Clinical Denials Supervisor

Job Summary

A company is looking for a Supervisor - Clinical Denials/UM.

Key Responsibilities

• Oversee the clinical denials management process to ensure timely resolution and implement strategies to prevent future denials
• Manage a team of clinical denials nurses and analyze denial trends
• Collaborate with various departments to enhance clinical documentation and coding practices

Required Qualifications

• Associate's degree
• Minimum of 5 years of experience in clinical denials
• Strong knowledge of medical terminology, coding, and billing
• Ability to communicate with payers, physicians, and other healthcare professionals
• Supervisory experience is preferred