Denials & Revenue Cycle Lead - Managed Care

Sarasota Memorial Health Care System; Sarasota (FL); On-site; USD 70,000 - 90,000; Full time

Job summary

Sarasota Memorial Health Care System is seeking a Team Lead, Appeals-Recovery within the Patient Financial Services department. You will support leadership in technical operations, personnel management, quality control, and financial oversight, focusing on managed care accounts deemed denied or not processed per contract terms.

Requirements include a minimum of seven years in managed care, reimbursement, or billing and an Associate's degree with a Bachelor's preferred.

Qualifications

• Minimum seven (7) years of managed care, reimbursement, or billing experience.
• Associate's degree in related field required; Bachelor's degree preferred.

Responsibilities

• Lead support role assisting leadership in technical operations, personnel management, quality control, and financial management.
• Oversee Managed Care, Commercial, Medicare HMO, and Medicaid HMO accounts within PFS (Patient Financial Services) as denied or not processed according to contract terms.

Skills

Typing 30+ wpm

Microsoft Excel

ICD-10 knowledge

CPT/HCPCS knowledge

Revenue codes knowledge

Education

Associate's degree in related field

Bachelor's degree preferred

Tools

Microsoft Excel

Job description

Sarasota Memorial Health Care System is seeking a Team Lead, Appeals-Recovery within the Patient Financial Services department. You will support leadership in technical operations, personnel management, quality control, and financial oversight, focusing on managed care accounts deemed denied or not processed per contract terms.

Requirements include a minimum of seven years in managed care, reimbursement, or billing and an Associate's degree with a Bachelor's preferred.