Manager, Clinician Appeals
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Job Description
Manager of Clinician Appeals at CorroHealth overseeing clinical appeals processes. Leading clinical teams in a fast-paced revenue cycle environment for financial health improvement.
Responsibilities:
- The Manager of Clinician Appeals is a clinical leader responsible for the strategic oversight and operational execution of the appeals letter writing and client education engagement.
- Lead high-performing clinical teams in the development of clinically accurate, persuasive, and compliant appeal communications to payers.
- Ensure operational excellence, clinical integrity, and alignment with financial goals.
- Work closely with internal leadership, administrative operations, and external clients to ensure best-in-class service delivery in a dynamic revenue cycle environment.
- Analyze denial types, identify root causes, and deliver actionable feedback that helps prevent future denials.
- Manage and develop both domestic and global clinicians who write appeal letters.
- Oversee hiring, onboarding, training, and performance management of clinical writers.
- Define and implement the team’s leadership structure and workflows.
- Enforce quality and productivity standards; take corrective action as needed to maintain high performance.
Requirements:
- RN, MD or DO license required; active, unrestricted medical license (any state) preferred
- Minimum 8+ years of clinical experience with at least 5 years in a leadership role within appeals, utilization management, clinical documentation improvement (CDI), or similar RCM functions
- Strong knowledge of payer appeals processes, healthcare regulations, and documentation standards
- Demonstrated success in managing clinical teams in a high-volume, fast-paced environment
- Proven experience developing QA programs and implementing clinical workflow improvements
- Strong understanding of financial models and operational KPIs in the revenue cycle industry
- Exceptional communication, collaboration, and leadership skills.
Benefits:
- Professional development
- Flexible work arrangements
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