Manager, Clinical Denials

. Oversees the denial and appeal processes for the health system .

Posted 3/31/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSeniorWebsite

Key responsibilities & impact

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

What you’ll need

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)

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

healthcare accounts receivables managementbillingcollectionshealthcare denial managementCPT codesprocess improvementrevenue capture

Soft Skills

leadershipanalytical skillscollaborationprioritization

Certifications

Certified Healthcare Financial Professional (CHFP)