Chief Denial Management Officer

4 weeks ago


Hyderabad, Telangana, India PrimEra Medical Technologies Full time

At PrimEra Medical Technologies, we are seeking an experienced and skilled Chief Denial Management Officer to join our team. As a key member of our organization, you will be responsible for overseeing the day-to-day operations of our denial management staff, ensuring that our appeals process is efficient and effective.

About the Role

This is a challenging and rewarding role that requires strong leadership skills, excellent communication abilities, and a deep understanding of medical and insurance terminology. You will work closely with our Front-End Operations Team to analyze payer-wise denial trends and develop strategies to improve efficiency and reduce denials.

Key Responsibilities
  • Oversee the day-to-day operations of the denial management staff, including inflow monitoring, work assignment, and performance feedback.
  • Analyze payer-wise denial trends and develop strategies to improve efficiency and reduce denials.
  • Work closely with the Front-End Operations Team to identify denial patterns and escalate issues to management as needed.
  • Develop and implement unit goals and objectives, new and revised programs, work plans, systems, policies, processes, procedures, and methods of operation.
  • Assign work activities, projects, and program responsibilities, monitoring workflow, and reviewing and evaluating work products, methods, and procedures.
Requirements

To be successful in this role, you will need:

  • 10+ years' experience in Inpatient/Outpatient Coding and denial management.
  • Experience with medical and insurance terminology, CPT, ICD coding structures, and billing forms (UB-04).
  • Good knowledge in denial scenarios.
  • Proficient in Microsoft Excel, Word, and PPTs.
  • Good Knowledge in clinical indicators.
  • Good knowledge in Insurance Guidelines.

You will also need excellent communication and leadership skills, as well as the ability to work effectively in a fast-paced environment. We offer a competitive salary range of $120,000 - $180,000 per year, depending on experience.



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