Manager, Clinical Denials

🕒 March 31

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WVU Medicine

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

Healthcare Insurance

WVU Medicine is a comprehensive health system affiliated with West Virginia University, providing medical services through a network of hospitals across West Virginia. The system includes notable facilities such as J. W. Ruby Memorial Hospital, WVU Medicine Children's, and various other regional medical centers. WVU Medicine offers a wide range of healthcare services, including specialized and advanced medical treatments such as robotic heart surgery. It's also involved in medical education, research, and community health initiatives, emphasizing a mission of delivering high-quality care to the communities it serves.

📋 Description

• Oversees the denial and appeal processes for the health system • Provides leadership to the clinical denial coordinators and assigned staff • Prioritizes, analyzes, and develops process improvement initiatives to reduce risk of revenue loss • Works in collaboration with the Clinical Financial Integration team to ensure appropriate revenue capture for the system

🎯 Requirements

• High School Diploma or Equivalent • Five (5) years’ experience in healthcare accounts receivables management, billing and collections • Three (3) years’ experience in healthcare denial management, with understanding of CPT codes • Bachelor’s degree in Finance, Business Administration or related field (preferred) • Certified Healthcare Financial Professional (CHFP) with the Hospital Financial Management Association (HFMA) (preferred) • Three (3) years of supervisory experience (preferred)

🏖️ Benefits

• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions • Works in collaboration with Clinical Financial Integration team to on-board new services