Payment and Denials Manager (Full-Time)

The Iowa Clinic•West Des Moines, IA

46d•Onsite

About The Position

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.

Requirements

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.
Bachelor’s degree in business related field or equivalent work experience.
Minimum of 5 years’ experience in a billing office operation with at least 2 years in a leadership role.
Customer service knowledge.
Demonstrated ability to apply process management skills within the work site.
Experience in handling customers.
Experience in strategic planning and finance and the ability to understand how this impacts CBO.

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.

Benefits

One of the best 401(k) programs in central Iowa, including employer match and profit sharing
Employee incentives to share in the Clinic’s success
Generous PTO accruals and paid holidays
Health, dental and vision insurance
Quarterly volunteer opportunities through a variety of local nonprofits
Training and development programs
Opportunities to have fun with your colleagues, including TIC night at the Iowa Cubs, employee appreciation tailgate party, Adventureland day, State Fair tickets, annual holiday party, drive-in movie night… we could go on and on
Monthly departmental celebrations, jeans days and clinic-wide competitions
Employee rewards and recognition program
Health and wellness program with up to $350/year in incentives
Employee feedback surveys
All employee meetings, team huddles and transparent communication