Job Description

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Manager, Insurance Operations - REMOTE. In this role, you will oversee essential functions related to payer denials and underpaid claims, ensuring timely resolution and operational efficiency. You will lead a team to drive performance excellence while maintaining a culture of collaboration and continuous improvement. This position allows you to make a significant impact on reimbursement processes, contributing to the overall success of the organization and ultimately improving patient access to care.

Accountabilities

  • Oversee workflows for contracted payer denials and underpaid claims.
  • Develop and implement strategies to reduce denials and recover underpayments.
  • Monitor denial trends and collaborate with internal teams to address root causes.
  • Manage insurance follow-up queues to ensure timely responses.
  • Oversee negotiat...

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