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Avp Denial Management Jobs (NOW HIRING)

... R aging, denial trends).Partner with AVP to resolve escalations and implement corrective actions ... Required Qualifications12-15 years of progressive experience in Revenue Cycle Management, primarily ...

... R aging, denial trends).Partner with AVP to resolve escalations and implement corrective actions ... Required Qualifications 12-15 years of progressive experience in Revenue Cycle Management ...

Sr Director, Clinical Solutions

$81K - $111K/yr

... a denial management team. Operational oversight with a client-facing focus is essential. The role ... Work closely with AVP to meet client expectations. * Partner with Managers & Supervisors to ensure ...

OR · On-site

Typically manages a mid-size team and may have regional responsibility. This role will be field ... restrictions), denial of family and medical care leave, disability (mental and physical ...

Impeccable organizational and time management talents. * Driven by customer and sales-focused ... restrictions), denial of family and medical care leave, disability (mental and physical ...

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Avp Denial Management information

What is an AVP of Denial Management?

An AVP (Assistant Vice President) of Denial Management is a healthcare management professional responsible for overseeing the processes that handle insurance claim denials within a healthcare organization. Their role involves analyzing denial trends, developing strategies to reduce denials, leading denial management teams, and ensuring timely resolution of denied claims to optimize revenue cycle performance. They often collaborate with billing, coding, and compliance teams to improve accuracy and prevent future denials. Additionally, they implement best practices and monitor key performance indicators to enhance the overall financial health of the organization.

What is a denial resolution specialist?

A denial resolution specialist is a professional responsible for reviewing and resolving insurance claim denials by identifying errors, gathering additional documentation, and appealing decisions to ensure claims are paid correctly. They often use billing software and have knowledge of insurance policies and coding standards to expedite the resolution process.

What is the difference between Avp Denial Management vs Denial Management Specialist?

AspectAvp Denial ManagementDenial Management Specialist
CredentialsTypically requires 8+ years of experience, bachelor's degree, and leadership skillsUsually requires 2-5 years of experience, relevant certifications, and specialized knowledge
Work EnvironmentSenior management, strategic planning, overseeing teamsOperational role, handling daily denial resolutions and claims processing
Employer & Industry UsageHealthcare organizations, insurance companies, hospital systemsHospitals, insurance providers, revenue cycle management firms

The Avp Denial Management typically holds a senior leadership role focused on strategic oversight and team management, requiring extensive experience. In contrast, a Denial Management Specialist handles day-to-day claim denials, focusing on operational tasks. Both roles are essential in healthcare revenue cycle management but differ significantly in scope and responsibilities.

What are the key skills and qualifications needed to thrive as an AVP Denial Management, and why are they important?

To excel as an AVP Denial Management, you need expertise in healthcare revenue cycle management, strong analytical abilities, and a bachelor's or master's degree in healthcare administration or a related field. Familiarity with denial management software, claims processing systems, and data analytics tools is essential, along with certifications like Certified Revenue Cycle Representative (CRCR) or Certified Professional Coder (CPC). Exceptional leadership, communication, and problem-solving skills set standout professionals apart in this role. These competencies are crucial for efficiently reducing claim denials, optimizing revenue, and leading teams to improve organizational financial performance.

What is a denial coordinator job description?

A denial coordinator is responsible for reviewing and managing insurance claim denials, identifying reasons for denials, and working to resolve or appeal them to ensure payment. They often use billing software and have knowledge of insurance policies, coding, and reimbursement processes to improve claim acceptance rates.

What jobs pay $2000 a day?

High-paying jobs such as AVP Denial Management roles in healthcare or finance can sometimes pay $2000 or more per day, especially for senior-level professionals with specialized skills, certifications, and extensive experience. These roles often involve complex decision-making, management of large teams, or handling high-value accounts, and may require working in demanding environments or on a contract basis.

What does a denial management specialist do?

A denial management specialist reviews and resolves insurance claim denials by identifying reasons for denials, correcting errors, and resubmitting claims to ensure proper reimbursement. They use billing software and have knowledge of insurance policies and coding to improve claim acceptance rates and reduce revenue loss.

