Manager, Denials - Remote

Overview

The Manager, Denials is responsible for providing leadership and supervision to a Revenue Services team for the purpose of obtaining quantifiable results from and setting priorities for direct reports.

In Short

• Serve as SME for Commercial and Government contracts.
• Assist team with efficient review of hospital contracts.
• Ensure processes are in place to meet revenue expectations.
• Explain variances to management regarding revenue metrics.
• Responsible for hiring, training, and oversight of staff.
• Measure and monitor key performance metrics.
• Assist in setting strategic direction for the team.
• Maintain knowledge of HIPAA regulations.
• Assist in development of quality and productivity metrics.
• Manage Revenue Services department operations.

Requirements

• Bachelor’s Degree or CRCR Certification preferred.
• Knowledge of Commercial and Government contracts.
• Understanding of financials and hospital revenue cycle process.
• Intermediate understanding of ICD, HCPCS/CPT coding.
• 5-7 years’ experience in management or supervisory roles.
• Experience in healthcare or managed care industry.
• Strong communication skills required.
• Proficiency in MS Office applications.
• Ability to prioritize work and meet deadlines.
• Organized and able to handle multiple projects.

Benefits

• Opportunity to lead a dedicated team.
• Engagement in a growing industry.
• Professional development opportunities.
• Work in a recognized top workplace.
• Competitive salary and benefits package.