Insurance & Denials Manager – Patient Finance

Chesapeake Regional Healthcare; Chesapeake (VA); On-site; USD 90,000 - 120,000; Full time

Job summary

Chesapeake Regional Healthcare in Chesapeake, VA is seeking a Manager of Patient Financial Services to lead insurance follow-up, denials management, and revenue cycle optimization. You will oversee staff and vendors, drive process improvements, and ensure accurate reporting across accounts receivable.

The role requires collaboration with senior leadership to meet financial objectives, monitor productivity, and ensure compliance with Medicare/Medicaid requirements. CRCS certification is preferred.

Qualifications

• Bachelor's degree in Business, Healthcare Administration, or related field.
• Master's degree and professional certifications are preferred.

Responsibilities

• Manage activities of employees and vendors to ensure adherence to CRMC standards.
• Monitor staff productivity and quality to collect cash and resolve Accounts Receivables.
• Provide continued education to staff with regards to healthcare reform, payer updates, and system upgrades.
• Collaborate with the Director to meet departmental goals and objectives.
• Oversee insurance account follow up for approximately 40,000 accounts totaling $200M in accounts receivable.
• Review and validate staff or vendor-initiated adjustments for specified thresholds.
• Monitor productivity through reports and optimize operations for revenue.

Education

Bachelor's Degree in Business, Healthcare Administration, or related field

Master's Degree and professional certifications

Job description

Chesapeake Regional Healthcare in Chesapeake, VA is seeking a Manager of Patient Financial Services to lead insurance follow-up, denials management, and revenue cycle optimization. You will oversee staff and vendors, drive process improvements, and ensure accurate reporting across accounts receivable.

The role requires collaboration with senior leadership to meet financial objectives, monitor productivity, and ensure compliance with Medicare/Medicaid requirements. CRCS certification is preferred.