Clinical Supervisor, Denial Management RN

🔥 50 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CorroHealth

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

CorroHealth is a leading provider of clinically led healthcare analytics and technology-driven solutions, focused on enhancing the financial performance of hospitals and health systems. Their integrated solutions and advanced technologies aim to optimize the entire revenue cycle, offering services such as revenue cycle management, clinical documentation, medical coding, and denials management. With a commitment to improving financial health through intelligent technology and expert guidance, CorroHealth addresses complex payer-provider relationships and supports efficient healthcare operations.

📋 Description

• Manage denials and clinical appeals services on behalf of clients • Provide leadership and oversee daily operations of an Appeals team comprising Appeal Coordinators and support staff • Manage relationships, staff performance, and quality assurance • Provide regular support, mentorship, guidance, and development for team members • Organize and oversee Appeals team processes and workflows • Ensure team members understand and execute duties and delegated tasks • Interact with internal and external customers, including payers • Manage staff performance and revenue cycle management using KPIs • Conduct root cause analysis of denials • Coordinate across departments • Develop workflows and manage escalations • Prepare and report operational progress • Manage relationships with the team and external parties • Coordinate training • Prepare documents • Oversee compliance • Review and audit documentation

🎯 Requirements

• RN license in good standing is required • RN required • Experience directly managing a team preferred • Excellent communication and interpersonal skills, especially to connect to remote team members and internal/external customers • Outstanding organizational and leadership skills • Ability to delegate responsibilities and provide leadership and training to key personnel • Excellent critical thinking skills • Ability to provide strategic thought to process improvement or standardization • Confidentiality • Strict adherence to HIPAA/HITECH compliance • RN degree and license required/preferred • Payor and Provider Appeal Experience preferred • Knowledge of CPT and ICD 10 guidelines • Knowledge of Medicare, Medicaid, Commercial, and Managed Care • CDI, CCS, and DRG appeals experience preferred and a plus • 3 to 5 years of experience/prior working knowledge in healthcare, insurance, specifically in denials management/claims and appeal writing • Experience working in Epic • Proficient in relevant computer applications such as MS Office and Teams • Accurate keyboard skills • Ability to collaborate with staff and other departments within the hospital system • Ability to work daytime business hours in CST/EST • Ability to perform computer-based work for 6–8 hours a day • Ability to lift and move material weighing up to 20 lbs. infrequently

🏖️ Benefits

• Professional development and personal growth opportunities • Remote work from home • Daytime business hours CST/EST • Reasonable accommodations for individuals with disabilities