Supervisor, Denials Management

Altru Health System • Grand Forks, ND

2d • Remote

About The Position

The Supervisor Denials Management facilitates staff and organizational meetings, evaluates and coordinates staffing levels, and promotes the activities, initiatives and decisions made by Altru and the Finance Team. This individual monitors billing; follows up and supports Continuous Quality Improvement (CQI); develops, implements and monitors reporting mechanisms for revenue producing areas; and provides reporting of denial trending and developing thresholds of data that mark changes in payments from third parties. Acts as a liaison for physician services and all departments; contacts third party payors and PPO networks proactively; develops, implements and monitors appeals process for claims recovery strategies; demonstrates an understanding of the department/system budget; assists in maintenance, enhancement and problem solving of the patient accounting system; and is responsible for analysis of third-party remittances.

Requirements

• 3+ years of experience in insurance billing, denial follow-up, accounting, or finance
• Associates - Business/Finance/Healthcare- OR -Associates - Related Field
• Driver's License with Acceptable Driving Record | Driver's License - Current State Licensed | Prior to Start Date | HR Primary Sources
• This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members.

Nice To Haves

• Bachelors - Business/Finance/Healthcare- OR -Bachelors - Related Field

Responsibilities

• Advises leadership of significant and/or unexpected variances.
• Demonstrates an understanding of the budget and assists leadership in keeping within fiscal parameters.
• Assists leadership in requests for capital expenditures.
• Develops and implements short term goals and is responsible for measurable outcomes and effective use of resources.
• Responsible for program and service development in response to both internal and external stakeholders.
• Participates in the development and implementation of policies, procedures, and job descriptions.
• Serves as a resource for staff and physicians regarding policies, procedures, and practices.
• Carries out the hiring process for Manager-approved positions.
• Provides information and makes recommendations to the Manager on disciplinary action and separation related decisions.
• Promotes continuous staff participation in the performance review process.
• Completes reporting and record keeping requirements accurately and within established timelines.
• Monitors services for efficiency and accuracy by evaluating, initiating and participating in restructuring of current and new procedures, services, and/or programs.
• Carries out time and attendance responsibilities according to established procedure.
• Coordinates staffing and scheduling duties in accordance with established procedure and practices.
• Monitors billing flow and supports Continuous Quality Improvement (CQI) to assure all procedures are in compliance with hospital, clinic, federal, state and other regulatory agencies according to policies, procedures and established guidelines.
• Oversees development, testing, analysis, implementation and maintenance of clinics and hospital patient accounting systems according to established guidelines.
• Serves as key resource to staff.
• Performs other duties as assigned or needed to meet the needs of the department/organization.

Benefits

• Altru offers a comprehensive benefits package to its full- and part-time employees. Excellent benefits include a health plan and 401(k) retirement plan. Other benefits include a dental plan, vision plan, life and disability insurance, education assistance, paid time off (PTO)

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Associate degree