Manager, Clinical Denials
WVU Medicine
full-time
Posted on:
Location Type: Remote
Location: United States
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About the role
- Oversees the denial and appeal processes for the health system
- Provides leadership to the clinical denial coordinators and assigned staff
- Prioritizes, analyzes, and develops process improvement initiatives to reduce risk of revenue loss
- Works in collaboration with the Clinical Financial Integration team to ensure appropriate revenue capture for the system
Requirements
- High School Diploma or Equivalent
- Five (5) years’ experience in healthcare accounts receivables management, billing and collections
- Three (3) years’ experience in healthcare denial management, with understanding of CPT codes
- Bachelor’s degree in Finance, Business Administration or related field (preferred)
- Certified Healthcare Financial Professional (CHFP) with the Hospital Financial Management Association (HFMA) (preferred)
- Three (3) years of supervisory experience (preferred)
Benefits
- Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
- Works in collaboration with Clinical Financial Integration team to on-board new services
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
healthcare accounts receivables managementbillingcollectionshealthcare denial managementCPT codesprocess improvementrevenue capture
Soft Skills
leadershipanalytical skillscollaborationprioritization
Certifications
Certified Healthcare Financial Professional (CHFP)