Manager of Clinical Denials

Job Summary

To enhance revenue cycle improvement services, the full-time salaried Manager of Clinical Denials will oversee complex clinical denial processes and collaborate with healthcare organizations remotely.

Key responsibilities

• Manage and resolve complex clinical denials to optimize revenue recovery
• Collaborate with cross-functional teams to identify trends and implement corrective actions
• Provide training and support to staff on denial management best practices

Required qualifications

• Bachelor's degree in healthcare administration, business, or a related field
• 5+ years of experience in healthcare revenue cycle management or clinical denials
• Strong understanding of clinical coding and reimbursement processes
• Proven track record of managing denial appeals and resolutions
• Experience working with healthcare organizations and understanding their operational needs