Assistant Director - Payor Strategy & Denial Management

Requirements

• Bachelor’s degree in a business or healthcare related field or equivalent education and experience.
• Minimum of at least 7 years’ experience in revenue cycle in a healthcare system.
• Minimum of 3 years management experience required.
• Strong knowledge of various types of payer denials, appeals, and underpayment management to ensure denials are appealed and resolved timely.
• Advanced knowledge of CPT, ICD-10 coding and billing, UB and 1500 billing.
• Advanced knowledge of Medicare, Medicaid and third-party payment methodologies.
• Advanced knowledge of CMS Medicare regulations.
• Advanced knowledge of reading and understanding managed care contracts and federal and state regulations.
• Maintain professionalism working and collaborating with internal and external partners to promote positive outcomes.
• Intermediate PC experience required with knowledge of Excel and Word applications.
• Excellent verbal and written communication skills.
• Strong critical thinking and analytical skills.
• Demonstrated ability to drive positive results and change management
• Self-motivated.