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Denials Supervisor Jobs in Georgia (NOW HIRING)

BrightSpring

Revenue Cycle Supervisor

Valdosta, GA · On-site

Updates receivables by coordinating and monitoring daily billings, claims processing and denials ... Three to six years supervisory experience About our Line of Business BrightSpring Health Services ...

Trice Healthcare

Coding Payment Resolution Spec

Rex, GA · On-site

$17.25 - $22.25/hr

Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive ... This position reports directly to the Supervisor Clinical/Coding Payment Resolution. Essential ...

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Denials Supervisor information

What is a denials supervisor?

Denials Supervisors are professionals who oversee the process of managing and resolving insurance claim denials in healthcare organizations. They lead teams responsible for reviewing, appealing, and correcting denied insurance claims to ensure appropriate reimbursement for medical services. Denials Supervisors analyze patterns, develop strategies to reduce denials, and work closely with billing staff, healthcare providers, and insurance companies. Their role is essential in maintaining the financial health of the organization by minimizing revenue loss due to claim denials.

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

To thrive as a Denials Supervisor, you need expertise in medical billing, claims management, and healthcare regulations, often supported by a degree in healthcare administration or a related field. Familiarity with claims adjudication systems, EHR platforms, and denial management software is typically required. Strong leadership, problem-solving abilities, and effective communication skills help in managing teams and collaborating with payers and providers. These skills ensure efficient resolution of denied claims, improved revenue cycle performance, and compliance with industry standards.

What are some common challenges denials supervisors face when working with cross-functional teams to resolve claim denials?

Denials Supervisors frequently collaborate with billing, coding, and clinical teams to investigate and resolve claim denials. A common challenge is ensuring clear communication across departments, as each team may have different priorities or perspectives on denial causes and resolutions. Additionally, Denials Supervisors often need to manage competing deadlines and balance high volumes of cases, all while maintaining compliance with payer guidelines. Building strong relationships and fostering a culture of accountability helps streamline the denial resolution process and improves outcomes.

What is the difference between Denials Supervisor vs Claims Supervisor?

AspectDenials SupervisorClaims Supervisor
CredentialsTypically requires healthcare billing, coding certifications, or related experienceRequires knowledge of claims processing, often with billing or insurance certifications
Work EnvironmentHealthcare or insurance companies, focusing on denial managementInsurance companies, healthcare providers, overseeing claims processing
Employer & IndustryHospitals, insurance firms, healthcare organizationsInsurance carriers, healthcare providers, billing departments
Search & Comparison IntentUnderstanding denial management roles in healthcareManaging claims processing and oversight

The Denials Supervisor primarily focuses on managing and resolving insurance claim denials, requiring expertise in healthcare billing and denial procedures. The Claims Supervisor oversees the entire claims process, including submission, review, and approval, often requiring broader knowledge of claims processing. Both roles are vital in healthcare and insurance industries but differ in scope and specific responsibilities.

Infographic showing various Denials Supervisor job openings in Georgia as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, 1% Temporary, 2% Contract, and 1% Nights. Highlights an 98% Physical, 1% Hybrid, and 1% Remote job distribution.

Denials and Eligibility Specialist

Savannah, GA • On-site

St. Joseph's/Candler
Health Care and Social Assistance • 1 - 5K employees
Learn more about St. Joseph's/Candlerexternal

$19.28/hr

Full-time

This job post has expired today. Applications are no longer accepted.

St. Joseph's/Candler Health System rating

7.0

Company rating: 7.0 out of 10

Based on 20 frontline employees who took The Breakroom Quiz

Job description

  • Position Summary
    • Revenue Cycle Denials and Eligibility Specialist will be responsible for daily QA, eligibility, frontend rejections, denial auditing, and immediate correction of all registered accounts to ensure accurate billing and reimbursement. The scope of work will encompass all Government, Commercial, and Managed Care payers, and include all service lines and all denial types. Position will be a liaison with other departments, physicians and other clinicians within and outside the organization in order to facilitate timely and accurate submission. This position will work closely with management, precertification, insurance verification, and operations to ensure trends are identified and corrected to reduce denials. Revenue Cycle Denials and Eligibility Specialist will also be involved with education and training based on identified trends and audit results.
  • Education
    • None Required
  • Experience
    • 2-3 years hospital revenue cycle experience
    • 1-2 Years insurance experience
    • Previous Team Lead or Supervisor Experience - Preferred
  • License & Certification
    • None Required
  • Core Job Functions
    • Directly works to resolve all eligibility denials in billing system and from payer remits within 1 business day. Directly resolves all RQA errors within 1 business day.
    • Completes monthly Root Cause Analysis on denials and eligibility to determine trends and using the results to keep leadership informed and provide continuing education and improvement.
    • Reviews monthly denials with leadership teams of the physician's office, ancillary departments and revenue cycle. Identifies improvement opportunities, educational needs and reduction of denials opportunities.
    • Escalates eligibility and payer denial trends or underpayments to appropriate internal leadership for quick resolution.

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