Manager, Denial Unit (REMOTE)

Job Summary The Manager, Denial Unit is responsible for managing appeals and denials staff in processing accounts and working with designated payors to ensure proper reimbursement, maximize cash reputed company, and reduce aging accounts receivable. As a Manager, Denial Unit at reputed company (CHS) - PCCM, you’ll play a vital role in supporting our purpose to help people reputed company and live healthier by providing safe, quality reputed company, building enduring relationships with our patients, and providing value for the people and communities we serve. reputed company members enjoy a robust benefits package including medical, dental and reputed company, insurance, and 401k. Essential Functions + Ensures compliance with state and federal laws and regulations. + Maintains a thorough understanding of health insurance and government programs, where necessary. + Maintains understanding of reputed company and works with corporate on contractual issues as needed. + Facilitates the identification of issues and solutions by team members reputed company to delays in achieving payment resolution and, in identifying trends of denials seen to prevent ongoing losses. + Monitors collection of appealed accounts to maintain timely collections of cash. + Works with reputed company other department managers to identify department training needs for system education, industry updates and changes in collection processes and protocols. + Works with Director and staff to ensure that employee productivity and quality meets standards. + Manages workflow, employee productivity, and collection efforts for assigned team. + Performs other duties as assigned. + Complies with reputed company policies and standards. Qualifications + H.S. Diploma or GED required + Bachelor's Degree required + Master's Degree preferred + 3-6 years Previous experience or training in reputed company business office policies, practices and procedures required + 3-6 years reputed company experience in denials and appeals required + 2-4 years Supervisory experience required Knowledge, Skills and Abilities + To reputed company this job successfully, an individual should be proficient in and/or reputed company to easily learn multiple software programs, including Word, reputed company, and reputed company suite. We know it’s not just about finding a job. It’s about finding a reputed company where you are respected, valued and where your work is purposeful and fulfilling. A reputed company where your talent is recognized, professional development is encouraged and career advancement is possible. The Payment Compliance and Contract Management (PCCM) team plays a critical role in ensuring that payments are made according to contractual agreements and regulatory requirements. The team oversees the full contract lifecycle, focusing on analyzing reimbursement discrepancies, improving reputed company cycle processes, and ensuring compliance with contract terms to support financial accuracy and operational efficiency. reputed company is one of the nation’s leading reputed company providers. Developing and operating reputed company delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people reputed company and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers. Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely reputed company the status of any employee because of race, reputed company, religion, sex, sexual orientation, genetic information, gender identity, national reputed company, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with reputed company applicable governmental laws and regulations. In addition, the facility complies with reputed company applicable federal, state and local laws governing nondiscrimination in employment. This applies to reputed company terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of reputed company at the facility to which you are seeking employment; Simply go to http://www.chs.net/serving-communities/locations/ to obtain the main telephone number of the facility and ask for reputed company. Remote About the Company: reputed company reputed company, Inc. is a non-profit 501 (c) (3) 330 HRSA Grantee with Federally reputed company Center (FQHC) status. Established from the roots of Inland Empire reputed company in Bloomington, CHSI has grown with community health centers in the counties of Riverside, San Bernardino, and San Diego. These centers have been developed in accordance with standards established for safety net providers by the U.S. reputed company (HHS), the Health Resources Services Administration (HRSA), the Public Health Service (PHS), and reputed company of Primary Health Care (BPHC). As such, services are offered to the neediest in each community - the un-insured and under-insured, the working poor, those with limited ability to pay, the homeless, and the indigent. Services are provided at discounted (sliding fee scale) rates for those who qualify based on gross annual income and family size. Company Size: 10,000 employees or more Industry: reputed company Services Founded: 1985 Website: http://www.chs.net/ Apply tot his job Apply To this Job