Director, Denials Management in Denville, NJ at HOSPITAL BUSINESS SERVICES, INC - NEW JERSEY

Date Posted: 3/24/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    25 Pocono Road
    Denville, NJ
  • Job Type:
    Other
  • Experience:
    Not Specified
  • Date Posted:
    3/24/2018

Job Description

The Denials Management Director is responsible for the overall clinical denials management process. The Director will be responsible for evaluating all process to ensure efficiency as well as developing and implementing new process to meet the organizations's needs. The Director will develop and manage initiatives to ensure the operations of the denials management team is in line with organizational goals. The Director will interpret and implement complex rules and regulations governing insurance, appeal activities, trends, etc. to make recommendations. The Director will maintain a good working relationship with all facilities and ensure clear communication. The Denials Management Director will oversee the facilitation of the denial and appeal process, identifies, develops, and implements process improvement methodologies.