Manager, Denials – DDI

🔥 vor 4 Stunden

🐊 Florida – Remote

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💵 $62.500 - $84.800 / Jahr

⏰ Vollzeit

🟢 Junior

🟡 Mittelstufe

👔 Manager

🚫👨‍🎓 Kein Abschluss erforderlich

👻 Geisterscore 0%

infoinfo

🗣️🇺🇸🇬🇧 Englisch erforderlich

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Logo of Aspirion

Aspirion

1001 - 5000 Mitarbeiter

Gegründet 2006

💼 Beratung

📦 Logistik

🛡️ Versicherung

💰 Series unknown im 2012-02

Consulting • Logistics • Insurance

Aspirion ist ein Unternehmen für das Management des Gesundheitskostenzyklus, das Krankenhäusern hilft, Einnahmen aus abgelehnten und komplexen Forderungen zurückzugewinnen. Das Unternehmen setzt KI-Automatisierung und eine proprietäre Compass-Plattform ein, besetzt mit in den USA ansässigen Anwälten, Klinikern und KI-Ingenieuren, um klinische Ablehnungen zu überwinden, die Erstattung von außerhalb des Netzwerks zu maximieren, Null-Saldo-Bewertungen durchzuführen und Zahlungsabweichungen über Dienstleistungen wie Ablehnungsmanagement, AR-Management, komplexe Forderungen, Kraftfahrzeugunfälle, Arbeitnehmerentschädigung, TRICARE und Medicaid außerhalb des Staates zu beheben. Aspirion betont messbare Wiederherstellungseffekte (über 6 Milliarden Dollar erfasst), erhöhte Sammlungen für Kunden, HITRUST-Zertifizierung, Best in KLAS-Auszeichnungen und Partnerschaften mit großen Gesundheitssystemen.

Beschreibung

• Oversee the daily operations of assigned Operations Team members • Coordinate with the Director, VP of Operations, and People Team on staffing and staff concerns • Collaborate with RSD, DCD, and Clinical Ops teams to meet or exceed client expectations and resolve issues timely and accurately • Conduct ongoing research to maintain current industry knowledge • Participate in client meetings as requested • Facilitate and participate in internal leadership meetings • Use reports to manage inventory and ensure service line KPIs are met • Review team members’ caseloads daily, balance inventory, and adjust assignments to meet goals and metrics • Review high-dollar inventory to ensure accounts progress efficiently toward payment or resolution • Conduct monthly reviews of aged accounts • Ensure payments are properly posted for each client • Review accounts for closure • Identify and report hospital and payer trends • Complete staff evaluations and establish performance goals with the Director of Operations • Support staff development and training by identifying opportunities, preparing materials, conducting sessions, and mentoring staff • Manage time-off and PTO requests in the payroll system and shared calendars • Provide mentoring and guidance to team members • Monitor staff productivity and quality and discuss findings with team members • Identify and report productivity issues and staffing needs • Conduct interviews and make selection decisions • Conduct team meetings, including agendas and meeting minutes • Complete other projects and tasks as needed or requested

🎯 Anforderungen

• High School Diploma or equivalent required • Bachelor’s degree preferred • Minimum of 2 years of responsible leadership experience in management or supervisory position preferred • Minimum of 2 years related industry experience required • Minimum of 6 months experience as an Appeals Specialist or above level at Aspirion required • Ability to work in a fast-paced environment while remaining calm and professional • Ability to multi-task and switch effectively between tasks • Ability to produce results through delegation • Effective coaching and mentoring skills • Strong oral and written communication skills • Strong organizational and time management skills • Keen attention to detail • Proficiency with Microsoft Office products including Outlook, Word, Excel, and PowerPoint • Experience working in various client systems and payer portals • Proven ability to meet deadlines • Ability to work independently • Critical thinking and problem-solving skills • Social perceptiveness and emotional intelligence • Ability to work effectively with teams at every level of an organization • Advanced understanding of the healthcare revenue cycle industry • Track record of high performance • Understanding of data quality • Must be located in the United States; US remote-based colleagues are not permitted to work outside the United States without prior written approval • Must adhere to HIPAA, privacy, confidentiality, applicable laws, and company policies

🏖️ Vorteile

• Paid time off (PTO) • Incentive ideas and programs to maintain motivation • Training, mentoring, and continuous learning and development opportunities • Remote work arrangement for US-based colleagues

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