Clinical Supervisor, Denial Management RN
About The Position
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. JOB SUMMARY: The Supervisor, Clinical Appeals is responsible for denials management of clinical appeals services on behalf of Corro Clinical clients. They will provide leadership and oversee daily operations of an Appeals team comprised of Appeal Coordinators and additional support staff – including relationships, performance management, and quality assurance. They will provide regular support, mentorship, and guidance for their team members – and are responsible for the development and growth of such. The Supervisor, Appeals is also responsible for organizing and overseeing processes and workflows within the Appeals team, ensuring that their team members understand and can execute duties or delegated tasks. Interaction with internal and external customers, including payers is expected. This is a remote position. RN license in good standing is required.
Requirements
- RN required
- RN degree, License Required
- Strict adherence to HIPAA/HITECH compliance
- Experience working in Epic
- Proficient in relevant computer applications such as MS Office, accurate keyboard skills, Teams
- Ability to collaborate with staff, and other departments within the hospital system.
Nice To Haves
- Experience directly managing a team preferred
- Payor and Provider Appeal Experience Preferred.
- CDI, CCS, DRG appeals experience Preferred and a Plus.
- RN degree preferred
Responsibilities
- Performance Management of Staff
- Revenue Cycle Management with KPI
- People management activities
- Root Cause Analysis of Denials
- Interdepartmental Coordination
- Workflow development
- Escalation Management
- Prepares and Reports Operational Progress
- Relationship management with the team and external parties
- Training Coordination
- Document preparation
- Compliance Oversight
- Documentation Review/Auditing
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
