Denials Supervisor

Finance & Revenue Cycle Worcester, Massachusetts


Description

Position at UMass Memorial Health Care

Everyone Is a Caregiver.

At UMass Memorial Health Care, Everyone is a Caregiver regardless of title. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health care system of Central and Western Massachusetts, and a place where we can help you build the career you deserve. We are more than 14,000 employees, working together as one health care system. And everyone, in their own unique way, plays an important part, everyday.



Requisition #: 212515
Title: Supervisor, Denials
Department: Denials
Grade: 17
Posting Date: Feb 9, 2021
Shift: Days
Status: Exempt
Union: Non-Union
Hours: 40 hours
Shift Length: 8 hours
Location: UMass Memorial Health Care – 306 Belmont St, Worcester, MA

Position Summary:

Responsible for the day–to–day operations of the denial resolution function. The Supervisor will train staff and provide positive direction, guidance, and leadership over the staff for effective teamwork and motivation.

Major Responsibilities:
  • Oversees all staff in the Denial Resolution Department.
  • Monitors denials workqueues and reports.
  • Analyzes and researches complex or escalated accounts to determine root cause of denials and determine and execute the best approach for timely and accurate resolution.
  • Works with the Analytics department to set and monitor relevant performance metrics. Ensure that all department metrics are met. Maintains productivity information, works with staff to meet objectives, and provides feedback to staff on performance.
  • Monitors department activity and metrics and troubleshoots coverage and/or volume issues. Provides recommendations to the manager for the most efficient utilization of assigned personnel.

Position Qualifications:

License/Certification/Education:

Required:

Minimum of a High School diploma.

Experience/Skills:

Required:

Four to six years of experience in a health care business office Patient Accounting position. Two to four years of experience in a health care billing office in a supervisory role. Ability to work collaboratively and effectively with people. Exceptional communication and interpersonal skills.

Standards of Respect: