Supervisor-Denials & Appeals

In this leadership role, you will direct appeal activities in accordance with Presbyterian Patient Financial Services (PFS) policies, payer contracts, and regulatory guidelines. You will partner with leadership to develop, analyze, and implement strategies that improve denial overturn rates, reduce overall denials, and enhance cash collections. Additionally, you will continuously evaluate workflows to identify opportunities for process improvement, automation, and operational efficiency.

You will also contribute to root cause analysis initiatives, collaborating with operational teams to identify trends, address underlying issues, and implement sustainable solutions that prevent future denials and support organizational financial performance. This is an excellent opportunity for a results-driven leader who is passionate about process improvement, team development, and delivering exceptional revenue cycle outcomes.

Key responsibilities:

• One to two years of college-level coursework required, or three years of healthcare business office experience may be substituted in lieu of college coursework.

• Minimum of two years of experience in healthcare billing, collections, denial management, or revenue cycle operations required.

• Working knowledge of insurance billing and reimbursement methodologies, including medical terminology, ICD-10, CPT, and HCPCS coding systems.

• Demonstrated ability to communicate effectively, both verbally and in writing, with patients, payers, providers, and colleagues.

• Strong organizational, interpersonal, and leadership skills, with the ability to prioritize multiple responsibilities and meet deadlines in a fast-paced environment.

• Proven ability to work independently, exercise sound judgment, and effectively manage competing priorities while maintaining a high level of accuracy and customer service.