Supervisor - Clinical Denials/UM
Supervisor - Clinical Denials/UM
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$ 77000 - 129000
1 Vacancy
Job Description
Job Family:
Clinical Appeals Nurse
Travel Required:
Clearance Required:
What You Will Do:
The clinical denials supervisor plays a crucial role in ensuring that healthcare providers receive appropriate reimbursement for their services.
By effectively managing clinical denials the supervisor helps to improve revenue cycle performance and financial stability.
The clinical denials supervisor is responsible for overseeing the clinical denials management process ensuring timely and effective resolution of denials and implementing strategies to prevent future denials.
This role involves supervising a team of clinical denials nurses analyzing denial trends and collaborating with various departments to improve clinical documentation and coding practices.
What You Will Need:
Associates degree.
Minimum of 5 years of experience in clinical denials.
Strong knowledge of medical terminology coding and billing.
Ability to communicate with payers physicians and other healthcare professionals.
What Would Be Nice To Have:
Supervisory experience
Excellent analytical and problem-solving skills
Bachelors Degree
What We Offer:
Guidehouse offers a comprehensive total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:
Medical Rx Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Tuition Reimbursement Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program
About Guidehouse
Guidehouse is an Equal Opportunity EmployerProtected Veterans Individuals with Disabilities or any other basis protected by law ordinance or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities or to apply for a position and you require an accommodation please contact Guidehouse Recruiting at 1- or via email at . All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @ or . Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse please report the matter to Guidehouses Ethics Hotline. If you want to check the validity of correspondence you have received please contact . Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicants dealings with unauthorized third parties.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.
Required Experience:
Manager
Employment Type
Full-Time
