Denials Management Manager

A company is looking for a Manager, Denials Support responsible for overseeing denial management processes and quality assurance initiatives. Key Responsibilities Develop, maintain, and update Denials Management processes and documentation Establish and oversee quality assurance frameworks to reduce errors and improve efficiency Conduct root cause analyses on accounts and implement corrective actions Required Qualifications Bachelor's degree in healthcare administration, Business Administration, Revenue Cycle Management, or a related field (Master's preferred) Minimum of 5 years of experience in Denials Management or revenue cycle operations Strong knowledge of healthcare billing, coding (ICD-10, CPT), and insurance reimbursement processes Experience with quality management systems and process improvement methodologies Strong leadership and stakeholder management skills

Mar 17, 2025 - 22:09

A company is looking for a Manager, Denials Support responsible for overseeing denial management processes and quality assurance initiatives. Key Responsibilities Develop, maintain, and update Denials Management processes and documentation Establish and oversee quality assurance frameworks to reduce errors and improve efficiency Conduct root cause analyses on accounts and implement corrective actions Required Qualifications Bachelor's degree in healthcare administration, Business Administration, Revenue Cycle Management, or a related field (Master's preferred) Minimum of 5 years of experience in Denials Management or revenue cycle operations Strong knowledge of healthcare billing, coding (ICD-10, CPT), and insurance reimbursement processes Experience with quality management systems and process improvement methodologies Strong leadership and stakeholder management skills