Director, Denials

🔥 0 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $120k - $165k / year

⏰ Full Time

🔴 Lead

👔 Director

👻 Ghost score 0%

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Aspirion

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2006

💼 Consulting

📦 Logistics

🛡️ Insurance

💰 Series unknown on 2012-02

Consulting • Logistics • Insurance

Aspirion is a healthcare revenue cycle management company that helps hospitals recover revenue from denied and complex claims. The company deploys AI automation and a proprietary Compass platform, staffed with US-based attorneys, clinicians, and AI engineers, to overturn clinical denials, maximize out-of-network reimbursement, perform zero-balance reviews, and recover payment variances across services such as denials management, AR management, complex claims, motor vehicle accidents, workers' compensation, TRICARE, and out-of-state Medicaid. Aspirion emphasizes measurable recovery impact (over $6 billion captured), increased collections for clients, HITRUST certification, Best in KLAS awards, and partnerships with large health systems.

📋 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 to optimize workflows and resolve operational challenges • Deliver measurable improvements in throughput, cycle time, and quality • Ensure clear ownership, accountability, process adherence, and standards compliance • Identify and resolve operational inefficiencies, blockers, bottlenecks, and performance gaps • Strengthen cross-team alignment and ensure seamless handoffs • Drive adoption of new processes, tools, workflows, automation, and system-driven workflows • Own and optimize day-to-day workflow execution • Lead and support process improvements, workflow changes, and operational initiatives • Monitor performance trends and use data to prioritize actions and drive continuous improvement • Ensure adherence to standard operating procedures, payer guidelines, and quality expectations • Drive accountability and consistent performance management across teams • Coach, develop, and support Managers and/or frontline leaders • 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 • Contribute to business-unit performance and end-to-end workflow outcomes

🎯 Requirements

• Strong operational leadership capability focused 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 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; ability to manage multiple priorities in a fast-paced environment • Ability to adapt to change and support 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 related field preferred • 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 • Demonstrate integrity and ethics in day-to-day tasks and decision making • Adhere to policies and procedures pertaining to HIPAA, GLBA, FCRA, and other applicable laws • Become familiar with the Code of Ethics and attend required training • Handle patient information in a HIPAA-compliant manner and maintain confidentiality • US remote-based colleagues must not work outside the United States without prior written approval

🏖️ Benefits

• Equal Opportunity Employer • Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions • Continuous growth and learning opportunities supported • Coaching, development, and support for leaders • Training as required for compliance responsibilities