Denials Manager

  • Location: Hammond, LA
  • Posted: May 22, 2019

Job Description

A. Experience, Knowledge and Skill

1. Previous Experience Required:

A Bachelor's degree in business, healthcare administration, or a related field is required. Minimum of 3 years of experience in a healthcare environment, particularly in healthcare billing, collections, payment processing or denial management. Supervisory experience of a minimum of 1 year.

2. Specialized or Technical Education Required:

Experience in integrating financial, clinical, and coding processes to improve compliance and maximize reimbursement. Ability to take initiative by identifying problems, conceptualizing resolutions, and implementing change Possess efficient time management skills and proven ability to multitask under deadlines. Exceptional writing and communication skills Demonstrates knowledge of: o Hospital and professional billing processes and reimbursement o Medicare and Medicaid and appeals o Third party contracts o insurance protocols, delay tactics, systems, and workflows o Federal & State regulations related to denials and appeals Strong comfort level with computer systems. Demonstrates excellent leadership, conflict-resolution, and customer service skills Excellent skills in excel, Word and Power Point required.

3. Manual or Physical Skill Required: Must have good visual acuity to determine quality of work, and good hearing acuity to answer phones. Must be able to file in both alpha and numeric systems.

4. Physical Effort Required: Strength: Sedentary Push: Occasionally Pull: Occasionally Carry: Occasionally Lift: Occasionally Sit: Constant Stand: Occasionally Walk: Occasionally

Employment Type

  • Full Time

Schedule Information

Schedule: Days

North Oaks Health System

P.O. Box 2668
Hammond, LA 70404

Opened: 1960

Phone: (985) 230-6082

Fax: (985) 230-6082



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