Denials Manager

Job not on LinkedIn

November 25

🏈 Ohio – Remote

Although this job is listed in Ohio, this company may be open to hiring remote in other states.

💵 $62.5k - $119.7k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

Apply Now

Receive Emails with Similar Jobs

Ensemble Health Partners

WebsiteLinkedInAll Job Openings

Healthcare Insurance • SaaS • Enterprise

Ensemble Health Partners is a leading provider of revenue cycle management (RCM) services for healthcare organizations. They offer an end-to-end RCM solution that helps hospitals, health systems, and affiliated physician groups optimize their revenue cycles, reduce denials and underpayments, and enhance patient experiences using a combination of expert management and advanced technology. Ensemble Health Partners leverages certified operators and AI to deliver consistent results, improve collections, and support future growth for healthcare providers. They are recognized for their robust client partnerships and commitment to delivering reliable revenue lift and cost savings for their clients.

5001 - 10000 employees

⚕️ Healthcare Insurance

☁️ SaaS

🏢 Enterprise

💰 Private Equity Round on 2022-03

📋 Description

• Provides oversight of all activities related to the monitoring, tracking and reporting of audit requests and the appeals associated with audit and non-audit related denials • Responsible for performance and effectiveness of the department's clinical staff • Implement short and long-term plans and objectives to improve revenue and manage overall clinical denials trends • Work with Patient Access, Coding, Billing, and Follow-Up to identify, correct, and reduce denials trends related to their respective departments • Perform ongoing process improvement of daily activities related to audit and denial functions • Generate reports to analyze trends in audit and denial activity • Provide relevant guidance to department Supervisors

🎯 Requirements

• 4 year/ Bachelors degree • Three years’ management experience in healthcare industry • Medicare and Medicaid billing experience required • Proficient knowledge of Medicare, Medicaid and other third-party payer documentation, coding and billing regulations • Strong written and verbal communication skills to communicate in clear, concise terms to management at all levels and the ability to articulate complex regulatory information in layman's terms.

🏖️ Benefits

• Bonus Incentives • Paid Certifications • Tuition Reimbursement • Comprehensive Benefits • Career Advancement