Director of Denial Management (US Health Insurance)

Director of Denial Management (U.S. Health Insurance)Company: Wellnite Location: Remote (U.S. work hours) Schedule: Monday–Friday, 9 hours/day Compensation: Competitive salary (commensurate with experience)About WellniteWellnite is a U.S.-based mental health care company providing accessible, insurance-covered therapy and psychiatry services across multiple states. We work directly with major commercial insurance plans to help patients access high-quality mental health care while ensuring providers are supported with strong operational and revenue infrastructure.As Wellnite continues to scale, denial management and revenue recovery are critical to sustaining patient access and provider availability. This role plays a direct, measurable impact on company revenue and operational stability.About the RoleWe are seeking an experienced Director of Denial Management to own and lead Wellnite’s U.S. health insurance denial operations. This is a senior leadership role responsible for denial prevention, recovery, and process design across a growing payer mix.This position is not for entry-level candidates. You must bring deep, hands-on expertise in U.S. medical billing, appeals, recoupments, and receivables, along with the ability to organize teams and create durable systems.Key ResponsibilitiesOwn and resolve recoupments and payer takebacks, including investigation and prevention strategiesDraft, review, and standardize appeal letters across commercial and government payersOrganize and manage denial-related accounts receivable, ensuring timely follow-up and resolutionAnalyze and categorize denial reasons (clinical, authorization, eligibility, coding, timely filing, etc.) and drive corrective actionBuild scalable denial workflows, playbooks, and escalation pathsTrain, mentor, and manage denial and billing teamsMonitor denial trends, recovery rates, and financial exposurePartner cross-functionally with billing, credentialing, provider operations, and leadershipEnsure compliance with payer policies and U.S. healthcare regulationsRequired Qualifications5+ years of U.S. medical billing, denial management, or revenue cycle experienceProven experience handling denials, appeals, recoupments, and A/RStrong understanding of commercial and government payer requirementsExperience organizing receivables and improving recovery performanceDemonstrated ability to lead, train, and scale teamsHighly organized, detail-oriented, and execution-focusedAvailability to work U.S. business hours (9 hours/day, Monday–Friday)Preferred (Bonus) QualificationsExperience with mental health or behavioral health billingBackground in fast-growing healthcare or multi-state provider organizationsExperience building denial management processes from the ground upWhat We OfferCompetitive, market-aligned salaryHigh ownership and visibility within leadershipOpportunity to build and scale a critical revenue functionRemote work with consistent U.S. hoursA mission-driven company focused on expanding access to mental health careWho Should ApplyThis role is for a seasoned denial management leader who understands payer behavior, knows how to recover revenue at scale, and can teach teams to execute with discipline. If you want ownership, accountability, and impact, this role is built for you.

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