What are the responsibilities and job description for the Insurance Denials Supervisor position at Mountain Management Services?
Overview
CHI Memorial Mountain Management Services
CHI Memorial Medical Group (Mountain Management Services), now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health, is a Management Service Organization (MSO) that provides comprehensive office management services for all Memorial Health Partners and many physicians in private practice. We are proud to be a part of the regional referral center of choice providing health care throughout Southeast Tennessee and North Georgia.
We care about our employees’ well-being and offer benefits that complement work/life balance.
We offer the following benefits to support you and your family:
If you are passionate about the patient experience and ready to join our nationally recognized hospital, connect with us today!
Responsibilities
Expectations:
Qualifications
Education:
Experience:
Pay Range
$17.89 - $24.60 /hour
CHI Memorial Mountain Management Services
CHI Memorial Medical Group (Mountain Management Services), now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health, is a Management Service Organization (MSO) that provides comprehensive office management services for all Memorial Health Partners and many physicians in private practice. We are proud to be a part of the regional referral center of choice providing health care throughout Southeast Tennessee and North Georgia.
We care about our employees’ well-being and offer benefits that complement work/life balance.
We offer the following benefits to support you and your family:
Free Membership to our Care@Work program supporting any child care, pet care, or adult dependent needs
Employee Assistance Program (EAP) for you and your family
Health/Dental/Vision Insurance
Flexible spending accounts
Voluntary Protection: Group Accident, Critical Illness, and Identity Theft
Adoption Assistance
Paid Time Off (PTO)
Tuition Assistance for career growth and development
Matching Retirement Programs
Wellness Program
If you are passionate about the patient experience and ready to join our nationally recognized hospital, connect with us today!
Responsibilities
Expectations:
- Supervises and evaluates the daily operations of denied claims to ensure that all activities are conducted in a timely and cost-effective manner and in accordance with professional standards, budget constraints, internal policies/standards/procedures and/or applicable legal/regulatory requirements.
- Schedules, supervises and evaluates the work of assigned revenue cycle staff in accordance with established standards and procedures; assists in identifying adequate staffing levels for appropriate coverage to meet budgetary and operational objectives.
- Monitors and assesses current operations/services to identify performance/process improvement opportunities.
- Monitors compliance with applicable internal/external legal and regulatory agreements, standards and requirements; takes appropriate steps to address and resolve non-compliance issues within position scope of authority.
- Establishes and maintains professional and effective relationships with peers, payers, patients and other stakeholders; serves as liaison with various internal departments/staff/providers in coordinating and troubleshooting various revenue cycle-related issues.
Qualifications
Education:
- High School diploma required.
- Graduate from a post-high school program in medical billing or other business-related field is preferred.
Experience:
- Insurance Follow Up experience required
- 1 year experience in Supervision or leadership role
- Strong MS Excel or Google Sheets experience required
- Knowledge of and compliance with state and federal laws and regulations for Medicare, Medicaid, Commercial, and other third-party payers
Pay Range
$17.89 - $24.60 /hour
Salary : $18 - $25
