Easter Seals Jobs

Job Summary

The Claims Denial Supervisor manages the tracking, analysis, and resolution of denials, monitoring cash posting, refunds, adjustments, and month-end close processes. Collaborates with revenue cycle departments to identify and address root denial causes, provide guidance on appeals, and implement methodologies to

reduce denials. Stays current on denial management trends, updating policies, and implementing performance improvement plans to ensure compliance and continuous improvement. Serves as a resource for others, ensuring adherence to regulations, and promotes a customer-focused approach in all interactions.

Work Experience

Three years of experience in denials management or revenue cycle management or medical billing with a strong understanding of payer denials and appeals process; preferably in a healthcare setting.

One year of supervisory experience required.

License/Registration/Certification

None

Education and Training

A high school diploma or equivalent required;

a bachelors degree in healthcare management, business administration, or a related field is often preferred.

S

kills:

1. Knowledge of principles and fundamentals of Hospital and professional billing processes and reimbursement.
2. Ability to demonstrate and apply knowledge of third-party payor principles and terms.
3. Ability to perform denial analyses utilizing report writing applications.
4. Ability to establish and maintain effective working relationships.
5. Analytical and problem-solving skills required.
6. Ability to apply written and verbal communication skills effectively.
7. Proficiency in computer software programs (Excel Preferred) and use of basic office equipment required.
8. Knowledge of medical terminology and familiarity with HCPCS/CPT and ICD-10 coding preferred.
9. Demonstrated leadership in establishing and achieving goals.