Supervisor, Denials – Resolution Management

This is a fully remote position, open to applicants in Florida.

📋 Description

• Oversee the daily execution of denial management processes for a team of individual contributors.

• Manage real-time workload distribution to ensure balanced tasks among team members.

• Track account progression through various workflow stages to avoid delays.

• Identify and escalate any workflow bottlenecks or system issues that may affect throughput.

• Lead, mentor, and provide support to a team comprising 8–15 members.

• Offer immediate feedback aimed at enhancing productivity, quality, and adherence.

• Conduct one-on-one meetings and performance evaluations.

• Monitor and analyze productivity, quality, and cycle time metrics.

• Address performance deficiencies and promote accountability among team members.

• Ensure compliance with payer guidelines, internal protocols, and regulatory standards.

• Maintain readiness for audits and enforce HIPAA compliance.

• Assist in resolving complex or escalated accounts.

• Provide insights on payer requirements and expectations within workflows.

• Facilitate onboarding and continuous training for team members.

• Promote the adoption of new workflows, tools, and automation solutions.

• Support the Compliance Program and report any compliance issues or incidents.

⛳️ Requirements

• Proven experience in leading front-line teams within a high-volume, performance-focused environment.

• Strong capability to manage daily workflow execution and enhance productivity.

• Familiarity with denial management processes and payer requirements.

• Excellent coaching, communication, and problem-solving abilities.

• Ability to thrive in a fast-paced environment and make timely decisions.

• A Bachelor’s degree is preferred or equivalent relevant experience.

• 3–5+ years of experience in healthcare revenue cycle (preferably in denials management).

• 1–3+ years of supervisory or leadership experience.

• Experience dealing with Medicare, Medicaid, and commercial payers.

• Commitment to HIPAA, GLBA, FCRA, and other relevant regulations.

• HIPAA-compliant handling of patient data is essential.

• Remote employees located in the US must not work from outside the United States without prior written consent.

🏝️ Benefits

• Fully remote work arrangement.

• Opportunity to collaborate with a talented and motivated team.

• Engagement with cutting-edge technology.

• Continuous opportunities for growth and development.

• Ongoing training and learning opportunities.