Supervisor – Denials & Appeals

Presbyterian Healthcare Services

Supervisor of Denials & Appeals managing operations to optimize reimbursement outcomes and continuous process improvement. Leading a healthcare team's activities for effective denial management and appeals.

Posted 7/8/2026full-timeSanta Fe • New Mexico • 🇺🇸 United StatesJuniorMid-Level💰 $50,481 - $77,105 per yearWebsite

About the role

Key responsibilities & impact

Join our team and play a key role in maximizing reimbursement and improving revenue cycle performance.
Oversee and coordinate the daily operations of the Denials & Appeals team.
Ensure that all third-party and government payer denials are accurately identified, reviewed, and processed.
Partner with leadership to develop, analyze, and implement strategies that improve denial overturn rates.
Continuously evaluate workflows to identify opportunities for process improvement, automation, and operational efficiency.
Contribute to root cause analysis initiatives and collaborate with operational teams to identify trends.
Serve as a subject matter expert and resource for denial and appeals processes.
Lead, coach, develop, and evaluate team members, including hiring and onboarding.

Requirements

What you’ll need

One to two years of college-level coursework required, or three years of healthcare business office experience may be substituted in lieu of college coursework.
Minimum of two years of experience in healthcare billing, collections, denial management, or revenue cycle operations required.
Working knowledge of insurance billing and reimbursement methodologies, including medical terminology, ICD-10, CPT, and HCPCS coding systems.
Demonstrated ability to communicate effectively, both verbally and in writing, with patients, payers, providers, and colleagues.
Strong organizational, interpersonal, and leadership skills, with the ability to prioritize multiple responsibilities and meet deadlines in a fast-paced environment.
Proven ability to work independently, exercise sound judgment, and effectively manage competing priorities while maintaining a high level of accuracy and customer service.

Benefits

Comp & perks

medical
dental
vision
short-term and long-term disability
group term life insurance and other optional voluntary benefits
wellness program

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Insurance BillingReimbursement MethodologiesCPT CodingHCPCS CodingProcess ImprovementRoot Cause AnalysisWorkflow EvaluationOperational Efficiency

Soft Skills

Effective CommunicationOrganizational SkillsInterpersonal SkillsJudgmentCustomer Service