Manager, Clinician Appeals

Job not on LinkedIn

🕒 May 20

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

🔴 Lead

👔 Manager

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CorroHealth

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

⚕️ Healthcare Insurance

☁️ SaaS

🤖 Artificial Intelligence

Healthcare Insurance • SaaS • Artificial Intelligence

CorroHealth is a leading provider of clinically led healthcare analytics and technology-driven solutions, focused on enhancing the financial performance of hospitals and health systems. Their integrated solutions and advanced technologies aim to optimize the entire revenue cycle, offering services such as revenue cycle management, clinical documentation, medical coding, and denials management. With a commitment to improving financial health through intelligent technology and expert guidance, CorroHealth addresses complex payer-provider relationships and supports efficient healthcare operations.

📋 Description

• The Manager of Clinician Appeals is a clinical leader responsible for the strategic oversight and operational execution of the appeals letter writing and client education engagement. • Lead high-performing clinical teams in the development of clinically accurate, persuasive, and compliant appeal communications to payers. • Ensure operational excellence, clinical integrity, and alignment with financial goals. • Work closely with internal leadership, administrative operations, and external clients to ensure best-in-class service delivery in a dynamic revenue cycle environment. • Analyze denial types, identify root causes, and deliver actionable feedback that helps prevent future denials. • Manage and develop both domestic and global clinicians who write appeal letters. • Oversee hiring, onboarding, training, and performance management of clinical writers. • Define and implement the team’s leadership structure and workflows. • Enforce quality and productivity standards; take corrective action as needed to maintain high performance.

🎯 Requirements

• RN, MD or DO license required; active, unrestricted medical license (any state) preferred • Minimum 8+ years of clinical experience with at least 5 years in a leadership role within appeals, utilization management, clinical documentation improvement (CDI), or similar RCM functions • Strong knowledge of payer appeals processes, healthcare regulations, and documentation standards • Demonstrated success in managing clinical teams in a high-volume, fast-paced environment • Proven experience developing QA programs and implementing clinical workflow improvements • Strong understanding of financial models and operational KPIs in the revenue cycle industry • Exceptional communication, collaboration, and leadership skills.

🏖️ Benefits

• Professional development • Flexible work arrangements