Denials Manager (Multi-specialty Physicians / Hospital)

PatternEP - https:/healthreconconnect.com/sitemap.xml - om; United States; On-site; USD 90,000 - 120,000; Full time

Job summary

A leading healthcare solutions provider is seeking a Denials Manager to oversee end-to-end denials management for multi-specialty physicians and hospitals. This role involves resolving complex denials, conducting root cause analysis, and leading offshore teams to improve denial rates. The ideal candidate will have 10-15 years of experience in revenue cycle management and excellent leadership skills. This position is US-based with a 60-90 day engagement. We are looking for someone who is data-driven and skilled in managing billing operations.

Qualifications

• 10–15 years of experience in US medical billing and revenue cycle management.
• Proven experience leading billing turnaround initiatives for large, multi-specialty practices.
• Strong offshore team management and workflow optimization experience.

Responsibilities

• Own end-to-end denials management while resolving complex denials.
• Conduct root-cause analysis and denial trending by payer and specialty.
• Coach, train, and upskill offshore denial teams.

Skills

Leadership

Analytical capabilities

Communication skills

Team management

Problem-solving

Tools

eClinicalWorks

Practice management systems

Job description

HealthRecon Connect provides technology-enabled Revenue Cycle Management solutions to US healthcare providers. The company leverages over 30 years of deep domain expertise, machine learning, AI, cutting-edge analytics, and automated workflows that help improve cash flow, patient outcomes and enable peace of mind for their clients. At HealthRecon Connect, day after day, we not only hold ourselves accountable for setting and maintaining high standards, but we also passionately strive for the highest achievement, customer delight and thrive on the challenge of high expectations and commitment to excel.

HealthRecon was certified a Great Workplace by Great Place to Work® Sri Lanka for five consecutive years and was adjudged one of the 40 Best Workplaces in Sri Lanka in 2021. HealthRecon is also a participant of the United Nations Global Compact.

HealthRecon Connect is seeking a dynamic and experienced RCM leader for the position of Denials Manager (Multi-specialty Physicians / Hospital). This role supports our growth strategy and ensures excellence in RCM delivery across assigned accounts, working with global teams to optimize performance.

What You’ll Lead:

• Day-to-day RCM operations for multi-specialty physician/clinic clients
• Onshore + offshore team leadership to achieve KPIs & SLAs
• Performance audits, workflow enhancements, and data-driven insights
• Client escalations, onboarding, and relationship management
• Collaboration with tech teams on RCM innovation and systems integration

If you’re a strategic RCM professional ready to make an impact, we’d love to connect. Due to the large volume of applications we receive, all applications will be reviewed in the order in which they were received and only the candidates short-listed for the first round of interviews will be contacted. Thank you for your understanding.

Job Vacancy

Denials Manager (Multi-specialty Physicians / Hospital)

Work Week

Monday to Friday

Shift Window

8:00 am to 5:00 pm CST

Location

United States

Other Features

Contract
US calendar applicable

Responsibilities

Denials Management & Resolution

• Own end-to-end denials management while actively resolving complex denials.
• Handle denials related to medical necessity, authorizations, eligibility, coding, modifiers, and reimbursement disputes.
• Manage appeal processes including written appeals, peer-to-peer reviews, and payer escalations.
• Drive measurable improvements in denial rates, appeal overturn percentages, and cash recovery.

Root Cause Analysis & Process Improvement

• Conduct root-cause analysis and denial trending by payer, plan, specialty, CPT/ICD, provider, and location.
• Build, implement, and enforce denial SOPs, playbooks, and appeal templates.
• Partner with coding, authorization, front-end, and physician leadership to address systemic denial drivers.
• Ensure documentation accuracy, compliance, and audit readiness.

Offshore Team Leadership

• Coach, train, and upskill offshore denial teams.
• Monitor productivity, quality, and outcomes using KPIs and dashboards.

Systems & Tools

• Experience with denial work queues, payer portals, correspondence tools, and reporting dashboards.
• Proficiency with eClinicalWorks or similar EHR/practice management systems preferred.

Qualifications/Criteria

• 10–15 years of experience in US medical billing and revenue cycle management.
• Proven experience leading billing turnaround initiatives for large, multi-specialty practices.
• Strong offshore team management and workflow optimization experience.
• Excellent leadership, coaching, and stakeholder communication skills.
• Highly data-driven with strong analytical capabilities.
• Proficiency with eClinicalWorks or similar EHR/practice management systems preferred.

Engagement Type

• US-based consultants only.
• 60–90 day engagement.