All the benefits and perks you need for you and your family: - Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
- Paid Time Off from Day One
- 403-B Retirement Plan
- 4 Weeks 100% Paid Parental Leave
- Career Development
- Whole Person Well-being Resources
- Mental Health Resources and Support
- Pet Benefits
Schedule: Full time
Shift: Day (United States of America)
Address: 900 HOPE WAY
City: ALTAMONTE SPRINGS
State: Florida
Postal Code: 32714
Job Description: - Manages daily operations of the denials management team
- Supervises, coaches, and develops denial management specialists
- Monitors team performance against established metrics and productivity standards
- Reviews and approves appeals for accuracy and quality
- Analyzes denial trends and develops remediation strategies
- Coordinates with payers on complex denial issues and escalations
- Ensures compliance with all regulatory requirements and policies
- Prepares and presents reports on denial performance
- Participates in hiring, training, and performance management processes
- Identifies opportunities for process improvement and implements solutions
- Collaborates with revenue cycle leadership on strategic initiatives
- Performs other duties as assigned
Knowledge, Skills, and Abilities: - Comprehensive understanding of revenue cycle processes including charge capture, billing, and reimbursement [Required]
- Knowledge of CPT, HCPCS, ICD coding systems, and billing regulations for government and commercial payers [Required]
- Knowledge of payer policies, denial processes, and appeal strategies [Required]
- Demonstrated leadership skills with ability to supervise and develop staff [Required]
- Strong analytical skills with ability to interpret data and identify trends [Required]
- Excellent written and verbal communication skills [Required]
- Proficiency in Microsoft Suite applications and healthcare information systems [Required]
- Ability to build collaborative relationships across departments [Required]
- Proficiency with Epic EHR system [Preferred]
- Experience with process improvement methodologies [Preferred]
- Experience with denial management technology platforms [Preferred]
Education: - Bachelors degree [Required]
- Masters degree [Preferred]
Field of Study: - In Business, Healthcare, Health Services Administration, Health Information Management, Communications, Finance, Accounting, Public Administration, Human Resources, Management, or Marketing
Work Experience: - 3+ years Revenue Cycle experience [Required]
- 3+ years leadership experience [Required]
Additional Information: - An equivalent combination of education and relevant work experience may be considered in lieu of the stated degree requirement:
- Bachelors degree AND 3+ years of relevant work experience [Required] OR
- Associates degree AND 5+ years of relevant work experience [Required] OR
- 7+ years of relevant work experience [Required]
Licenses and Certifications: - Healthcare Financial Management Association (HFMA) [Preferred]
- Certified Revenue Cycle Rep (CRCR) [Preferred]
Physical Requirements: (Please click the link below to view work requirements)
Physical Requirements - https://tinyurl.com/23km2677
Pay Range:$83,699.48 - $155,693.55
