... Assist the manager of CDRU, UM Director, and Director of Payor Audit with preparation of case ... denial mitigation strategies and performance results. #PR EDUCATION/EXPERIENCE REQUIRED: • ...
... Assist the manager of CDRU, UM Director, and Director of Payor Audit with preparation of case ... denial mitigation strategies and performance results. #PR EDUCATION/EXPERIENCE REQUIRED: • ...
... denials management and proven knowledge of billing/coding guidelines for complex E&M services ... Job Duties This position will responsible for the claims follow-up and assist the department when ...
... denials management and proven knowledge of billing/coding guidelines for complex E&M services ... Job Duties This position will responsible for the claims follow-up and assist the department when ...
... Assist the manager of CDRU, UM Director, and Director of Payor Audit with preparation of case ... denial mitigation strategies and performance results. #PR EDUCATION/EXPERIENCE REQUIRED: Graduate ...
... Assist the manager of CDRU, UM Director, and Director of Payor Audit with preparation of case ... denial mitigation strategies and performance results. #PR EDUCATION/EXPERIENCE REQUIRED: Graduate ...
PFS Denial Specialist 3
Charlestown, MA · On-site
$19.75 - $25.50/hr
The Denial Specialist 3 will work directly with Supervisors and Managers to obtain the required ... to assist customers with questions and accurate registration of insurance and or processing ...
PFS Denial Specialist 3
Charlestown, MA · On-site
$19.75 - $25.50/hr
The Denial Specialist 3 will work directly with Supervisors and Managers to obtain the required ... to assist customers with questions and accurate registration of insurance and or processing ...
MSRDP Clinical Denial Management Specialist II - Surgical Billing Follow Up
Dallas, TX · On-site
$18.50 - $23.75/hr
... denials management and proven knowledge of billing/coding guidelines for complex E&M services ... Job Duties This position will responsible for the claims follow-up and assist the department when ...
MSRDP Clinical Denial Management Specialist II - Surgical Billing Follow Up
Dallas, TX · On-site
$18.50 - $23.75/hr
... denials management and proven knowledge of billing/coding guidelines for complex E&M services ... Job Duties This position will responsible for the claims follow-up and assist the department when ...
IDR Portal Access Specialist
Dallas, TX · On-site
Support process improvement initiatives for IDR and denial management operations. * Ensure HIPAA compliance and adherence to organizational SOPs and payer regulations. * Assist leadership with ...
IDR Portal Access Specialist
Dallas, TX · On-site
Support process improvement initiatives for IDR and denial management operations. * Ensure HIPAA compliance and adherence to organizational SOPs and payer regulations. * Assist leadership with ...
Support process improvement initiatives for IDR and denial management operations. * Ensure HIPAA compliance and adherence to organizational SOPs and payer regulations. * Assist leadership with ...
Support process improvement initiatives for IDR and denial management operations. * Ensure HIPAA compliance and adherence to organizational SOPs and payer regulations. * Assist leadership with ...
Support/assist team with additional assigned tasks as needed * Effectively communicate and ... High School Diploma or equivalent required, 2+ years of experience with A&R, or Denial Management ...
Support/assist team with additional assigned tasks as needed * Effectively communicate and ... High School Diploma or equivalent required, 2+ years of experience with A&R, or Denial Management ...
... Assist with reporting, analytics, and strategic planning related to revenue cycle performance ... Knowledge of denial management, claims adjudication, and billing compliance processes. Strong ...
... Assist with reporting, analytics, and strategic planning related to revenue cycle performance ... Knowledge of denial management, claims adjudication, and billing compliance processes. Strong ...
The Onyx Group - Denial & AR Follow-Up Specialist
Greenville, SC · On-site
$17.75 - $21.75/hr
Denials & AR Follow-Up Team Lead / Revenue Cycle Manager Position Overview: The Denials & AR ... Assist leadership in identifying opportunities to improve clean claim rates and reduce accounts ...
The Onyx Group - Denial & AR Follow-Up Specialist
Greenville, SC · On-site
$17.75 - $21.75/hr
Denials & AR Follow-Up Team Lead / Revenue Cycle Manager Position Overview: The Denials & AR ... Assist leadership in identifying opportunities to improve clean claim rates and reduce accounts ...
... worked Assist with collections efforts in accordance with company policies and procedures in ... High School Diploma or equivalent required, 2+ years of experience with A&R, or Denial Management ...
... worked Assist with collections efforts in accordance with company policies and procedures in ... High School Diploma or equivalent required, 2+ years of experience with A&R, or Denial Management ...
The Onyx Group - Denial & AR Follow-Up Specialist
Greenville, SC · On-site
$17.75 - $21.75/hr
Denials & AR Follow-Up Team Lead / Revenue Cycle Manager Position Overview: The Denials & AR ... Assist leadership in identifying opportunities to improve clean claim rates and reduce accounts ...
