Hospital Denials Manager (Hybrid)

JobID: 48270

Prestige Staffing is searching for a Denials Manager for a direct hire role. Must have hospital denials and appeals experience as well as a proven track record for leading a team. Candidate must be hard working and a self-starter. If you want the opportunity to work in a rewarding and dynamic environment, this is your chance. This is a permanent position, and pay is based upon experience. $75-90k

Requirements:

• At least 3 years in of management or supervisory experience in a healthcare revenue cycle setting
• At least 3 years of Hospital Denials/Appeals and accounts receivable or healthcare experience
• Knowledge of Medicare/Medicaid and Commercial Insurance Contracts is required
• In-depth knowledge of medical billing, coding, and insurance claim processes.
• Bachelor’s degree in healthcare administration, business, or a related field (or equivalent experience)
• Excellent problem-solving and analytical abilities.
• Ability to work cross-functionally and communicate effectively with all levels of staff and management.
• Proficiency in revenue cycle management software and Excel.
• Familiarity with payer policies and healthcare regulations (e.g., HIPAA, CMS guidelines).

Key Responsibilities:

• Lead the denial management team to analyze and address claim denials from insurance providers.
• Develop and implement denial prevention strategies and appeal processes to minimize denials.
• Monitor and track denial trends, providing regular reports to management and stakeholders.
• Collaborate with the billing, coding, and insurance teams of multiple clients to identify root causes of denials and create corrective actions.
• Manage the appeals process, ensuring timely follow-up and resolution of denied claims.
• Stay up to date with payer policies, industry regulations, and coding updates to prevent future denials.
• Train and mentor team members on best practices for denial resolution and appeals.
• Implement process improvements to streamline denial management and enhance efficiency.
• Work with the revenue cycle management team to achieve and maintain key performance indicators (KPIs).
• Manage a team of 2 

Apply today for immediate consideration. 

Benefits

• Competitive Pay - $60,000 up based on experience
• PTO and Sick days
• 401k and Matching
• Health Insurance including Dental and Vision
• Company outings and luncheons
• Volunteer opportunities in the community

This is a Monday through Friday position.

#ZR- Pro