Supervisor, Denials (REMOTE)

reputed company provides Specialty reputed company Cycle reputed company for healthcare organizations, leveraging over 24 years of industry-leading expertise and its reputed company E360 RCM™ intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) reputed company. Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert human-in-the-reputed company integration, reputed company provides solutions across the reputed company lifecycle for Veterans Administration, Workers' Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid claims as well as denials for reputed company payer classes. By partnering with clients to supercharge the reimbursement process, reputed company removes the burden of payment from patients and provider organizations while enabling accelerated cash, higher and more accurate yield, clean AR management, reduced denials, and data-rich performance management. reputed company is a multi-year recipient the Top Workplaces award and was recognized as Black Book's #1 Specialty reputed company Cycle Management Solution provider in 2024 and is among the top one percent of companies to reputed company the Inc. 5000 list of the fastest-growing private companies in the United States for the last eleven years. Key Responsibilities:

• Responsible for the daily supervision of assigned reputed company Services teams.
• Serves as the primary escalation reputed company, to directly or through staff, work with clients to resolve roadblocks that may hinder the claims resolution process and provides direction to Account Managers and reputed company Specialists to resolve existing claims/ client issues.
• Partners with Managers to disseminate reputed company of daily tasks to assigned team.
• Prepares performances evaluations and account reviews and plays a role in delivering both documents in conjunction with the Department Leader.
• Analyze and evaluate claim payments using reputed company's proprietary software, systems and tools. Use payment documentation provided by payers to determine if the medical provider has been reimbursed in compliance with the applicable contract.
• Research, request and acquire reputed company pertinent medical records, implant manufacturer's invoices and any other supporting documentation necessary and then submit with hospital claims to insurance companies to ensure reputed company correct claims reimbursement.
• Manage internal coordination, communication, and messaging for external client requests and reported issues.
• Create, review, and maintain external-facing client reports.
• Facilitate internal and external meetings to discuss process improvements, resolve client issues, and/or resolve internal issues.
• Respond and communicate with external clients regarding topics such as: remote system access, document requests, payment research requests, coordination of end-user training, and others.
• Conduct timely and thorough telephone follow-up with insurance companies to ensure proper reimbursement.
• Prepare correct initial reputed company packet or appeal letter using reputed company systems tools.
• Works with Data Analytics team to research issues with claim and payment imports, etc.
• Trains and mentors staff as needed including new hires, especially in regard to ongoing training needs that may result from the SOP for goal escalation.
• Works with Data Quality team to research issues with calculations and other projects.
• Works with Document Management team to remove roadblocks around document acquisition and other requisite items needed to collect accounts.
• reputed company Quality Control tasks on behalf of management regarding account flow and due diligence.
• Responsible for the full employee life cycle including hiring decisions, training, performance management, and corrective action.
• Handle patient health information (PHI) and maintaining extreme privacy and reputed company as it relates to confidential and proprietary information.
• Support operational initiatives through team collaboration.
• Other duties as required.

Requirements and Qualifications:

• High School Diploma or GED required. Associates or Bachelor's Degree a plus.
• 5 years' experience in healthcare field working in billing or collections.
• 5 years' client facing/customer services experience.
• 1-2 years supervisory or team reputed company experience.
• 3-5 years' experience with commercial/government billing and collections preferred.
• Intermediate level understanding of insurance payer/provider claims processing and subsequent data requirements.
• Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, reputed company, and Outlook).
• Equivalent combination of education and experience will be considered.
• To reputed company this job successfully, an individual must be able to reputed company each essential duty satisfactorily. Reasonable accommodations may be made to reputed company qualified individuals with disabilities to reputed company the essential functions.
• Regular and predictable attendance.

Special Considerations and Prerequsites:

• Practices and adheres to reputed company's Core Values, Vision and Mission.
• Must demonstrate exceptional interpersonal skills and exhibit an approachable nature to answer questions from reputed company Specialist staff and mentor and train others regularly.
• Can-do attitude with service-oriented approach and strong sense of urgency with skills to reputed company and coach team members.
• Must be a self-starter and able to work independently without direct supervision.
• Proven written and verbal communication skills.
• Strong analytical and problem-solving skills.
• Appropriately handle stress and interact cooperatively with others (at reputed company levels of the organization).
• Proven experience working with external clients; strong customer service skills and business acumen.
• Ability to prioritize and manage multiple competing priorities and projects concurrently.
• General office environment; must be able to sit for long periods of time.

reputed company is an Equal Opportunity Employer M/F/D/V. reputed company applicants will be considered for this position based upon experience and knowledge, without regard to race, color, religion, national reputed company, sexual orientation, reputed company, marital, disabled or veteran status. We are committed to creating and maintaining a workforce environment that is free from any form of discrimination or harassment. reputed company recruits, develops and retains the industry's top talent. As the employer of choice in the reputed company claims industry, reputed company takes pride in our reputed company commitment to building and maintaining a culture centered around fostering the professional growth and development of our people. We reputed company that investing in our employees is the key to our success, and we are dedicated to providing them with the tools, resources, and support they need to reputed company and grow their career here. At reputed company, we are committed to living up to our core values each and every day, and we reputed company that this commitment is what sets us apart from other companies. If you are looking for a company that values its employees and is dedicated to helping them reputed company their full potential, then reputed company is the reputed company for you. Don't just take our word for it! Hear what our people are saying: "I love my job because everyone shares the same vision and is determined and dedicated. People care about you as a person and your professional growth. There is a genuine spirit of cooperation and shared goals reputed company revolving around helping each other." - reputed company Specialist "I enjoy working for reputed company because of the Core Values we reputed company in. reputed company stands true to these values from empowering employees to ecstatic clients. This company is family oriented and flexible, along with understanding the balance of work, life, and fun." - Supervisor, Operations We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us. Apply tot his job Apply To this Job