Sr Director, Clinical Solutions

CorroHealthNJ-Remote, NJ
Remote

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 Senior 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. The ideal candidate would be a manager or Director with strong client engagement and relationship management skills, including experience in communication, presentations, and reporting. Ideal background includes exposure to hospital revenue cycle denials, preferably in a leadership role overseeing a denial management team. Operational oversight with a client-facing focus is essential. The role is suited for someone looking to grow, with broad exposure to relevant functions even if not all were direct responsibilities. 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. CorroHealth has acquired Xtend Healthcare! For more information, please visit https://corrohealth.com. Applicants will only receive job-related emails from the domain @corrohealth.com. Additionally, it is important to emphasize that CorroHealth will never ask for money in return for a job offer.

Requirements

  • At least five years of relevant work experience, including direct people management
  • Previous experience in a client facing role on the provider side of the healthcare domain
  • MUST have denials management experience on the provider side of the healthcare domain
  • DRG Downgrade experience highly preferred
  • Strong knowledge of the Revenue Cycle Management industry
  • 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.
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