Denials Operations Manager

Job Summary

Leading a dedicated operations team, the full-time Manager, Denials will oversee daily activities, ensure productivity and quality goals are met, and drive efficient resolution of high-priority accounts in a fully remote environment.

Key responsibilities

• Oversee daily operations of the assigned team, balancing workloads and managing caseloads to meet company goals
• Utilize data and operational reporting to identify trends, remove barriers, and ensure service line KPIs are achieved
• Conduct staff evaluations, provide training and development opportunities, and facilitate communication across departments

Required qualifications

• High School Diploma or equivalent required; Bachelor's degree preferred
• A minimum of 2 years of leadership experience in a management or supervisory role preferred
• At least 2 years of related industry experience required
• Minimum of 6 months experience as an Appeals Specialist or above level at the company required
• Proficiency in Microsoft Office products and experience with various client systems and payer portals