Associate Director, RN Denials Management

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Banner Health

10,000+ employees

Founded 1999

⚕️ Healthcare Insurance

Healthcare Insurance

Banner Health is a leading healthcare system committed to making healthcare easier through comprehensive patient services and resources. They provide a safe place for care with services ranging from emergency and urgent care, imaging, and surgery centers to maternity and hospice care. Banner Health also offers telehealth options to ensure access to healthcare, regardless of location. They support athletes through Banner Orthopedics & Sports Medicine and have been recognized for exceptional patient care. With advanced digital tools, they aim to manage healthcare seamlessly for their patients.

📋 Description

• Educate and develop team members • Roll out process changes and projects • Troubleshoot questions from team and outside stakeholders • Oversee RN denials management specialists • Post pre-bill utilization management reviews • Conduct calls with payer UR teams • Manage workflow and queue designation • Collaborate with Internal RCM teams

🎯 Requirements

• Must have at least 5 years' experience as an RN • Current licensure in state of practice • Working knowledge of medical and third party payer requirements and reimbursement methodologies • Bachelor's degree or equivalent experience • At least 1 year of leadership experience including Direct Reports

🏖️ Benefits

• Health insurance • 401(k) matching • Flexible work hours • Paid time off • Remote work options

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