Supervisor, Denials

Overview

• The Supervisor, Denials will manage and direct a team of Coding Denial Specialists, who are responsible for working assigned claim edits and rejection work queues, The Supervisor, Denials will ensure timely investigation and resolution of health plan denials.  Additionally, the Supervisor, Denials will determine appropriate actions and provide resolution for health plan denials.

Responsibilities

• Oversee the daily operations of the coding denial team.
• Ensuring the timely investigation and resolution of health plan denials.
• Implementing and maintaining policies and procedures for denial management.
• Monitoring and reporting on the productivity and performance of the team.
• Providing training and support to the team members to enhance their skills and knowledge.

Qualifications

• Minimum of 3 months’ experience with Ventra.
• One to three years’ experience in physician medical billing with emphasis on research and claim denials.
• A current production and performance rating of no less than 95%.
• A current attendance rating of no less than 95%.