The Onyx Group - Denial & AR Follow-Up Specialist
Greenville, SC · On-site
$17.75 - $21.75/hr
Denials & AR Follow-Up Team Lead / Revenue Cycle Manager Position Overview: The Denials & AR ... Assist leadership in identifying opportunities to improve clean claim rates and reduce accounts ...
RCM Supervisor
Miami, FL · On-site
... denial management staff. * Monitor productivity, quality, and performance against established KPIs. * Conduct employee coaching, training, and performance evaluations. * Assist with recruiting ...
Quick apply
RCM Supervisor
Miami, FL · On-site
... denial management staff. * Monitor productivity, quality, and performance against established KPIs. * Conduct employee coaching, training, and performance evaluations. * Assist with recruiting ...
Account Analyst Supervisor
Santa Ana, CA · On-site
$65K - $80K/yr
Oversee denial management, appeals, and insurance follow-up activities. * Monitor aging accounts receivable and recovery efforts. * Assist with escalated and high-dollar claims. * Ensure timely ...
Quick apply
Account Analyst Supervisor
Santa Ana, CA · On-site
$65K - $80K/yr
Oversee denial management, appeals, and insurance follow-up activities. * Monitor aging accounts receivable and recovery efforts. * Assist with escalated and high-dollar claims. * Ensure timely ...
IDR Operations Coordinator
Addison, TX · On-site
Support process improvement initiatives for IDR and denial management operations. * Ensure HIPAA compliance and adherence to organizational SOPs and payer regulations. * Assist leadership with ...
IDR Operations Coordinator
Addison, TX · On-site
Support process improvement initiatives for IDR and denial management operations. * Ensure HIPAA compliance and adherence to organizational SOPs and payer regulations. * Assist leadership with ...
Accounts Receivable Associate- Orthopedics - Medical Biller
Uniondale, NY · On-site
$24 - $28/hr
Support/assist team with additional assigned tasks as needed * Effectively communicate and ... High School Diploma or equivalent required, 2+ years of experience with A&R, or Denial Management ...
Accounts Receivable Associate- Orthopedics - Medical Biller
Uniondale, NY · On-site
$24 - $28/hr
Support/assist team with additional assigned tasks as needed * Effectively communicate and ... High School Diploma or equivalent required, 2+ years of experience with A&R, or Denial Management ...
Participate in meetings regarding payer updates, reimbursement changes, and denial trends. * Assist with training and mentoring team members regarding denial management and appeal strategies.
Participate in meetings regarding payer updates, reimbursement changes, and denial trends. * Assist with training and mentoring team members regarding denial management and appeal strategies.
Accounts Receivable Associate- No-Fault/Workers Comp.
Uniondale, NY · On-site
$21 - $24/hr
Maintain appropriate documentation and notes of all collection activity * Assist with collections ... High School Diploma or equivalent required * 2+ years of experience with A&R & Denial Management ...
Accounts Receivable Associate- No-Fault/Workers Comp.
Uniondale, NY · On-site
$21 - $24/hr
Maintain appropriate documentation and notes of all collection activity * Assist with collections ... High School Diploma or equivalent required * 2+ years of experience with A&R & Denial Management ...
Coordinator I, (Hybrid) Obstetrics and Gynecology Clinical Support Services - Galveston
Galveston, TX · On-site
Meet with department stakeholders to review reporting and assist with root cause analysis, which ... Denial Management : * Coordinate with report writers to develop department-specific reporting on ...
Coordinator I, (Hybrid) Obstetrics and Gynecology Clinical Support Services - Galveston
Galveston, TX · On-site
Meet with department stakeholders to review reporting and assist with root cause analysis, which ... Denial Management : * Coordinate with report writers to develop department-specific reporting on ...
Coordinator I, (Hybrid) Obstetrics and Gynecology Clinical Support Services - Galveston
Galveston, TX · Hybrid
Meet with department stakeholders to review reporting and assist with root cause analysis, which ... Denial Management : * Coordinate with report writers to develop department-specific reporting on ...
Coordinator I, (Hybrid) Obstetrics and Gynecology Clinical Support Services - Galveston
Galveston, TX · Hybrid
Meet with department stakeholders to review reporting and assist with root cause analysis, which ... Denial Management : * Coordinate with report writers to develop department-specific reporting on ...
Assistant Denial Management information
See salary details
$29K - $32.7K
1% of jobs
$32.7K - $36.4K
4% of jobs
$36.4K - $40K
7% of jobs
$42.5K is the 25th percentile. Wages below this are outliers.
$40K - $43.7K
18% of jobs
The median wage is $46.4K / yr.
$43.7K - $47.4K
27% of jobs
$49.7K is the 75th percentile. Wages above this are outliers.
