Supervisor, Denial Management

Job not on LinkedIn

🔥 14 hours ago

🇺🇸 United States – Remote

💵 $580.5k - $75.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

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Franciscan Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1875

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 Non-profit

Healthcare • Healthcare Insurance • Non-profit

Franciscan Health is a healthcare organization committed to providing high-quality medical care grounded in the Franciscan tradition. They offer a range of medical services, including clinical and allied health, home health and hospice, nursing, physicians and advanced practice providers, and non-clinical and administrative roles. With a focus on embracing the values of St. Francis to care for those in need, they provide a supportive and fulfilling work environment for their employees, emphasizing a mission of compassion and community engagement. Franciscan Health is dedicated to offering a variety of employment opportunities across different medical specialties and locations.

📋 Description

• Oversee daily operations of a team responsible for medical claim denial follow-up and underpayments • Manage support activities associated with claim denials • Maintain the denial management system, workflows, and analysis reporting • Collect and interpret denial patterns to quantify causes and financial impact • Identify trends to reduce future revenue loss • Collaborate with system departments on trends and process improvement opportunities • Supervise staff and manage individual performance through feedback and recommendations • Implement process innovations with insurance payers, Revenue Cycle leadership, and department managers • Conduct performance evaluations, disciplinary actions, and interviews • Analyze reports and use software to track, trend, and identify denial root causes • Coordinate interdepartmental efforts, strategic goals, and expectations • Develop and monitor structured workflows • Coach and mentor team members and serve as the first escalation point • Prepare operational progress and status reports • Develop relationships with patients, hospital departments, and external parties • Coordinate meetings and in-service training with payer representatives and vendors • Develop reports, policies, procedures, and training materials • Ensure compliance with state and federal billing regulations • Review final documentation for write-offs and add avoidable write-off language

🎯 Requirements

• High School Diploma/GED • 5 years Patient accounting and Denial Management required • 2 years supervisory or leadership experience preferred • Up to 20% travel required • Knowledge of state and federal billing regulations

🏖️ Benefits

• Comprehensive benefit offerings for eligible employees • Up to 20% travel