Director, Denials

🕒 6 dias atrás

🐊 Florida – Remoto

🐊 Florida – Remote

💵 $120.000 - $165.000 / ano

⏰ Tempo Integral

🔴 Especialista

👔 Diretor

👻 Score fantasma 0%

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• Aberta há 6 dias.
• As vagas desta empresa costumam ser preenchidas em 24 dias.

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Aspirion

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 2006

💼 Consultoria

📦 Logística

🛡️ Seguros

💰 Series unknown em 2012-02

Consulting • Logistics • Insurance

Aspirion é uma empresa de gestão de ciclo de receita na área da saúde que auxilia hospitais a recuperar receitas de reivindicações negadas e complexas. A empresa emprega automação por IA e uma plataforma proprietária chamada Compass, composta por advogados, clínicos e engenheiros de IA, todos baseados nos EUA, para reverter negações clínicas, maximizar reembolsos fora da rede, realizar revisões de saldo zero e recuperar variações de pagamento em serviços como gestão de negações, gestão de contas a receber (AR), reivindicações complexas, acidentes de trânsito, compensação de trabalhadores, TRICARE e Medicaid de fora do estado. A Aspirion enfatiza o impacto mensurável de recuperação (mais de $6 bilhões capturados), aumento de coleções para os clientes, certificação HITRUST, prêmios Best in KLAS e parcerias com grandes sistemas de saúde.

Descrição

• Drive operational performance within a defined function or workflow segment of the denials lifecycle • Own execution, throughput, cycle time, and quality outcomes at the functional level • Translate strategic priorities into consistent day-to-day performance • Partner cross-functionally with Operations, Product, Finance, and Client Success to optimize workflows and resolve operational challenges • Deliver measurable improvements in throughput, cycle time, quality, and productivity • Ensure clear ownership, accountability, adherence to processes, payer guidelines, and quality standards • Identify and resolve blockers, bottlenecks, operational inefficiencies, and performance gaps • Lead and support implementation of process improvements, workflow changes, tools, automation, and operational initiatives • Monitor performance trends and use data to prioritize actions and drive continuous improvement • Coach, develop, and support Managers and/or frontline leaders • Drive accountability, engagement, and consistent performance management • Ensure work is routed, prioritized, and executed according to workflow logic and business priorities • Make real-time decisions to address performance gaps, rebalance work, and maintain throughput • Support seamless handoffs and alignment across the end-to-end denials lifecycle

🎯 Requisitos

• 7-10+ years of experience in Revenue Cycle Management, with exposure to denial management, or equivalent combination of education and relevant experience • Experience leading teams in a metrics-driven, performance-focused environment • Experience managing work queues, workflows, and operational KPIs • Familiarity with payer guidelines, denial trends, and revenue cycle performance metrics • Experience supporting process improvement or operational initiatives • Experience working with practice management systems, EHRs, or payer portals • Strong operational leadership capability with a focus on execution, performance management, and results delivery • Proven ability to manage and improve workflow performance within a defined function or operational segment • Solid understanding of revenue cycle management and denial management processes, including payer dynamics and performance drivers • Ability to leverage data and KPIs to monitor performance, identify issues, and drive improvements • Strong problem-solving skills with the ability to identify root causes and implement effective solutions • Experience working cross-functionally to resolve issues and improve workflow execution • Demonstrated ability to lead teams and drive accountability, engagement, and performance • Strong communication and organizational skills with the ability to manage multiple priorities in a fast-paced environment • Ability to adapt to change and support the implementation of new processes, tools, and workflows • Ability to connect functional performance to broader business outcomes, including throughput, cycle time, and revenue impact • Experience working within or adapting to tech-enabled, workflow-driven operating models • Bachelor's degree in Healthcare Administration, Business, Finance, or a related field preferred • US remote-based colleagues must not work from outside the United States without prior, written approval • Adherence to HIPAA, GLBA, FCRA, and other applicable laws; familiarity with Code of Ethics and confidentiality obligations

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