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Revenue Cycle Manager, Denials (FT, 40 Hours)

We are looking for a Denials Billing Manager (40 hours per week) in our Elmwood Park, NJ location.

Schedule: Monday- Friday, 8:30am-5pm

Position Summary:

The Denials Manager is responsible for monitoring denials, appeals, and resolutions from participating insurance carriers and working proactively to collect from insurance carriers.

We are seeking an experienced Denials Manager for our Elmwood Park, NJ location who has demonstrated prior success working with in a high-volume billing environment and with streamlining processes. The ideal candidate has been hands on and works closely with other billing units and team members.

Responsibilities:

  • Oversees all activities of Denial Representative/Billers
  • Monitors and works at streamlining billing/denials processes
  • Manages denials process to ensure timeliness of collections
  • Establishes controls and ensures denials are worked accurately and in total
  • Establishes follow-up process to ensure denials are worked timely
  • Coaches and develops staff knowledge of the software system and insurance guidelines
  • Ensures Federal payer claims/invoices are processed in accordance with established Federal guidelines
  • Introduces new processes and achieves best practice standards
  • Ensures operational and financial goals are met and provides reports on a daily, weekly and monthly basis to Director and Vice President of Revenue Cycle
  • Participates in the interviewing of candidates and selects appropriate candidates for open positions
  • Writes performance evaluations and performance improvement plans to ensure a robust staff complement
  • Other responsibilities as deemed appropriate for the position

Requirements:

  • Bachelor's degree in health administration, health information, management or business management or related field is helpful
  • A minimum of 5 years of experience with at least 3 in a supervisory role in a health care or related setting
  • Prior experience working denials and related functions
  • Attention to detail; team building, strong oral and written communication skills, analytical skills, staff development, drive to succeed, high initiative
  • Knowledge of billing terms, CPTIV and ICD10, and HCPCS coding, and Federal payer guidelines and operational and payer terms
  • Prefer knowledge of laboratory billing
  • Knowledge of billing software systems; ability to learn new systems and processes

BioReference Laboratories is an Equal Opportunity Employer.



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