Manager, Denial Unit (REMOTE)

Job Summary The Manager, Denial Unit is responsible for managing appeals and denials staff in processing accounts and working with designated payors to ensure proper reimbursement, maximize cash flow, and reduce aging accounts receivable. As a Manager, Denial Unit at Community Health Systems (CHS) - PCCM, you’ll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental and vision, insurance, and 401k. Essential Functions + Ensures compliance with state and federal laws and regulations. + Maintains a thorough understanding of health insurance and government programs, where necessary. + Maintains understanding of contracts and works with corporate on contractual issues as needed. + Facilitates the identification of issues and solutions by team members related to delays in achieving payment resolution and, in identifying trends of denials seen to prevent ongoing losses. + Monitors collection of appealed accounts to maintain timely collections of cash. + Works with all other department managers to identify department training needs for system education, industry updates and changes in collection processes and protocols. + Works with Director and staff to ensure that employee productivity and quality meets standards. + Manages workflow, employee productivity, and collection efforts for assigned team. + Performs other duties as assigned. + Complies with all policies and standards. Qualifications + H.S. Diploma or GED required + Bachelor's Degree required + Master's Degree preferred + 3-6 years Previous experience or training in healthcare business office policies, practices and procedures required + 3-6 years Related experience in denials and appeals required + 2-4 years Supervisory experience required Knowledge, Skills and Abilities + To perform this job successfully, an individual should be proficient in and/or able to easily learn multiple software programs, including Word, Excel, and Google suite. We know it’s not just about finding a job. It’s about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible. The Payment Compliance and Contract Management (PCCM) team plays a critical role in ensuring that payments are made according to contractual agreements and regulatory requirements. The team oversees the full contract lifecycle, focusing on analyzing reimbursement discrepancies, improving revenue cycle processes, and ensuring compliance with contract terms to support financial accuracy and operational efficiency. Community Health Systems is one of the nation’s leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers. Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to http://www.chs.net/serving-communities/locations/ to obtain the main telephone number of the facility and ask for Human Resources. Remote About the Company: Community Health Systems Community Health Systems, Inc. is a non-profit 501 (c) (3) 330 HRSA Grantee with Federally Qualified Health Center (FQHC) status. Established from the roots of Inland Empire Community Health Center in Bloomington, CHSI has grown with community health centers in the counties of Riverside, San Bernardino, and San Diego. These centers have been developed in accordance with standards established for safety net providers by the U.S. Department of Health and Human Services (HHS), the Health Resources Services Administration (HRSA), the Public Health Service (PHS), and the Bureau of Primary Health Care (BPHC). As such, services are offered to the neediest in each community - the un-insured and under-insured, the working poor, those with limited ability to pay, the homeless, and the indigent. Services are provided at discounted (sliding fee scale) rates for those who qualify based on gross annual income and family size. Company Size: 10,000 employees or more Industry: Healthcare Services Founded: 1985 Website: http://www.chs.net/ Apply tot his job Apply To this Job