Manager, Appeals Management

Job not on LinkedIn

🔥 4 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

🔴 Lead

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

CorroHealth

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

⚕️ Healthcare Insurance

☁️ SaaS

🤖 Artificial Intelligence

Healthcare Insurance • SaaS • Artificial Intelligence

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

• The Manager of Clinician Appeals is responsible for the strategic oversight and operational execution of the appeals letter writing and client education engagement. • Lead high-performing clinical teams in the development of clinically accurate, persuasive, and compliant appeal communications to payers. • Ensure operational excellence, clinical integrity, and alignment with financial goals. • Work closely with internal leadership, administrative operations, and external clients to ensure best-in-class service delivery in a dynamic revenue cycle environment. • Build, lead, and scale the clinical letter writing team, ensuring appropriate staffing levels. • Finalize training programs and establish QA standards for the team. • Develop and continuously improve robust QA programs.

🎯 Requirements

• RN, required; active, unrestricted medical license (any state) preferred • Minimum 8+ years of clinical experience with at least 5 years in a leadership role within appeals, utilization management, clinical documentation improvement (CDI), or similar RCM functions. • DRG Downgrade experience is mandatory. • Strong knowledge of payer appeals processes, healthcare regulations, and documentation standards. • Demonstrated success in managing clinical teams in a high-volume, fast-paced environment. • Proven experience developing QA programs and implementing clinical workflow improvements. • Strong understanding of financial models and operational KPIs in the revenue cycle industry. • Exceptional communication, collaboration, and leadership skills.

🏖️ Benefits

• Medical/Dental/Vision Insurance • Equipment provided • 401k matching program • FTO: Flex Unlimited Annual PTO • Paid Paternity & Maternity leave programs • 9 paid annual holidays • Life Insurance • Long term disability • Short term disability options • Tuition reimbursement and much more!