Revenue Cycle Insurance Manager
Medical Data Systems Inc
Opens Medical Data Systems Inc's application page directly.
Job Description
Position SummaryThe Revenue Cycle Insurance Manager is a senior people leader responsible for driving hospital insurance collections performance through strong leadership, accountability, and payer strategy. This role owns the execution and outcomes of hospital insurance A/R and denials management, leading teams that resolve complex, high-dollar claims while ensuring compliance, consistency, and sustained cash flow. The ideal candidate is a decisive, visible leader who develops talent, enforces
A Day in the Life: Denial Management
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7:30 AM
Log in and pull the overnight denial queue. Your worklist shows 40–80 claims flagged by the payer in the last 24 hours. Sort by do…
8:00 AM
Start working the queue. For each denial, you're reading the remittance advice, identifying the denial reason code (CO-4, CO-50, C…
9:30 AM
Hit a complex medical necessity denial from a Medicare Advantage plan. Open the patient chart, pull the clinical documentation, an…