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Denials Management Supervisor, Patient Accounting

4 months ago

Orange, United States Children's Hospital of Orange County Full time

Work Location

Orange, California

Work Shift

Day - 08hrs (United States of America)

Why CHOC?

At CHOC, we strive to be the leading destination of children's health by providing exceptional and innovative care. We are responsible for the overall health of our community's pediatric population in our hospitals, clinics, and practices. And because of our breadth of care, your career at CHOC can be as diverse and fulfilling as you determine. CHOC's compensation structure, benefits offerings, and career development programs are geared to helping you achieve your professional and personal goals. Apply now to see where your career at CHOC can take you.

Job Summary

As the Supervisor of the Denials Management Team, you will play a crucial role in overseeing and leading a team responsible for analyzing, resolving, and preventing claim denials within CHOC and CHOC at Mission. Responsibilities include ensuring efficient operation of the denials management process, implementing strategies to reduce denials, and providing guidance and support to team members. The ideal candidate will possess excellent leadership skills, in-depth knowledge of denial management processes, and a strong ability to collaborate with cross-functional teams.

Pay Range

Minimum $57,241 Midpoint $75,826 Maximum $94,432

Rate of pay is determined by various factors, including but not limited to knowledge, skills, competencies, experience, education, as well as position requirements.

Experience

* Required: Minimum three (3) years of experience with denials management or revenue cycle management.
* Previous experience in denials management or revenue cycle management, preferably in a healthcare setting.

Education

* Required: High School Diploma. High school diploma or equivalent; additional education in healthcare administration or related field is a plus.
* Preferred: Associate's Degree or higher

Training

* Required: N/A
* Preferred: N/A

Specialized Skills

* Required: Strong knowledge of medical billing and coding processes, payer regulations, and reimbursement methodologies. Proven experience in effectively leading and managing a team, with excellent coaching and mentoring abilities. Analytical mindset with the ability to interpret data, identify trends, and make data-driven decisions. Excellent communication skills, both written and verbal, with the ability to communicate complex information clearly and effectively. Proficiency in using healthcare information systems, claims processing software, and data analytics tools. Strong organizational skills, with the ability to prioritize tasks, manage multiple projects simultaneously, and meet deadlines. Knowledge of industry standards, regulatory requirements, and emerging trends related to denials management.
* Preferred: Bilingual in English and Spanish

Work Environments - Functional Demand:

Sedentary - Very light energy level Lift 10 lbs. box overhead. Lift and carry 15 lbs. Push/pull 20 lbs. cart.

Physical Activity Requirements:

Bending, Carry Objects, Climbing, Keyboard use/repetitive motion, Pinching/fine motor activities, Push/Pull, Reaching forward, Reaching overhead, Sitting, Squat/kneel/crawl (Squad & Knee), Standing, Talk or hear, Taste or smell, Twisting, Walking, Wrist position deviation

Physical Activity Lifting

Lifting (Floor to waist level) - Occasional 0-35%, Lifting (Waist level and above) - Occasional 0-35%

Sensory Requirements:

Color Discrimination, Depth Perception, Far Vision, Hearing, Near Vision

Environment Requirements:

Airborn Communicable Disease, Bloodborne Pathogens, Chemical, Dust Particular Matter, Extreme Noise Levels, Extreme Temperatures, Radiation, Uneven Surfaces or Elevations

Non-Discrimination Statement:

CHOC does not discriminate on the basis of age, race, color, religion, national origin, ancestry, marital status, genetic information, disability, sex, gender (including pregnancy, breastfeeding, childbirth, lactation or related medical conditions), gender identity or expression, medical condition, sexual orientation, veteran status, military or uniformed service member status, or other protected characteristics in accordance with state and federal laws.

We encourage individuals from all backgrounds to apply for positions at CHOC, even if your experience doesn't align perfectly with the listed qualifications for a particular role, as your unique experience may be a great addition to our culture for another one of our opportunities.

If you desire support or accommodations throughout the Talent Acquisition process, please inform your Talent Acquisition Partner.