Denials & Appeals Supervisor

Job Summary

Overseeing the daily operations of the Denials & Appeals team, the full-time Supervisor, Denials & Appeals will manage appeal activities, optimize reimbursement outcomes, and implement strategies to improve denial overturn rates while working remotely.

Key Responsibilities

• Supervise the Denials & Appeals team to ensure accurate and timely processing of accounts in line with quality standards
• Analyze denial trends and produce reports to support operational improvements and enhance cash collections
• Lead root cause analysis initiatives and collaborate with teams to identify and address underlying issues related to denials

Required Qualifications

• One to two years of college-level coursework or three years of healthcare business office experience in lieu of college coursework
• Minimum of two years of experience in healthcare billing, collections, denial management, or revenue cycle operations
• Working knowledge of insurance billing and reimbursement methodologies, including medical terminology and coding systems
• Strong organizational and leadership skills, with the ability to prioritize multiple responsibilities in a fast-paced environment
• Proven ability to work independently and manage competing priorities while maintaining accuracy and customer service