About this role
The Supervisor of Denial Management oversees the daily operations of a team responsible for medical claim denial follow-up and underpayments, and all support activities associated with managing claim denials. This position assists management in maintaining the denial management system, workflows and analysis reporting including the collection and interpretation of patterns to quantify denial causes and their financial impact. The Supervisor of Denial Management collaborates with other system departments to apprise them of trends and process improvement opportunities, with a focus on preventing future claim denials.
WHO WE ARE
With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.
WHAT YOU CAN EXPECT
Supervise the work of others and manage the performance of individuals through feedback and recommendations.
Implement process innovations and works closely with Insurance Payers, Revenue Cycle leadership and Department Managers in revenue-producing departments to reduce denials and to improve upon the Revenue Cycle KPIs.
Participate in people management activities for direct team members such as conducting performance evaluations, disciplinary actions, and interviews.
Analyze reports and use software to track, trend and identify root causes of denials; offer suggestions for process improvement to resolve denial issues, supported by documentation and data.
Coordinate department efforts with other departments to align interdepartmental functioning, strategic goals, and expectations.
Develop and monitor a structured, organized workflow to ensure actions carried out consistently and accurately.
Act as the first point of escalation within the team by acting as a coach and mentor.
Prepare operational progress or status reports on a regular basis.
Independently develop effective relationships with patients, hospital departments, and other external parties.
Coordinate meetings and in-service training with Payor representatives and vendors.
Develop reports, policies, procedures and training materials for employee training and business improvements.
Ensure compliance with state and federal billing regulations.
Review the final documentation for write-offs and adds avoidable write off language.
QUALIFICATIONS
Preferred Associate's Degree
Required High School Diploma/GED
5 years Patient Accounting required
1 year Supervisory or leadership experience Preferred
TRAVEL IS REQUIRED:
EQUAL OPPORTUNITY EMPLOYER
It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.
Franciscan Alliance is committed to equal employment opportunity.
Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
Other facts
About Franciscan Alliance, Inc.
A trusted leader in providing faith-based, integrated health care, Franciscan Alliance brings together the latest technology, innovative procedures and the brightest, most compassionate people to serve our patients in Indiana, Illinois and Michigan. Throughout our 13 hospitals and many medical practices, we offer a number of nationally recognized Centers of Health Care Excellence.
Our health care system carries forth Christ’s healing ministry and strengthens the Catholic health care mission by: Providing a broad, coordinated continuum of health care services with an emphasis on improving the health of persons and communities; Treating the mind, body and spirit with holistic and comprehensive medical options; Developing creative structures for health care delivery; Being advocates for those in need; Identifying and developing our sisters and laity for Franciscan leadership.
What you'll do
- The Supervisor of Denial Management oversees daily operations related to medical claim denial follow-up and underpayments. They collaborate with other departments to identify trends and improve processes to prevent future claim denials.
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