Director Denial Management and Prevention (RN)

📋 Description

• Partner with senior clinical resource management and organizational leaders to identify denial
• Oversee system-wide denial appeals operations, including the performance and accountability of
• Provide strategic direction and clinical oversight for hospital denial management, prevention
• Develop and implement sustainable operational improvements that support organizational financial
• Establish performance goals and objectives using industry best practices, internal benchmarks, and
• Develop and maintain analytics, reporting tools, and dashboards that standardize denial summaries

🎯 Requirements

• Hold a Bachelor's degree in Nursing.
• Bring 5–7 years of revenue cycle experience, including direct experience with appeals and financial
• Have leadership experience within healthcare, with revenue cycle leadership experience strongly
• Maintain an active Registered Nurse (RN) state license and/or compact state licensure.
• Demonstrate strong knowledge of denial management, appeals, reimbursement processes, and healthcare
• Possess strong analytical and problem-solving abilities, with a high level of accuracy and

🎁 Benefits

• Annual hiring range of $114,004–$219,960 USD.
• Fully remote work arrangement.
• Full-time daytime schedule.
• Comprehensive healthcare benefits, including medical, dental, and vision coverage, subject to
• Generous paid time off.
• Retirement savings benefits.