Manager Denials Management Remote Multi facility Health System

Summary:

The Manager Denials Management reports to the Director of Claims Admin/Follow up. Under general direction and within Lifespan policies and procedures reviews denied claims and carries out the appeals process for the various Lifespan affiliates. Works to maintain third-party payer relationships including responding to inquires and other correspondence and possibly setting up arbitration between parties. Maintains and monitors integrity of the claim development and submission process as it relates to denial prevention.

Responsibilities:
Executes the denial appeals process which includes receiving assessing documenting tracking responding to and/or resolving denials with third-party payers in a timely manner in conjunction with applicable internal departments.



Systematically tracks the status and progress of denials and appeals for the Lifespan affiliates.



Conducts relevant research to assist wi...