What are the typical challenges faced by an AVP of Denial Management, and how can they address them effectively?

An AVP of Denial Management often faces challenges such as high volumes of claim denials, evolving payer requirements, and coordination across multiple departments. Addressing these challenges requires a strong understanding of revenue cycle processes, effective team leadership, and the ability to implement data-driven strategies for denial prevention and resolution. Building collaborative relationships with clinical, billing, and IT teams is crucial to streamline workflows and ensure timely reimbursement. Regular training and process audits also help in identifying trends and reducing future denials.
Infographic showing various Avp Denial Management job openings in the United States as of June 2026, with employment types broken down into 14% Locum Tenens, 21% Internship, 29% Full Time, 32% Nights, and 4% Summer. Highlights an 80% Physical, 11% Hybrid, and 9% Remote job distribution.
AVP, Partnership Success

Full-time

Medical, Retirement

Posted 16 days ago


Ensemble Health Partners rating

6.5

Company rating: 6.5 out of 10

Based on 237 frontline employees who took The Breakroom Quiz

129th of 138 rated financial services


Job description

Thank you for considering a career at Ensemble!
Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!
O.N.E Purpose:
  • Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
  • Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
  • Striving for Excellence: Execute at a high level by demonstrating our "Best in KLAS" Ensemble Difference Principles and consistently delivering outstanding results.

The Opportunity:
By embodying our core purpose of customer obsession, innovation, and excellence, you will ensure every client interaction is meaningful and contributes to our mission of redefining what's possible in healthcare.
The Assistant Vice President (AVP), Partnership Success is responsible for leading client success across one or multiple acute care clients. This role requires deep expertise in Revenue Cycle Management (RCM) and hands-on leadership of onsite operations. The AVP maintains detailed knowledge of and may perform all duties of the Site Directors for assigned acute facilities, while overseeing, managing, and developing a multi-level onsite revenue cycle operations team. This position requires onsite presence at client locations at least 75% of the time.
You will ensure optimal performance and adherence to Ensemble's Client Delivery Management Model, driving strategic alignment and operational excellence across Front-End, Middle Revenue Cycle, and Business Office functions. The AVP partners closely with client leadership and Ensemble executives to deliver measurable results, resolve escalations, and integrate best practices across the acute revenue cycle.
Scope of Responsibility:
  • Oversight of 10+ acute facilities or $2B+ net revenue under management
  • For dedicated client leaders: $500M+ client oversight or operational oversight, or oversight of 2-3 acute clients
Key Competencies
  • Leadership Decision Making: Drive results through informed decisions and accountability.
  • Coaching & Talent Development: Build bench strength and retain high performers.
  • Delegation & Empowerment: Push decision-making downward while maintaining ownership.
  • Executive Communication: Deliver clear, compelling messages to stakeholders.
  • Program/Project Management: Ensure strategic initiatives meet timelines and budgets.
Essential Responsibilities
  • Client Integration & Strategic Alignment: Define strategic direction for onsite acute RCM operations and integrate with centralized functions.
  • Performance Management: Develop strategies to improve AR aging, denial management, POS collections, and patient experience.
  • Relationship Management: Serve as the primary or secondary point of contact for all acute revenue cycle requests; lead client meetings and escalate issues promptly.
  • People Management: Plan succession, onboard leadership, and conduct performance reviews.
Qualifications
  • Required: CRCR/CPAR or equivalent certification
  • Experience:
    • 5-7 years in Acute Revenue Cycle Management
    • 3-5 years in people leadership roles
  • Proven ability to lead large-scale acute RCM operations and deliver measurable performance improvements.

Join an award-winning company
Five-time winner of "Best in KLAS" 2020-2022, 2024-2025
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
Energage Top Workplaces USA 2022-2024
Fortune Media Best Workplaces in Healthcare 2024
Monster Top Workplace for Remote Work 2024
Great Place to Work certified 2023-2024
  • Innovation
  • Work-Life Flexibility
  • Leadership
  • Purpose + Values

Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:
  • Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
  • Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
  • Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
  • Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories.
Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact TA@ensemblehp.com.
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range.
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