[Hiring] Manager, Denials @Aspirion

Role Description

As a Manager, you will have a direct impact on the performance of the operations team and the success of our clients. You’ll lead the day-to-day operations of your team, ensuring workloads are balanced, productivity and quality goals are achieved, and high-priority accounts are moving efficiently toward payment and resolution. By using data and operational reporting to identify trends, remove barriers, and address opportunities, you’ll play a critical role in helping the team consistently deliver against key performance indicators and client expectations.

• Consistently demonstrates Aspirion’s values
• Oversee the daily operations of assigned Operations Team members
• Work directly with Director, VP of Operations and The People Team regarding staffing and staff issues/concerns
• Work closely with other departments including but not limited to RSD, DCD, and the Clinical Ops Team to ensure client expectations are met/exceeded and issues communicated by the client(s) is being resolved timely and accurately
• Conduct ongoing research to ensure industry knowledge remains current and up to date
• Participate in client meetings as requested
• Facilitate and participate in internal leadership meetings
• Utilize reports to assist with managing inventory and ensure service line KPIs are met
• Review Operations Team members’ caseloads daily to ensure equality of inventory and adjust assignments as needed to meet company goals and metrics
• Review high dollar inventory regularly to ensure accounts are worked, timely, efficiently and is moving in the right direction to payment/resolution
• Conduct a monthly review of aged accounts
• Ensure payments are properly posted for each client
• Review accounts for closure
• Identify and report hospital and payer trends
• Complete staff evaluations timely providing details related to performance and identify goals in coordination with Director of Operations
• Assist in staff development and training for all team members including: Identifying training opportunities, preparing training materials, and conducting training sessions and mentoring staff members as opportunities arise
• Maintain excellent verbal and written communication skills to always portray positive, respectful and collaborative communication
• Manage time off and PTO requests in payroll system and on shared calendars
• Follow established procedures and protocols to perform job duties while adhering to regulations and policies set forth by the company
• Provide mentoring and guidance with team members
• Monitor productivity and quality of work completed by staff and discuss findings with team members
• Identify and report issues impacting productivity including identification of staffing needs
• Perform interviews and make selection decisions
• Conduct team meetings including completing agenda and meeting minutes
• Provide incentive ideas to maintain motivation
• Complete other projects and tasks, as needed and/or requested

Qualifications

• High School Diploma or equivalent required, Bachelor’s degree preferred
• Minimum of 2 years of responsible leadership experience in management or supervisory position preferred
• Minimum of 2 years related industry experience required
• Minimum of 6 months experience as an Appeals Specialist or above level at Aspirion required

Requirements

• Ability to work in a fast-paced environment while remaining calm and professional
• Ability to multi-task, effectively switching between tasks as required
• Ability to produce results through delegation
• Must have effective coaching & mentoring skills
• Demonstrated strong oral communication skills with the ability to communicate with all levels of staff and management
• Demonstrated strong organizational and time management skills
• Keen attention to detail
• Ability to use Microsoft Office products including Outlook, Word, Excel and PowerPoint in addition to experience working in various client systems and payer portals
• Proven ability to meet deadlines
• Able to work independently
• Demonstrated critical thinking and problem-solving skills
• Social perceptiveness and emotional intelligence
• Must be able to interact and effectively work with teams at every level of an organization
• Advanced understanding of industry
• Track record of high performance
• Understand the importance and benefits of data quality

Core Expectations

• Demonstrate integrity, professionalism, and sound judgment in all interactions and decisions.
• Serve as a strategic partner while balancing business needs with teammate experience.
• Maintain confidentiality and appropriately handle sensitive information.
• Build collaborative relationships across all levels of the organization.
• Demonstrate adaptability and resilience in a rapidly evolving business environment.
• Maintain a growth mindset and seek continuous learning and development opportunities.
• Support company initiatives and contribute to a culture of accountability and results.
• Support the Compliance Program by adhering to policies and procedures pertaining to HIPAA, privacy requirements, confidentiality obligations, and all applicable laws and regulations.
• Promote a culture of inclusion, respect, and belonging.