Denial Prevention Manager
Richmond FSC - Richmond, VA

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The Division Denial Manager is responsible for providing direction and oversight of concurrent denial tracking and prevention within the Capital Division and will assist the facilities with root cause analysis, action planning and process implementation to reduce denial volume. The manager will interact with Division and facility leadership, payers, auditors and the SSC (shared service center) to facilitate communication and actions related to the denial management processes and reporting.
Requires bachelor degree in healthcare-related field and 3-5 years of experience in denial/appeal management. Also requires superior analytical, communication and customer service skills. Must have the ability to make public presentations to hospital leadership, case management staff, physicians and physician groups.