Chief Denial Management Officer
4 weeks ago
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 RoleThis 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.
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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Hyderabad, Telangana, India PrimEra Medical Technologies Full timeAbout the RoleWe are seeking an experienced Director to lead our Denial Resolution and Process Improvement team at PrimEra Medical Technologies.Job Description:This is a critical role that requires strong leadership and analytical skills. As the Director, you will be responsible for overseeing the day-to-day operations of the appeals staff, including inflow...
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