Manager of Denials

Ascension • Saint Louis, MO

1d • Remote

About The Position

This role is responsible for leading denial management and appeal strategies to maximize revenue recovery. The Manager of Denials will analyze rejection trends and collaborate cross-functionally to address root-cause billing issues. A key aspect of this role involves applying specialized knowledge of Skilled Nursing and Long-Term Care billing (Medicare, Medicaid, Managed Care) to resolve payer disputes. The position also requires monitoring key performance indicators to improve denial rates, appeal success, and net revenue.

Requirements

• High School diploma equivalency with 3 years of cumulative experience OR Associate's degree/Bachelor's degree with 2 years of cumulative experience OR 7 years of applicable cumulative job specific experience required.

Nice To Haves

• Accountant preferred.
• 3 years of leadership or management experience preferred.

Responsibilities

• Lead denial management and appeal strategies to maximize revenue recovery.
• Analyze rejection trends and partner cross-functionally to fix root-cause billing issues.
• Apply Skilled Nursing and Long-Term Care billing knowledge (Medicare, Medicaid, Managed Care) to resolve payer disputes.
• Monitor key performance indicators to improve denial rates, appeal success, and net revenue.

Benefits

• Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
• Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance
• Time to recharge: pro-rated paid time off (PTO) and holidays
• Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
• Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
• Family support: parental leave, adoption assistance and family benefits
• Other benefits: optional legal and pet insurance, transportation savings and more

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Associate degree