$47.4K - $51.1K
28% of jobs
$51.1K - $54.8K
7% of jobs
$54.8K - $58.5K
3% of jobs
$58.5K - $62.1K
2% of jobs
$62.1K - $65.8K
1% of jobs
$65.8K - $69.5K
1% of jobs
$29K
$48.4K
$69.5K
How much do assistant denial management jobs pay per year?
What are the key skills and qualifications needed to thrive as an assistant denial management specialist?
What is an assistant denial management?
What is the difference between Assistant Denial Management vs Medical Billing Specialist?
| Aspect | Assistant Denial Management | Medical Billing Specialist |
|---|---|---|
| Credentials | Typically requires certification in medical billing or coding | Usually requires certification or training in medical billing/coding |
| Work Environment | Healthcare facilities, insurance companies, billing offices | Hospitals, clinics, physician offices, billing companies |
| Primary Responsibilities | Follow up on denied claims, resolve billing issues, ensure payment | Prepare, submit, and manage medical claims, coding, and billing processes |
Assistant Denial Management and Medical Billing Specialist roles both focus on healthcare billing processes. While they share similar credentials and work environments, Assistant Denial Management emphasizes resolving claim denials and appeals, whereas Medical Billing Specialists handle the entire billing cycle. Understanding these differences helps healthcare organizations assign the right tasks to the appropriate roles.
What are the typical challenges faced by someone in an assistant denial management role, and how can they be addressed?
Medical Director - Clinical Denial Recovery Unit (CDRU)/Payor Audit
Detroit, MI • On-site
Full-time
Re-posted 8 days ago
Henry Ford Health rating
7.0
Based on 564 frontline employees who took The Breakroom Quiz
414th of 887 rated healthcare providers
Job description
Reports to the Chief Utilization Officer (CUO) of Henry Ford Health, responsible for Clinical Denial Recovery Unit (CDRU) operations. Responsible for strategic and operational leadership and oversight of programs and initiatives including denials management, performance improvement, regulatory, compliance, and risk with an expectation of national top decile performance. This system role includes physician oversight and clinical input for post-discharge medical necessity denials at all HFHS acute care facilities.
PRINCIPLE DUTIES AND RESPONSIBILITIES:
1. Oversee a comprehensive value-driven centralized denial management process.
2. In collaboration with executive and administrative partners, provide clinical expertise to CDRU, Payor Audit, hospital UM teams, system IPAS, managed care contracting, and legal.
3. Participate as a clinical expert in payer negotiations and escalations, Accounts Receivable Reconciliation Group (AARGs) and Medical Director Meetings (MDMs), and during Administrative Law Judge (ALJ) hearings for denied cases.
4. Standardize and oversee a comprehensive reliability-driven process for status determination in concert with site level physician advisors.
5. Prepare and analyze denial metrics and make recommendations for process improvements.
6. Provide feedback to system IPAS regarding denial trends, opportunities for improvement, and payor practices.
7. Report out metrics and initiatives at Medical Executive and Executive Leadership meetings as requested.
8. Assist the manager of CDRU, UM Director, and Director of Payor Audit with preparation of case escalations for payer negotiations.
9. Assist the CDRU RN staff with medical necessity appeals for complex medical cases.
10. Maintain a working knowledge of applicable Federal, State and local laws and regulations, initiatives, and expectations as set by payers and CMS.
11. Collaborate with accountable leaders to develop processes that ensure consistent feedback for all involved care providers regarding specific denial mitigation strategies and performance results.
#PR
EDUCATION/EXPERIENCE REQUIRED:
• Graduate of an accredited medical school, completion of a three (3) year U.S. residency program, and board certified in their specialty.
• Minimum seven (7) years of clinical practice as a physician.
• Previous performance-based leadership experience preferred.
#PR
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About Henry Ford Health
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Henry Ford Health provides a full continuum of services from Primary and Preventative care, to Complex and Cpecialty care, Health Insurance, a full suite of home health offerings, Virtual care, Pharmacy, Eye care and other Healthcare retail. It is one of the Nation’s leading Academic Medical Centers, recognized for Clinical excellence in Cancer care, Cardiology and Cardiovascular Surgery, Neurology and Neurosurgery, Orthopedics and Sports medicine, and Multi organ transplants. Consistently ranked among the top five NIH funded institutions in Michigan, Henry Ford Health engages in more than 2,000 research projects annually. Equally committed to educating the next generation of Health Professionals, Henry Ford Health trains more than 4,000 Medical students, Residents and fellows every year across 50+ accredited programs. With more than 33,000 valued team members, Henry Ford Health is also among Michigan’s largest and most Diverse employers, including nearly 6,000 physicians and researchers from the Henry Ford Medical Group, Henry Ford Physician Network and Jackson Health Network.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Detroit, MI, US
Year founded
1915