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
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.
$65,520.00 - $95,501.12/year Other Information Hybrid role (based out of Greenville, NC) Monday - Friday, full-time, day shift Great Benefits #LI-HYBRID #LI-AH2 ECU Health About ECU Health ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations.
The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Children¿s Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University. ECU Health and the Brody School of Medicine share a combined academic mission to improve the health and well-being of eastern North Carolina through patient care, education and research. General Statement It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.
Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification. We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant¿s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law.
We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.
Not Applicable