Manager, Denial Management

HMH HOSPITALS CORPORATION
Edison, NJ

Our team members are the heart of what makes us better.

At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Manager, Denial Management, is responsible for the daily operations, financial oversight, and efficient performance of the Managed Care department. This role emphasizes managing accounts sent, ensuring corrections are applied, and reducing accounts received through proactive oversight. This position directly oversees denial processes, serves as the subject matter expert in Contract Management, and leads initiatives to prevent denials while improving account management efficiency. Additionally, develops and monitors reporting and benchmarks across hospitals and the network, ensuring alignment with efficiency metrics and organizational performance goals.

Education, Knowledge, Skills and Abilities Required:

  • Bachelor's degree in finance related area of concentration or business administration with concentration in finance or management.
  • Minimum of 4 or more years of experience in Healthcare/Billing/Collections/Managed Care/Revenue Cycle.
  • Minimum of 2 or more years in managerial role.
  • Proficiency with Windows applications, particularly in Excel, as well as Hospital Billing systems, SMS and EPIC.
  • Strong report writing skills, outcome driven and technology savvy.
  • Strong knowledge of healthcare industry revenue integrity key performance indicators and best practices.
  • Change agent, capable of guiding teams in initiating change management initiatives with a view of leading and guiding towards the future, but respectful of organizational history and culture.
  • Strong multi-tasking skills and the ability to work at multiple facilities.
  • Ability to gather complex data, compile usable information and prepare reports that are understandable by members of the organization.
  • Excellent written and verbal communication skills.
  • Proficient computer skills that include but are not limited to Google Suite and/or Microsoft Office platforms.

Education, Knowledge, Skills and Abilities Preferred:

  • Resolute Hospital Billing.
  • Reporting Workbench.

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!

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