ZipRecruiter

Log In

1

Denials Manager Jobs in Colorado (NOW HIRING)

Amerita

Collection Specialist- Infusion Pharmacy / Remote

Englewood, CO · On-site

$18.25 - $24.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Collection Specialist will report to the Collection Manager and work in our Centennial, CO ... The Collection Specialist-Denials team is responsible for a broad range of collection processes ...

Amaze Health

Patient Advocate

Denver, CO · On-site

$18.25 - $23.75/hr

Denials and appeals: Support patients through denials and appeals, managing paperwork and updates. * Referrals: Coordinate referrals and prior authorizations for smooth access to care. * Collaborate ...

Ensign Affiliate

Director of Rehabilitation

Delta, CO

$85K - $110K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

This includes assurance that department records are completed and maintained, such as medical record documentation, reimbursement denials management and other survey compliance requirements.

Ensign Therapy

Director of Rehabilitation

Grand Junction, CO · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

This includes assurance that department records are completed and maintained, such as medical record documentation, reimbursement denials management and other survey compliance requirements.

Ensign Therapy

Director of Rehabilitation

Canon City, CO · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

This includes assurance that department records are completed and maintained, such as medical record documentation, reimbursement denials management and other survey compliance requirements.

Ensign Affiliate

Director of Rehabilitation

Littleton, CO

$85K - $110K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

This includes assurance that department records are completed and maintained, such as medical record documentation, reimbursement denials management and other survey compliance requirements.

Ensign Affiliate

Director of Rehabilitation

Colorado Springs, CO · On-site

$85K - $110K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

This includes assurance that department records are completed and maintained, such as medical record documentation, reimbursement denials management and other survey compliance requirements.

previous page

Showing results 41-60

All JobsDenials JobsDenials Manager JobsDenials Manager Jobs in Colorado

Denials Manager information

What is the difference between Denials Manager vs Claims Supervisor?

AspectDenials ManagerClaims Supervisor
CredentialsTypically requires healthcare administration, billing, or coding certificationsOften requires similar certifications, with additional supervisory or management training
Work EnvironmentManages denial appeals, reviews claim rejections, collaborates with billing and coding teamsOversees claims processing, supervises claims staff, ensures compliance with policies
Industry UsageCommon in healthcare, insurance, and hospital settingsCommon in healthcare organizations, insurance companies, and billing departments

While both roles focus on claims processing, the Denials Manager specializes in managing claim denials and appeals, whereas the Claims Supervisor oversees the entire claims process and staff. Both positions require healthcare billing knowledge and certification, but their primary responsibilities differ in scope and focus.

What are some common challenges faced by denials managers, and how can they effectively address them?

Denials Managers often encounter challenges such as identifying root causes of claim denials, staying updated with changing payer policies, and coordinating between billing, coding, and clinical teams. To address these challenges, Denials Managers typically implement robust tracking systems, conduct regular staff training, and foster open communication across departments. Proactively analyzing denial trends and collaborating on process improvements are key strategies to reduce future denials and enhance overall revenue cycle performance.

What is a denials manager?

A Denials Manager is a healthcare professional responsible for overseeing and managing the process of claim denials from insurance companies. Their primary role is to identify the causes of denied claims, implement strategies to reduce future denials, and ensure timely resolution and appeal of denied claims to maximize revenue for healthcare organizations. Denials Managers often collaborate with billing, coding, and clinical staff to ensure compliance with payer requirements and improve the overall reimbursement process. They play a crucial role in maintaining the financial health of medical practices or hospitals by minimizing lost revenue due to claim denials.

What are the key skills and qualifications needed to thrive as a denials manager?

To thrive as a Denials Manager, you need a deep understanding of medical billing, coding, insurance processes, and healthcare regulations, usually supported by a degree in healthcare administration or a related field. Familiarity with revenue cycle management systems, electronic health records (EHRs), and data analytics tools is essential, and certification like Certified Revenue Cycle Representative (CRCR) can be advantageous. Strong analytical thinking, problem-solving, and communication skills help in effectively leading teams and negotiating appeals with payers. These skills are critical for minimizing revenue loss, ensuring compliance, and optimizing reimbursement processes within healthcare organizations.

What are the most commonly searched types of Denials jobs in Colorado?

The most popular types of Denials jobs in Colorado are:

What cities in Colorado are hiring for Denials Manager jobs?

