PN Mgr Ins Follow up & Denials

The Manager, Insurance Follow-Up & Denials Management is responsible for daily management and oversight of insurance claim follow-up, denial management and appeal dispute functions for physicians to assure the health of accounts receivable and maximize reimbursement. The Manager, Insurance Follow-Up & Denials Management is responsible for evaluating analytical reporting trends, examining and re-engineering operations and procedures related to key performance indicators, and implements new strategies and procedures to achieve objectives. The Manager, Insurance Follow-Up & Denials Management is responsible for the creation, implementation and enforcement of directives, solutions and all billing related policies and procedures that emphasize "best practices". The Manager, Insurance Follow-Up & Denials Management is required to manage multiple projects involving a high level of facilitation with third party payers, CCHCS Payor Relations, Revenue Integrity, and other team partners to achieve payment resolution. The Manager, Insurance Follow-Up & Denials Management serves as a resource to primary care, specialty care, UCC, physicians and practice managers to provide assistance with problem solving claim issues/edits, answer questions regarding CCPN programs by developing and sustaining open communications between the CBO and practice managers.