Manager of Denials and Appeals

Job Summary

Leading denial management and appeal strategy, the full-time remote Manager of Denials and Appeals will oversee reimbursement recovery operations, improve overturn rates, and collaborate with cross-functional teams to enhance compliance and operational efficiency.

Key Responsibilities

• Lead daily operations for denial management, appeals, and reimbursement recovery workflows
• Analyze denial trends and develop prevention strategies across billing and clinical workflows
• Drive recovery of underpayments and monitor accounts receivable performance for timely reimbursement

Required Qualifications

• 6+ years of progressive healthcare revenue cycle management experience, including denials and appeals
• 2+ years of leadership experience managing denial or accounts receivable follow-up teams
• Strong expertise in payer appeals processes, denial codes, and reimbursement methodologies