Cities in Colorado with the most Denials Manager job openings:

Denials Manager jobs near you

Collection Group Leader- Infusion Pharmacy

BrightSpring Health Services

Centennial, CO • On-site

$20.75 - $26.50/hr

Other

Posted 5 days ago

BrightSpring Health Services rating

5.1

Company rating: 5.1 out of 10

Based on 63 frontline employees who took The Breakroom Quiz

208th of 240 rated social care providers

Job description

Our Company
Amerita
Overview
Amerita, Inc. is a leading provider in home Infusion therapy. We are looking for an RCM Team Lead to join our Revenue Cycle Management team as we grow to be one of the top home infusion providers in the country. The Team Lead will report to the Collection Manager and work in our Centennial, CO office.
Amerita is an entrepreneurial-founded company and a wholly owned subsidiary of PharMerica. The home infusion market is positioned for rapid growth driven by the aging population, increase in chronic diseases, robust pipeline of infusible drugs coming to market, and an industry shift from hospital delivery settings to lower-cost, high-quality alternative providers such as Amerita.
The Team Lead will be capable of performing and monitoring all activities related to the collection of all Accounts Receivable and denials including but not limited to Medicare, Medicaid, commercial insurances, and patient balances. The Collection Group Leader will be the initial resource for questions from other collectors within the department. The Collection Group Leader will proactively work assigned accounts to maximize accurate and timely payment. The Collection Group Leader will work closely with collectors and with other management to identify and share information about trends or patterns in denials and payment activity. The Collection Group Leader will assure that the collection department maintains compliance with company policies and all applicable laws and regulations regarding billing, collections, banking and the security of patient financial information. Above all else qualified candidates should possess exceptional internal and external customer service and communication skills and promote company culture.
Responsibilities
As a Collection Group Leader, you will...
  • Ensures that daily accomplishments work towards company goals for cash collections by ensuring all AR over 60 days is accurately worked by aging teams and all denied claims are worked within 7 days of posted denial for denials team.
  • Assists the process of collections through AR analysis and denial resolution as well as assist with the receiving, batching, posting, balancing and archiving payments and adjustments to accounts receivable
  • Assures collection department complies with established company criteria for timeliness and accuracy of billing and collections
  • Researches denials and outstanding balances and takes necessary collection action to resolve in a timely manner; makes necessary demographic changes to patient accounts to insure future collections
  • Utilizes most efficient resources to secure timely payment of open claims or invoices; electronic solutions should be given priority
  • Reviews insurance remittance advices for accuracy. Identifies billing errors, short payments, over payments, unpaid claims, and resolves accordingly communicating any needed system changes
  • Reviews residual account balances after payments are applied and generates necessary adjustments (within eligible guidelines), overpayment notification, refund request, and/or secondary billing as needed
  • Monitors payer websites regularly for updates and communications accordingly; makes recommendations to changes in billing procedures to insure timely payment of claims
  • Review and Post adjustments within eligible range of $499.00 and under
  • Identifies inefficient processes; makes recommendations to automate or eliminate
  • Identifies denial trends and patterns of short-payment, overpayment or non-payment and brings them to the attention of appropriate specialist
  • Performs QA audits for proper management of A/R and evaluation of collector performance
  • Contacts payers by telephone, mail, email or other appropriate means to secure copies of missing remittance documents as needed
  • Monitors the adherence to state and federal regulations, to company policies regarding compliance, integrity, patient privacy and ethical billing and collection practices
  • Assist in implementation of training program for Collection Specialists and Patient Collection Specialists
  • Coordinates and conducts training for all new staff
  • Assists with competency testing for all training materials
  • Interacts with third party collection agencies as needed
  • Understands and adheres to HIPAA and PHI guidelines
  • Communicates clearly and professionally, both in written form and orally, with internal and external customers
  • Available to work extended hours when necessary to meet department deadlines
  • Performs other tasks or special projects as requested by management
Qualifications
  • High School Diploma/GED or equivalent required; some college a plus
  • A minimum of one (1) year experience in medical collections with a working knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement; home infusion experience a plus
  • Working knowledge of automated billing systems; experience with CPR+ preferred
  • Working knowledge and application of metric measurements, basic accounting practices, ICD-9, CPT and HCPCS coding
  • Solid Microsoft Office skills required, including Word, Excel and Outlook
  • Ability to type 40 wpm and proficiency with 10-key calculator
  • Ability to independently obtain and interpret information
  • Strong verbal and written communication skills
  • This position does not have supervisory responsibilities.
  • This position does not require travel.
  • While performing the duties of this job, the employee is regularly required to sit and talk or hear.
  • The employee is frequently required to walk and use hands to finger, handle or feel.
  • The employee is occasionally required to stand and reach with hands and arms.
  • The employees must frequently lift and/or move up to 10 pounds and occasionally lift and or move up to 30 pounds.
  • Specific vision abilities required by this job include close vision, distance vision and the ability to adjust focus.
  • The noise level in the work environment is usually moderate.

**Please note that this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice**
About our Line of Business
Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit www.ameritaiv.com. Follow us on Facebook, LinkedIn, and X.
Salary Range
USD $24.59 - $27.19 / Hour

What BrightSpring Health Services employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply