to mentorship programs that support your unique journey, you'll be seen, heard, and empowered.

We value kindness, flexibility, and open communication. Whether working from a cozy home office or a co-working space with a view, you'll be part of a diverse team where ideas are shared freely and collaboration is a daily rhythm.

Emotional Safety and Professional Growth

Our people-first philosophy ensures you're not just a cog in a system. Emotional intelligence, empathy, and mutual respect are pillars of our operation. Our leaders are accessible and invested in your well-being. Feedback is constructive, support is continuous, and your development is prioritized.

Tools and Technology That Support You

We equip our Remote Denial Management Specialists with advanced yet user-friendly systems to streamline daily workflows. You’ll use secure cloud-based platforms for claim tracking, reimbursement analytics, and appeal submissions. Familiarity with tools like Epic, Cerner, or other EHR systems will be valuable. You'll also benefit from communication platforms that make connecting with your team seamless and meaningful.

Our technology stack supports clear documentation, real-time collaboration, and fast reporting, giving you more time to focus on what truly matters: resolving denials efficiently and ethically.

Qualifications That Empower You

We’re looking for individuals who bring both expertise and empathy to the table. Ideal candidates will meet the following qualifications:

• Minimum of 2 years' experience in medical claims management, specifically denial resolution.
• Strong understanding of healthcare reimbursement processes and payer guidelines.
• Ability to interpret Explanation of Benefits (EOBs), medical policies, and coding standards.
• Comfortable working independently and communicating effectively in a remote setting.
• Familiarity with common healthcare software platforms.
• High level of organizational and time-management skills.
• Commitment to integrity, inclusivity, and continuous learning.

Your journey matters to us. Whether you’ve built your career steadily or are returning to the workforce with renewed passion, we’re ready to welcome your story.

Real Stories, Real Impact

We’re proud of the diverse team we’ve built and the lives we’ve touched. Take Maya, for instance—a mother who transitioned from in-office healthcare billing to a remote role that allowed her to be present for her family while advancing professionally. Or Jordan, who joined us after facing bias in previous workplaces and found mentorship, validation, and leadership opportunities here.

These are not isolated stories—they’re everyday realities within our company.

Why This Role Matters

Medical claim denials don’t just affect numbers—they impact people. You play a vital part in the healthcare continuum by ensuring fair claim reviews and timely resolutions. Your diligence supports patients in receiving the care they need and ensures providers can focus on healing, not paperwork.

You're not solving puzzles in isolation—you’re improving lives.

Your Future With Us

This role is not just a job. It’s a stepping stone. Many of our Remote Denial Management Specialists go on to lead teams, train new hires, or transition into strategic roles like Revenue Cycle Analysts or Compliance Coordinators.

We invest in your growth through:

• Ongoing training and upskilling programs.
• Cross-functional mentorship opportunities.
• Career mapping based on your goals and strengths.

Let’s Hear Your Story

If you’re detail-oriented, empathetic, and ready to make an impact from the comfort of your own space, this is your moment. We value who you are as much as what you do.

We’d love to hear your story—apply today!