Clinical Supervisor, Denial Management RN

CorroHealth Inc; United States; Remote; USD 90,000 - 120,000; Full time

Job summary

CorroHealth Inc. is seeking a Supervisor, Clinical Appeals to lead the Appeals team in denials management for our clinical clients. You will oversee daily operations, coach coordinators, ensure quality, and drive process improvements across workflows.

This is a remote position requiring strong leadership, collaboration with payers, and adherence to HIPAA standards. You will manage performance, report progress, and coordinate with internal departments to optimize revenue cycle outcomes.

Qualifications

• RN degree and license required; payer/provider appeal experience preferred.
• Knowledge of CPT/ICD-10 guidelines; Medicare/Medicaid/Commercial/Managed Care CDI/appeals experience preferred.
• RN degree preferred; 3–5 years in healthcare, insurance, denials management/appeals writing.
• Experience with Epic; proficient in MS Office and Teams; ability to collaborate across departments.

Responsibilities

• Performance management of staff and team coaching.
• Oversee revenue cycle management with KPI tracking.
• Lead interdepartmental coordination and workflow development.
• Conduct root cause analysis of denials and escalate as needed.
• Prepare and report operational progress; maintain relationship with payers.
• Coordinate training and ensure HIPAA/compliance standards.
• Review documentation for accuracy and auditing purposes.

Skills

RN

Team management

Communication skills

Organizational skills

Delegation

Critical thinking

Process improvement

HIPAA compliance

Education

RN degree

RN license

Payor/Provider appeal experience

CPT/ICD-10 knowledge

Medicare/Medicaid/Commercial/Managed Care

Epic Proficiency

MS Office proficiency

MS Teams familiarity

Tools

Epic

MS Office

MS Teams

Job description

About Us

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.

Job Summary

The Supervisor, Clinical Appeals is responsible for denials management of clinical appeals services on behalf of Corro Clinical clients. They will provide leadership and oversee daily operations of an Appeals team comprised of Appeal Coordinators and additional support staff – including relationships, performance management, and quality assurance. They will provide regular support, mentorship, and guidance for their team members – and are responsible for the development and growth of such. The Supervisor, Appeals is also responsible for organizing and overseeing processes and workflows within the Appeals team, ensuring that their team members understand and can execute duties or delegated tasks. Interaction with internal and external customers, including payers is expected. This is a remote position. RN license in good standing is required.

Essential Duties and Responsibilities

Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.

• Performance Management of Staff
• Revenue Cycle Management with KPI
• People management activities
• Root Cause Analysis of Denials
• Interdepartmental Coordination
• Workflow development
• Escalation Management
• Prepares and Reports Operational Progress
• Relationship management with the team and external parties
• Training Coordination
• Document preparation
• Compliance Oversight
• Documentation Review/Auditing

Qualifications & Skills Required

• RN required
• Experience directly managing a team preferred
• Excellent communication and interpersonal skills, especially to connect to remote team members and internal/external customers
• Outstanding organizational and leadership skills
• Refined ability to delegate responsibilities and provide leadership and training to key personnel
• Excellent critical thinking skills
• Ability to provide strategic thought to process improvement or standardization
• Confidentiality Strict adherence to HIPAA/HITECH compliance

Education & Experience

• RN degree, License Required Payor and Provider Appeal Experience Preferred
• Knowledge of CPT and ICD 10 guidelines Knowledge of Medicare/Medicaid/Commercial/Managed Care CDI, CCS, DRG appeals experience Preferred and a Plus
• RN degree preferred (3) to (5) years of experience/prior working knowledge in healthcare, Insurance, specifically in denials management/claims and Appeal writing
• Experience working in Epic Proficient in relevant computer applications such as MS Office, accurate keyboard skills, Teams Ability to collaborate with staff, and other departments within the hospital system

Remote Work

Remote Work from Home Day time Business hours CST/EST This is a remote position.

Physical Demands

Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.

A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

CorroHealth sits at the center of the revenue cycle revolution. Fundamental operations of the revenue cycle are supported through our expert teams while we recast the role of clinicians through automation. This shift to a true clinical revenue cycle helps us achieve our core purpose – exceed client financial health goals. For each patient population, CorroHealth automates key clinical aspects of the cycle. Our platforms focus on capture and application of clinical documentation while easing the burden on physicians. Scalability is prioritized in the support of client program operations. As with most revenue cycle partners, our skilled and enthusiastic team is available to outsource any portion of the cycle. However, we can also complement client programs with additional expert support or upskill existing client teams to meet program demands. Whether our team is deployed directly, or automation is incorporated for a more programmatic solution, CorroHealth delivers. CorroHealth has acquired Xtend Healthcare! For more information, please visit https://corrohealth.com. Applicants will only receive job-related emails from the domain @corrohealth.com. Additionally, it is important to emphasize that CorroHealth will never ask for money in return for a job offer.