Denial Management Supervisor
15 days ago
Buffalo
Job DescriptionJob Title: Denial Management SupervisorLocation: Remote Hire Type: Direct Hire Pay Range: $32.00 - $40.00/hourWork Type: Full-timeWork Model: RemoteWork Schedule: Monday – Friday, 8am – 4:30pmRecruiter Contact: Samantha Marranca | 716-256-1271 | Pebbles | | 716-256-1259Nature & Scope:Positional OverviewThe Imagine Group is recruiting for a Denial Management Supervisor on behalf of our client, a leading healthcare system serving Western New York, providing comprehensive medical care through a network of hospitals, outpatient facilities, and specialized treatment centers. The organization delivers a wide range of services including emergency care, primary care, surgical services, and advanced specialty treatments. Committed to patient-centered care, the system focuses on improving community health through innovation, education, and high-quality clinical services.In this role, you will be responsible for overseeing the denial management team, ensuring timely review, analysis, and resolution of denied insurance claims. You will monitor denial trends, implement process improvements, and collaborate with billing, coding, and clinical teams to reduce future denials and improve reimbursement outcomes. Additionally, you will support staff development, track performance metrics, and ensure compliance with payer regulations and internal policies.Role & Responsibility:Tasks That Will Lead to Your Success • Supervise the day-to-day operations of the denial management team., • Monitor denial work queues and ensure timely resolution of denied claims., • Assign work and prioritize denial categories based on financial impact and aging., • Review and analyze denial trends to identify root causes and operational improvements., • Develop and implement denial prevention strategies., • Ensure appeals are submitted accurately and within payer deadlines., • Collaborate with billing, coding, registration, and clinical teams to resolve denial drivers., • Monitor team productivity and quality metrics., • Conduct regular staff coaching, training, and performance evaluations., • Assist with escalation of complex denials and payer disputes., • Maintain compliance with payer regulations and internal policies., • Track and report denial metrics, including denial rate, appeal success rate, and recovery totals., • Participate in process improvement initiatives and revenue cycle optimization., • Support leadership with reporting and operational insights related to denial performance.Skills & ExperienceQualifications That Will Help You Thrive, • Strong knowledge of healthcare billing, denial management, and payer requirements., • Ability to analyze denial trends and implement corrective action., • Leadership skills with the ability to motivate and develop team members., • Strong analytical and problem-solving skills., • Excellent communication and collaboration skills., • Ability to manage multiple priorities and deadlines., • Knowledge of EHR and billing systems (EPIC preferred)., • Understanding of payer appeal processes and documentation requirements., • Strong organizational and reporting skills., • Minimum 3–5 years of revenue cycle experience., • Minimum 1–2 years of supervisory or leadership experience preferred., • Strong experience in denial management, appeals, and payer resolution., • Ability to sit for extended periods while working on a computer. Ability to review electronic documentation and billing systems. Work is typically performed in an office or remote office environment.Preferred but not required:, • Certified Professional Biller (CPB), • Certified Coding Specialist (CCS), • Certified Revenue Cycle Representative (CRCR)