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Manager, Clinician Appeals
CorroHealthManager of Clinician Appeals at CorroHealth overseeing clinical appeals processes. Leading clinical teams in a fast-paced revenue cycle environment for financial health improvement.
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
clinical documentation improvementpayer appeals processesquality assurance programsclinical workflow improvementsoperational KPIsrevenue cycle managementappeal letter writingclient education engagementdata analysisperformance management
Soft Skills
leadershipcommunicationcollaborationstrategic oversightoperational excellenceteam developmentpersuasionproblem-solvingcorrective actionservice delivery
Certifications & Qualifications
RN licenseMD licenseDO license
Industry Keywords
healthcare regulationsdocumentation standardsclinical teamshigh-volume environmentfinancial modelsdynamic revenue cycledenial analysisroot cause analysisonboardingtraining
About the role
Key responsibilities & impact- The Manager of Clinician Appeals is a clinical leader responsible for the strategic oversight and operational execution of the appeals letter writing and client education engagement.
- Lead high-performing clinical teams in the development of clinically accurate, persuasive, and compliant appeal communications to payers.
- Ensure operational excellence, clinical integrity, and alignment with financial goals.
- Work closely with internal leadership, administrative operations, and external clients to ensure best-in-class service delivery in a dynamic revenue cycle environment.
- Analyze denial types, identify root causes, and deliver actionable feedback that helps prevent future denials.
- Manage and develop both domestic and global clinicians who write appeal letters.
- Oversee hiring, onboarding, training, and performance management of clinical writers.
- Define and implement the team’s leadership structure and workflows.
- Enforce quality and productivity standards; take corrective action as needed to maintain high performance.
Requirements
What you’ll need- RN, MD or DO license required; active, unrestricted medical license (any state) preferred
- Minimum 8+ years of clinical experience with at least 5 years in a leadership role within appeals, utilization management, clinical documentation improvement (CDI), or similar RCM functions
- Strong knowledge of payer appeals processes, healthcare regulations, and documentation standards
- Demonstrated success in managing clinical teams in a high-volume, fast-paced environment
- Proven experience developing QA programs and implementing clinical workflow improvements
- Strong understanding of financial models and operational KPIs in the revenue cycle industry
- Exceptional communication, collaboration, and leadership skills.
Benefits
Comp & perks- Professional development
- Flexible work arrangements