Remote Medical Denials Manager

Overview

Responsible for managing appeals and denials staff in processing accounts and working with designated payors to ensure proper reimbursement, maximize cash flow, and reduce aging accounts receivable.

In Short

• Ensures compliance with state and federal laws and regulations.
• Maintains a thorough understanding of health insurance and government programs.
• Facilitates identification of issues and solutions related to payment resolution.
• Monitors collection of appealed accounts for timely cash collections.
• Identifies department training needs for system education and updates.
• Ensures employee productivity and quality meet standards.
• Manages workflow and collection efforts for assigned team.
• Performs other duties as assigned.
• Complies with all policies and standards.

Requirements

• H.S. Diploma or GED required.
• Bachelor's Degree required.
• Master's Degree preferred.
• 3-6 years previous experience in healthcare business office policies required.
• 3-6 years related experience in denials and appeals required.
• 2-4 years supervisory experience required.

Benefits

• Details of benefits not provided in the description.