Supervisor, Denial Management in Arlington, VA at The GW Medical Faculty Associates.

Date Posted: 8/3/2020

Job Snapshot

  • Employee Type:
  • Location:
    3811 Fairfax Drive
    Arlington, VA
  • Job Type:
  • Experience:
    At least 5 year(s)
  • Date Posted:

Job Description

The Denial Management Supervisor is responsible and accountable for denial prevention and communication. The Supervisor facilitates coordination between and among revenue cycle departments and clinical department to prevent 3rd party denials. Partner with representatives and subject matter experts leveraging resources to cultivate standard work and process improvements across the department. The Supervisor must have working knowledge of medical billing and collection practices and understands Medicare and Medical Assistance regulations as they apply to job functions. S/he will demonstrate necessary skills for accepting responsibility, making decisions, supervising, delegating and influencing personnel and will create and deliver monthly/quarterly report for revenue cycle leadership and executive leadership.  

Education: Bachelor’s degree preferred or an equivalent combination of experience and education will be considered.

Experience: A minimum of 5 years’ experience in utilization or case management or care coordination with strong knowledge of Patient Accounting and the denial and appeal process with insurance carriers as well as is required. Demonstrated understanding of medical terminology and knowledge of CPT, HCPCS, and ICD-10 coding is required. Working knowledge with electronic health records (HER/EMR) or healthcare related computer systems is necessary. Working knowledge of revenue cycle regulatory and governing standards, policies and procedures and training or experience with coding and payer regulations is necessary.