[Hiring] Clinical Supervisor, Denial Management RN @CorroHealth

Role Description

The Supervisor, Clinical Appeals is responsible for denials management of clinical appeals services on behalf of Corro Clinical clients. They will provide leadership and oversee daily operations of an Appeals team comprised of Appeal Coordinators and additional support staff. Key responsibilities include:

• Performance Management of Staff
• Revenue Cycle Management with KPI
• People management activities
• Root Cause Analysis of Denials
• Interdepartmental Coordination
• Workflow development
• Escalation Management
• Prepares and Reports Operational Progress
• Relationship management with the team and external parties
• Training Coordination
• Document preparation
• Compliance Oversight
• Documentation Review/Auditing

This is a remote position.

Qualifications

• RN required
• Experience directly managing a team preferred
• Excellent communication and interpersonal skills
• Outstanding organizational and leadership skills
• Refined ability to delegate responsibilities and provide leadership and training
• Excellent critical thinking skills
• Ability to provide strategic thought to process improvement or standardization
• Confidentiality
• Strict adherence to HIPAA/HITECH compliance

Requirements

• RN degree, License Required
• Payor and Provider Appeal Experience Preferred
• Knowledge of CPT and ICD 10 guidelines
• Knowledge of Medicare/Medicaid/Commercial/Managed Care
• CDI, CCS, DRG appeals experience Preferred and a Plus
• (3) to (5) years of experience/prior working knowledge in healthcare, Insurance, specifically in denials management/claims and Appeal writing
• Experience working in Epic
• Proficient in relevant computer applications such as MS Office
• Accurate keyboard skills
• Ability to collaborate with staff and other departments within the hospital system
• Remote Work from Home Day time Business hours CST/EST

Physical Demands

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.