Position Summary
The Denials Management Supervisor, you will analyze, track, measure, prevent and manage denials working collaboratively across all areas of revenue cycle management. Work with the team to research payment policies and review potential underpayments/overpayments on both facility and professional accounts. This role will work with payers directly to ensure reimbursements are aligned with negotiated contracts.
The Denials Management Supervisor will work closely with the Manager/Director to provide staff oversight/assistance. This position ensures timely and thorough appeal of all non-clinical denials. The Denials Management Supervisor ensures accurate and compliant resolution of all government-mandated audits. Works with leadership to design and implement procedures and systems to optimize efficiency and minimize the need for manual processing of accounts.
Minimum Requirements
Required Education/Course(s)/Training:- Associate degree or higher and/or 5+ years of experience in professional and hospital revenue cycle account receivable management including government payers is required.
- 2+ years in a related lead or supervisory role within professional and hospital centralized healthcare environment.
- 3 years of experience in combined/comprehensive contract variance review/analysis.
Preferred Education: - Bachelor's degree in healthcare administration or related field of study
- Graduate of a medical billing program
- Medical coding experience and/or certification
Performance Expectations:- Successful achievement of the following:
- Must be able to work independently and efficiently with little supervision.
- Strong customer service and human relations abilities.
- Ability to effect collaborative alliances and promote teamwork.
- Ability to ensure a high level of customer satisfaction including employees, patients, visitors, faculty, referring physicians and external stakeholders.
- Ability to use various computer applications is preferred including EPIC.
- Ability to make good judgments in demanding situations.
- Ability to react to frequent changes in duties and volume of work.
- Must have a strong desire to teach / transfer knowledge to team members.
- Ability to recognize, evaluate, solve problems, and correct errors.
- Show proficiency in building and maintaining strong internal relationships while motivating and inspiring team members through effective consultative skills.
- Ability to identify and implement process improvements to optimize revenue cycle performance.
Pay Range
$65,520.00 - $95,501.12/year
Other Information
- Hybrid role (based out of Greenville, NC)
- Monday - Friday, full-time, day shift
- Great Benefits
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