Associate Manager RN Denials Management

Banner Health; Salt Lake City (UT); À distance; USD 51 164 - 85 273; Plein temps

Résumé du poste

A leading healthcare organization is seeking an Associate Manager of RN Denials Management to lead a team focused on denial resolutions for reimbursement programs. Candidates must have a bachelor's degree and RN licensure, with significant clinical and leadership experience. This remote position offers the chance to support effective healthcare practices and improve reimbursement processes.

Qualifications

• Must have at least 5 years of experience as an RN, with current licensure.
• At least 2 years of leadership experience.
• Experience in Denials Management and case review.

Responsabilités

• Provide leadership and support in response to denials from reimbursement programs.
• Collaborate with teams to overturn or reduce payer denials.
• Supervise team operations to ensure efficient denial and appeal review.

Connaissances

Clinical expertise

Communication

Critical thinking

Time management

Formation

Bachelor's degree

BSN (preferred)

Description du poste

Estimated Pay Range: $37.14 - $61.90 / hour, based on location, education, & experience.

Department Name: Denial Recovery-Corp

Work Shift: Day

Job Category: Revenue Cycle

Banner Health recently earned Great Place To Work® Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfillment of our team members. We are constantly improving to make Banner Health the best place to work and provide excellent patient care.

Associate Manager of RN Denials Management

In this role you will be an integral part of leadership within the team. You will have the opportunity to educate and develop team members, roll out process changes and projects, troubleshoot questions from your team and outside stakeholders, and conduct reviews of findings. You will supervise 10-12 direct reports who will manage centralized denials management for our 31 Banner facilities. Your typical day will include overseeing RN denial management specialists and the audit team, posting bill reviews, and managing workflow and queue designation. The team is very independent and works remotely.

Location: Remote, Banner supplies equipment.

Schedule: Exempt, Mon‑Fri 8:00 am‑4:30 pm AZ Time (No Weekends or Call).

Ideal Candidate

• Must have at least 5 years of experience as an RN, with current licensure in state of practice.
• Must have a bachelor’s degree or equivalent experience.
• At least 2 years of leadership, including direct reports.
• Experience in Denials Management, case review, and understanding of insurance.

Remote position is available for candidates located in the following states only: AL, AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, LA, MD, MI, MN, MO, MS, NC, ND, NE, NH, NY, NM, NV, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI, WV, WY.

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers across many disciplines.

Position Summary

This position provides leadership, direction and support in response to denials from federal, state and commercial reimbursement programs. It requires collaboration with Care Coordination, physician teams, Utilization Review and other departments to overturn or reduce payer denials. The role involves reviewing internal practices to ensure maximum reimbursement while maintaining high-quality, safe, and cost-effective patient care. Responsibilities include staff supervision, orientation, evaluation, scheduling, and ensuring compliance with payer requirements.

Core Functions

• Oversee team operations to ensure efficient denial and appeal review. Assign tasks, complete daily roundings, and ensure accurate documentation for claims payment.
• Supervise team to maintain client and employee satisfaction. Provide real-time resource support and clinical expertise for denials and appeals. Identify educational needs and serve as preceptor.
• Develop leadership skills among staff including communication, decision‑making, critical thinking, and engagement. Lead career advancement and provide coaching, performance evaluations, and corrective actions.
• Assist in daily operational resource management, including time‑card approvals, supplies, and equipment, to ensure optimal productivity.
• Track, monitor and document denial causes and resolutions with appropriate management staff.
• Build and update knowledge of payer requirements, approval procedures and coverage norms for all procedures and diagnoses.

Minimum Qualifications

• Education: Bachelor’s degree (required).
• Licensure: Registered Nurse (R.N.) licensure in the state of practice (required).
• Experience: Five or more years of clinical nursing in a related setting; experience in federal, state and commercial reimbursement methods; review of clinical information for reimbursement; hospital operations, medical staff relations, and charging/billing expertise.
• Knowledge: Utilization management, patient services, and third‑party payer requirements.
• Skilled in critical thinking, problem solving, communication and time management; capable of working independently and collaboratively in a matrix environment.
• Leadership: Demonstrated ability to coach and develop staff and to work on progressive scope and complexity projects.

Preferred Qualifications

• BSN (preferred).

Anticipated Closing Window: 2026‑02‑27

EEO Statement: EEO/Disabled/Veterans. Our organization supports a drug‑free work environment.

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