Director, Denials Management

CorroHealth•Plano, TX

21h•Remote

About The Position

The Director of Clinical Denials focuses primarily on quality assurance, process improvement and client health and satisfaction. Ensure production and quality metrics are met for all clients, while ensuring positive staff morale and development. CorroHealth sits at the center of the revenue cycle revolution. Fundamental operations of the revenue cycle are supported through our expert teams while we recast the role of clinicians through automation. This shift to a true clinical revenue cycle helps us achieve our core purpose – exceed client financial health goals. For each patient population, CorroHealth automates key clinical aspects of the cycle. Our platforms focus on capture and application of clinical documentation while easing the burden on physicians. Scalability is prioritized in the support of client program operations. As with most revenue cycle partners, our skilled and enthusiastic team is available to outsource any portion of the cycle. However, we can also complement client programs with additional expert support or upskill existing client teams to meet program demands. Whether our team is deployed directly, or automation is incorporated for a more programmatic solution, CorroHealth delivers.

Requirements

At least five years of relevant work experience, including direct people management
Strong knowledge of the Revenue Cycle Management industry preferred
Experience managing a remote hourly workforce preferred
Basic Outlook, Word and Power Point skills (ability to create emails, schedule meetings and prepare documents and presentations)
Intermediate Excel skills (knowledge of functions such as vlookup, sumif, countif, pivot tables, basic formulas)
Must possess excellent organizational, problem solving, critical thinking, conflict resolution and management skills
Ability to work both independently and with a team
Ability to actively listen and effectively express ideas verbally and in writing
Ability to plan, organize and distribute work assignments
Ability to train, mentor, lead, motivate and develop team members

Responsibilities

Work closely with AVP to meet client expectations.
Partner with Managers & Supervisors to ensure that Team Member engagement, performance and development are top priority.
Partner with Managers & Supervisors to create and document best policies and guidelines for effective performance.
Partner with AVP on client engagement tasks, which include creating and presenting reporting packages.
Ensure production, quality and effective scores are accurately captured, tracked, and feedback is provided to Team Members in a clear and timely manner.
Oversee that team special projects are executed in a timely and effective manner to ensure quality for client health.
Guide and develop Supervisors in all aspects of Team Member performance management including developing effective action plans, addressing performance challenges in a positive and supportive manner.
Calibrate audit process to ensure quality check is maintained.
Communicate with management on team member performance/improvement opportunities.
Work closely with leadership to ensure best training practices are executed.
Other duties as assigned.