Manager, Denials Management

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.

The Manager of Denial Management will maintain a high level of client satisfaction by serving as the primary point of contact for denial related activities for assigned clients. The Manager will participate actively in implementation activities and manage the denial delivery process and denial team for the clients utilizing this service.

Note:

The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.

This is a REMOTE position within the US only.

TRAVEL:
Estimated to be 15%-25%

Manages the client service level agreement metrics including denial delivery expectations with turnaround timeframe.

Drives monthly client meetings via phone or in person in order to ensure a proactive feedback loop across the team

Communicates regularly with all key members of the Corro Health team to meet client needs as well as corporate objectives

Maintain awareness and knowledge of client satisfaction levels

Monitor on-going progress and success of each client utilizing various matrix

Identify and participate in resolution of client problems or issues in a timely manner

Provide periodic status reports to Corro Health leadership teams regarding client status

Meet with clients (at a minimum) on a monthly basis to review monthly reporting package and discuss any operational issues

Develop and present executive level reporting package on a quarterly basis

Manage a team of 3+ direct reports, including performance reviews, employee development and disciplinary action as necessary

Work with client point(s) of contact in resolution of all coding and charge capture related issues

Work in collaboration with Quality Assurance teams regarding all coding quality issues.

Collaborate with team to improve existing products and services

Collaborate with team to develop new products and services

Assist direct reports with accurate application of diagnosis and procedure codes utilizing ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS

Provide and/or aid direct reports with interpretation of coding guidelines for accurate code assignment

Identify and ensure that direct reports understand the importance of documentation on code assignment and the subsequent reimbursement impact

Align personal conduct with and build a team culture that aligns conduct with AHIMA's Standards of Ethical Coding and the Company’s Code of Ethics and Business Conduct

Comply with and promote and support direct report’s compliance with all internal policies and procedures

Actively participate in Company provided training and education and ensure that direct reports complete mandatory training and education by established deadlines and are able to properly implement and/or practice the principles taught via the Company’s training and education program

Ensure individual and direct report compliance with all privacy and security rules and regulations and commit to the…