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Denials Management Lead

Location : Haverhill, MA
Job Type : Direct
Hours : Full Time
Required Years of Experience : 5
Required Education : BS/BA
Travel : No
Relocation : No
Job Industry : Healthcare - Health Services

Job Description :

Our Merrimack Valley healthcare provider is seeking a Denials Management Supervisor to join their growing organization. This is an exciting new position for our client. They are offering a comprehensive employee benefits package including health, dental, tuition reimbursement and 401k. Responsibilities of this opening include:

Responsibilities include the following:

·         Supervision and oversight of the organization’s contract management system.

·         Support the strategic planning process by monitoring and analyzing revenues to ensure compliance with federal, state, and third-party regulations and payment policies to ensure maximum reimbursement is achieved.

·         Assist in the monthly contractual modeling process

·         Produce payor specific validation reports from the contract management system; identifies variances in accounts receivable and contractual allowance

·         Resolve systematic problems as needed.

·         Oversee the loading/updating of payor contracts into the contract management system. 

Required Qualifications :

·         Bachelor’s Degree in Finance or Accounting.

·         5 or more years of acute-healthcare finance experience

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