Supervisor, RCSS - Denials

University of Utah Health•Salt Lake City, UT

4d•Onsite

About The Position

Overview Must be local or willing to relocate for as needed on-site work. This candidate will oversee daily denial workflows, support the team with trending and resolution strategies, and help ensure we are driving timely and accurate denial outcomes. This position is responsible to provide operational supervision for all aspects of assigned area of the Revenue Cycle. Ensure the department is adhering to the culture, policies/procedures and goals of the organization and foster exceptional patient experience. This position is not responsible for providing care to patients. As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA Corporate Overview: The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes.

Requirements

Ability to perform the essential functions of the job as outlined above.
Demonstrated human relation and effective communication skills.
Computer literacy in multiple applications.
Ability to use good judgment and critical thinking skills to prioritize multiple tasks.
Excellent problem solving skills.
Willingness and the ability to work independently and within a team environment.
Ability to provide care appropriate to the population served.
The individual must demonstrate knowledge of the principles of life span growth and development and the ability to assess data regarding the patient's status and provide care as described in the department's policies and procedures manual.
Associate's or Bachelor's degree in Business management, a related field or the equivalency.
Three years of progressively more responsible supervisory experience, or equivalency.

Nice To Haves

1+ years healthcare billing experience.
Certified Professional Coder certification is required only for employees having oversight over coding functions within RCSS.
Bachelor's degree in a Business, Health or Finance area.

Responsibilities

Supervise and mentor denial specialists to ensure productivity, quality, and timely completion of assigned work.
Analyze denial trends and root causes; prepare reports and recommend improvement strategies.
Collaborate with coding, clinical teams, and payer representatives to resolve issues and prevent future denials.
Provide guidance on complex, high-dollar, or escalated denial cases.
Ensure consistent application of organizational policies, payer requirements, and regulatory standards.
Facilitate team training, onboarding, and ongoing education related to denials and appeals.
Identify opportunities to streamline workflows and improve overall denial recovery performance.
Maintain accurate SOPs and ensure staff follow standardized processes.
Support departmental goals related to denial reduction, overturn rates, and financial performance.
Serves as super-user and content expert within assigned area of the revenue cycle.
Maintains adequate staffing coverage for assigned area.
Mentors and coaches team members; ensures career development plans are in place for all team members.
Ensures the integrity of unit workflow and outcomes.
Tests, implements and trains staff on system and unit operational workflow.
Implements innovative ideas to improve unit/department process, at minimum quarterly.