Verified Job
Work from home
Remote Medical Denials Manager
Work from home
#477898
Remote / WFH
Job Description
As a Remote Denial Support Services Manager at Community Health Systems – Shared Services Center- Fort Smith, you’ll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including health insurance, flexible scheduling, 401k and student loan repayment programs.
Required Experience:
• 3+ years of supervisory experience including medical revenue cycle areas such as billing, follow-up, and/or denial resolution.
Preferred Experience:
• 5+ years of supervisory experience in a medical revenue cycle, including coding and denials.
Preferred License:
• Coding or Denial Certification or Equivalent
Essential Duties and Responsibilities:
• Responsible for and Oversight of the Appeal Specialists, Appeal Coordinator, and ROI Specialists (16%)
• Oversee denial calls each month with each Facility Denial Liaison to discuss at minimum top 5 trending denials and develop and ensure each Facility has an action plan of their top denials each month. Each report is provided to Facility Liaison and CFO. (14%)
• Responsible for following up on any questions, concerns from facilities on denial calls thru written communication and ensuring all associates are notified of process improvement or additional education is needed. (14%)
• Review, Monitor and Report monthly trends of audit activity and risks (14%)
• Work with the A/R, Billing and Pre- Arrival managers and departments at each facility to analyze and recommend change regarding issues related to non-payment of claims (14%)
• Monitor & report associate benchmarks and performance monthly to provide incentive or perform disciplinary action as required. (14%)
• Provides monthly, quarterly and yearly statistical information regarding denials and employee performance. (14%)
• This is a fully remote opportunity.
We know it’s not just about finding a job. It’s about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.
Community Health Systems is one of the nation’s leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational.
Required Experience:
• 3+ years of supervisory experience including medical revenue cycle areas such as billing, follow-up, and/or denial resolution.
Preferred Experience:
• 5+ years of supervisory experience in a medical revenue cycle, including coding and denials.
Preferred License:
• Coding or Denial Certification or Equivalent
Essential Duties and Responsibilities:
• Responsible for and Oversight of the Appeal Specialists, Appeal Coordinator, and ROI Specialists (16%)
• Oversee denial calls each month with each Facility Denial Liaison to discuss at minimum top 5 trending denials and develop and ensure each Facility has an action plan of their top denials each month. Each report is provided to Facility Liaison and CFO. (14%)
• Responsible for following up on any questions, concerns from facilities on denial calls thru written communication and ensuring all associates are notified of process improvement or additional education is needed. (14%)
• Review, Monitor and Report monthly trends of audit activity and risks (14%)
• Work with the A/R, Billing and Pre- Arrival managers and departments at each facility to analyze and recommend change regarding issues related to non-payment of claims (14%)
• Monitor & report associate benchmarks and performance monthly to provide incentive or perform disciplinary action as required. (14%)
• Provides monthly, quarterly and yearly statistical information regarding denials and employee performance. (14%)
• This is a fully remote opportunity.
We know it’s not just about finding a job. It’s about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.
Community Health Systems is one of the nation’s leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational.
