Director, Denials

🕒 il y a 3 jours

🐊 Florida – Distant

🐊 Florida – Remote

💵 $120 000 - $165 000 / an

⏰ Temps Plein

🔴 Expert

👔 Directeur

👻 Score fantôme 0%

Ce que ça veut dire : la probabilité que personne ne recrute vraiment pour cette offre.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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Aspirion

Site WebLinkedInTous les Emplois

1001 - 5000 employés

Fondée en 2006

💼 Conseil

📦 Logistique

🛡️ Assurance

💰 Series unknown en 2012-02

Consulting • Logistics • Insurance

Aspirion est une entreprise de gestion du cycle des revenus dans le secteur de la santé qui aide les hôpitaux à récupérer les revenus des demandes refusées et complexes. L'entreprise utilise l'automatisation par IA et une plateforme propriétaire appelée Compass, dotée d'avocats, de cliniciens et d'ingénieurs en IA basés aux États-Unis, pour renverser les refus cliniques, maximiser les remboursements hors réseau, effectuer des révisions de solde nul et récupérer les écarts de paiement dans des services tels que la gestion des refus, la gestion des comptes clients, les demandes complexes, les accidents de la route, la compensation des travailleurs, TRICARE et Medicaid hors état. Aspirion met l'accent sur l'impact mesurable de la récupération (plus de 6 milliards de dollars capturés), l'augmentation des collections pour les clients, la certification HITRUST, les distinctions Best in KLAS, et les partenariats avec de grands systèmes de santé.

Description

• 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

🎯 Exigences

• 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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