What is the role of a Denial Management Associate at EvergreenHealth?

The Denial Management Associate position at EvergreenHealth is a Full-Time opportunity in the Healthcare / Health Services field.

Where is this Denial Management Associate job located?

Kirkland, Washington, 98034, United States

What is the expected salary for this Denial Management Associate job?

Compensation will be discussed during the hiring process.

How can I apply for the Denial Management Associate position at EvergreenHealth?

You can apply directly through the application link provided.

Denial Management Associate at EvergreenHealth

Position Title: Denial Management Associate

Description

Wage Range: $26.18 - $41.82 per hour
Healthcare Payer denials and medical billing

Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity.

Job Summary:

Responsible for the initial screening, routing, and prevention of payer denials. This role supports core payer denial resolution processes. Serves as the primary contact for denied claims, determining whether items are appealable, require rebilling or correction, or should be routed to operational teams for resolution. The coordinator identifies authorization-related denial trends and partners with clinical and operational departments to reduce future denials. This position is accountable for reducing preventable denials and downstream appeal volume, enabling staff to focus on high-value appeals.

Primary Duties:

Reviews incoming payer denials to determine appropriate disposition using standardized triage criteria.
Routes denials to the appropriate work queues, teams, or departments for appeal, rebilling, or operational resolution.
Identifies denials requiring charge correction, coding updates, or claim rebilling and coordinates timely handoff to Billing, Coding, or Follow-up.
Monitors rebill-related denials to confirm corrective action and claim resubmission occurs within established timeframes.
Analyzes denials to identify preventable denials by department, service line, or payer and communicates trends to operational leaders.
Supports denial prevention efforts through education, workflow clarification, and documentation standardization.
Supports reporting and leadership review by tracking and documenting triage effectiveness, including routing decisions and denial trends.
Assists with appeal preparation activities for defined categories, projects, or trends, including drafting appeal letters and assembling supporting documentation, in collaboration with the Denial Management Specialist.
In conjunction with Denial Management Specialist, assists with follow-up on submitted appeals, documentation tracking, and other appeal-related support activities.
Performs other duties as assigned.

License, Certification, Education or Experience:

REQUIRED for the position:

Associates degree in related area or equivalent combination of education and experience
2 years of experience in denial management, utilization review, or prior authorization in a hospital, provider, or healthcare system.
Experience supporting denial prevention or root cause analysis initiatives.
Knowledge of authorization processes.
Strong written and verbal communication skills for cross-department collaboration.
Demonstrated attention to detail.

DESIRED for the position:

Experience with Epic electronic medical record (EMR) system
Ability to work independently and productively in a remote work environment.
General knowledge of healthcare revenue cycle including familiarity with reimbursement methodology, charge capture, and billing processes.

Benefit Information:
Choices that care for you and your family

At EvergreenHealth, we appreciate our employees commitment and contribution to our success. We are proud to offer a suite of quality benefits and resources that are comprehensive, flexible, and competitive to help our staff and their loved ones maintain and improve health and financial well-being.

Medical, vision and dental insurance
On-demand virtual health care
Health Savings Account
Flexible Spending Account
Life and disability insurance
Retirement plans (457(b) and 401(a) with employer contribution)
Tuition assistance for undergraduate and graduate degrees
Federal Public Service Loan Forgiveness program
Paid Time Off/Vacation
Extended Illness Bank/Sick Leave
Paid holidays
Voluntary hospital indemnity insurance
Voluntary identity theft protection
Voluntary legal insurance
Pay in lieu of benefits premium program
Free parking
Commuter benefits

View a summary of our total rewards available to you as an EvergreenHealth team member by clicking on the link below.

EvergreenHealth Benefits Guide

Denial Management Associate at EvergreenHealth – Kirkland, Washington

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