Denials Management Supervisor - Healthcare Billing

DHR Health; Edinburg (TX); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

DHR CARES program

Job summary

DHR Health in Edinburg, TX is seeking a Billing & Collections Supervisor to lead the Denials Resolution team, oversee denial reviews and appeals, and ensure timely insurer communications.

The role requires 5 years of healthcare experience, prior management, strong Excel skills, and excellent written and verbal English; bilingual English/Spanish is preferred. This is a full-time position within Financial Services, focused on quality, compliance, and mentoring staff to meet departmental metrics.

Qualifications

• High School Diploma/GED required.
• Comprehensive understanding of healthcare reimbursement processes.
• Proficient in medical terminology.
• Familiarity with Explanation of Benefits (EOBs) and Remittance Advices (RAs).
• Strong working knowledge of Excel.
• Excellent written and verbal communication.
• Ability to read, write, and speak English.
• Bilingual English/Spanish preferred.

Responsibilities

• Promote the facility mission, vision and values in daily work.
• Review and resolve denied patient insurance claims.
• Oversee timely review and response to insurer denials.
• Ensure appeal letters are accurately prepared with supporting documentation.
• Monitor processes and performance for quality
• Support quality improvement initiatives and action plans.
• Ensure departmental metrics and goals are met.
• Monitor trends and identify areas for improvement.
• Facilitate educational opportunities within Revenue Cycle departments.

Skills

Healthcare reimbursement knowledge

Medical terminology

EOBs and RAs

Microsoft Office proficiency

Communication skills

Multitasking

English language

Bilingual English/Spanish

Education

High School Diploma/GED

Tools

Microsoft Office

Job description

DHR Health in Edinburg, TX is seeking a Billing & Collections Supervisor to lead the Denials Resolution team, oversee denial reviews and appeals, and ensure timely insurer communications.

The role requires 5 years of healthcare experience, prior management, strong Excel skills, and excellent written and verbal English; bilingual English/Spanish is preferred. This is a full-time position within Financial Services, focused on quality, compliance, and mentoring staff to meet departmental metrics.