Denials Management Manager - PFS - 14-0132
Department: 18115 - Patient Financial Services
Status: Full time
Schedule: Days, weekends as neededDescription:
Reporting to the Director of Patient Financial Services, oversees the daily operations of the Denial Management Team ensuring optimal performance in all areas of denial prevention and appeal processing in compliance with hospital policies and regulatory standards. Serves as subject matter expert for the denial appeal process and establishes denial prevention programs across the Northwest Community Healthcare (NCH) continuum to mitigate losses from denials. Monitors state and federal regulatory agencies and payer information to maintain up-to-date knowledge on changing rules and regulations affecting NCH denial prevention and management practice.
1. Bachelor’s Degree in healthcare, business or an applicable related field required. Registered Nurse with current licensure to practice nursing in the State of Illinois preferred.