Manager, Clinical Denials

Role Overview

• Oversees the denial and appeal processes for the health system
• Provides leadership to the clinical denial coordinators and assigned staff
• Prioritizes, analyzes, and develops process improvement initiatives to reduce risk of revenue loss
• Works in collaboration with the Clinical Financial Integration team to ensure appropriate revenue capture for the system

Requirements

• High School Diploma or Equivalent
• Five (5) years’ experience in healthcare accounts receivables management, billing and collections
• Three (3) years’ experience in healthcare denial management, with understanding of CPT codes
• Bachelor’s degree in Finance, Business Administration or related field (preferred)
• Certified Healthcare Financial Professional (CHFP) with the Hospital Financial Management Association (HFMA) (preferred)
• Three (3) years of supervisory experience (preferred)

Benefits

• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
• Works in collaboration with Clinical Financial Integration team to on-board new services