Denials Manager

Payment And Denials Manager

Looking for a career where you love what you do and who you do it with? You're in the right place. Healthcare here is different – we're locally owned and led by our physicians, and all decisions are always made right here in Central Iowa. By working at The Iowa Clinic, you'll get to make a difference while seeing a difference in our workplace.

Because as one clinic dedicated to exceptional care, we're committed to exceeding expectations, showing compassion and collaborating to provide the kind of care most of us got into this business to deliver in the first place. Think you've got what it takes to join our TIC team? Keep reading… The Manager, Payments & Denials provides leadership and day-to-day oversight including customer service, payment posting, and certain claims denial management.

You will drive performance against key revenue-cycle metrics, implement process improvements, and foster a high-performing, inclusive team culture. This role partners closely with clinic operations and other key stakeholders to ensure timely, accurate revenue capture and exceptional service delivery. A day in the life… Wondering what a day in the life of Payment and Denials Manager at The Iowa Clinic might look like?

Job Duties and Responsibilities

Recruit, mentor, coach, and develop a high-performing team of customer service representatives, payment posting specialists, and denial analysts.

Define, track, and report on key performance indicators through dashboards and monitor daily and weekly workloads, monitor key volumes (e.g., calls, postings, denials) to adjust staffing or workflows to meet revenue-cycle targets.

Develop, document, and maintain standard operating procedures (SOPs) for all Central Billing Office processes.

Lead process-improvement initiatives to optimize efficiency, reduce errors, and accelerate cash flow.

Manage the customer service phone line to ensure calls are answered timely, escalations are handled promptly, and first-call resolution is maximized.

Monitor call-center metrics (abandonment rate, average handle time, first-call resolution).

Supervise payment posting workflows to guarantee accuracy and timeliness of cash application.

Analyze denial trends, partner with clinics and payors to resolve root causes, and track outcomes to minimize re-work and improve net-collection rates.

Lead or participate in organization-wide projects ensuring CBO requirements and impact are fully addressed.

Design and deliver ongoing training programs on best practices for new hires and existing staff.

Oversee quality-assurance reviews to ensure compliance with regulatory requirements, internal policies, and audit standards.

Performs other tasks as assigned.

Knowledge, Skills and Abilities Required:

Ability to effectively communicate with people from diverse professional, educational and lifestyle backgrounds both orally and in writing.

Ability to give, read and understand/follow written and verbal directions.

Ability to operate a computer, including proven general software skills and effective utilization of the Microsoft office suite.

Must demonstrate ability to utilize effective decision-making and problem-solving techniques.

Ability to relate favorably with people and gain their confidence.

Ability to work independently and interdependently with physicians, management, staff and external constituencies.

Requires organizational and self-motivational skills in prioritizing and managing multiple tasks with limited supervision.

This job might be for you if… Minimum Job Qualifications

Education:

Bachelor's degree in business related field or equivalent work experience.

Licensure/Certification :
None

Work Experience:

Minimum of 5 years' experience in a billing office operation with at least 2…