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Denials Manager Jobs in Georgia (NOW HIRING)

Deloitte

Epic Denials Management Operator

Atlanta, GA · On-site

$17.25 - $23/hr

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Deloitte

Epic Denials Management Operator

Atlanta, GA · Remote

$17.25 - $23/hr

Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be responsible for supporting review denials (835/277 processing) received from third party payers.

Deloitte

Epic Denials Management Operator

Atlanta, GA · On-site

$17.25 - $23/hr

Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be responsible for supporting review denials (835/277 processing) received from third party payers.

Phoebe Putney Health System

Denials Coordinator

Albany, GA

$16 - $21.25/hr

... care management staff and the Business Office, meeting goals and timelines for appeals, and ... denials. (Required) EXPERIENCE REQUIREMENTS * 2 - 3 years in a Health Care data analytics and/or ...

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Denials Manager information

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 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 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 the most commonly searched types of Denials jobs in Georgia?

The most popular types of Denials jobs in Georgia are:

What are popular job titles related to Denials Manager jobs in Georgia?

For Denials Manager jobs in Georgia, the most frequently searched job titles are:

What job categories do people searching Denials Manager jobs in Georgia look for?

The top searched job categories for Denials Manager jobs in Georgia are:

What cities in Georgia are hiring for Denials Manager jobs?

Cities in Georgia with the most Denials Manager job openings:

Denials Manager jobs near you

Epic Denials Management Coordinator

Deloitte

Atlanta, GA • On-site

Full-time

Posted 20 days ago

Deloitte rating

8.2

Company rating: 8.2 out of 10

Based on 92 frontline employees who took The Breakroom Quiz

44th of 150 rated financial services

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