Associate Director, RN Denials Management
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Job Description
Associate Director of RN Denials Management overseeing a team responsible for managing denials across 31 Banner facilities. Role combines clinical expertise with revenue cycle management to protect the organization's bottom line.
Responsibilities:
- Educate and develop team members
- Roll out process changes and projects
- Troubleshoot questions from team and outside stakeholders
- Oversee RN denials management specialists
- Post pre-bill utilization management reviews
- Conduct calls with payer UR teams
- Manage workflow and queue designation
- Collaborate with Internal RCM teams
Requirements:
- Must have at least 5 years' experience as an RN
- Current licensure in state of practice
- Working knowledge of medical and third party payer requirements and reimbursement methodologies
- Bachelor's degree or equivalent experience
- At least 1 year of leadership experience including Direct Reports
Benefits:
- Health insurance
- 401(k) matching
- Flexible work hours
- Paid time off
- Remote work options
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