Manager of Denials

Ascension Living; St. Louis (MO); Remote; USD 75,000 - 110,000; Full time

Benefits offered by this job

Comprehensive health coverage

Employer-matched 403(b)

Paid time off (PTO) and holidays

Tuition reimbursement and professional

Employee Assistance Program

Parental leave

Pet insurance

Job summary

Ascension Living is seeking a leader in Revenue Cycle to optimize denial management and appeals in a remote, nationwide setting. You will partner across functions to fix root-cause billing issues and maximize net revenue.

The role focuses on Skilled Nursing and Long-Term Care billing with Medicare/Medicaid expertise, tracking KPIs and driving improvements across the denial lifecycle. Strong leadership is essential.

Qualifications

• Leadership or management experience preferred.
• Strong understanding of revenue cycle operations and billing.
• Experience with denial management and appeals is a plus.

Responsibilities

• Lead Operations: Direct denial management and appeal strategies to maximize revenue recovery.
• Prevent Denials: Analyze rejection trends and partner cross-functionally to fix root-cause billing issues.
• Specialized Payer Strategy: Apply deep Skilled Nursing and Long-Term Care billing knowledge to resolve payer disputes.
• Track Metrics: Monitor key performance indicators to improve denial rates, appeal success, and net revenue.

Skills

Leadership

Management experience

Revenue cycle knowledge

Education

High school diploma or GED

Associate's or Bachelor's degree

7 years relevant experience

Job description

• Lead Operations: Direct denial management and appeal strategies to maximize revenue recovery.
• Prevent Denials: Analyze rejection trends and partner cross-functionally to fix root-cause billing issues.
• Specialized Payer Strategy: Apply deep Skilled Nursing and Long-Term Care billing knowledge (Medicare, Medicaid, Managed Care) to resolve payer disputes.
• Track Metrics: Monitor key performance indicators to improve denial rates, appeal success, and net revenue.

Your future role at a glance

• Location: Remote
• Facility: Remote
• Department: Revenue Cycle
• Schedule: Days l Full-time

How you’ll make an impact in this role

• Lead Operations: Direct denial management and appeal strategies to maximize revenue recovery.
• Prevent Denials: Analyze rejection trends and partner cross-functionally to fix root-cause billing issues.
• Specialized Payer Strategy: Apply deep Skilled Nursing and Long-Term Care billing knowledge (Medicare, Medicaid, Managed Care) to resolve payer disputes.
• Track Metrics: Monitor key performance indicators to improve denial rates, appeal success, and net revenue.

What Minimum Requirements You’ll Need

Licensure / Certification / Registration

Education

• High School diploma equivalency with 3 years of cumulative experience OR Associate's degree/Bachelor's degree with 2 years of cumulative experience OR 7 years of applicable cumulative job specific experience required.

Additional Preferences

• Accountant preferred.
• 3 years of leadership or management experience preferred.

Benefits that help you thrive

• Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
• Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance
• Time to recharge: pro-rated paid time off (PTO) and holidays
• Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
• Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
• Family support: parental leave, adoption assistance and family benefits
• Other benefits: optional legal and pet insurance, transportation savings and more

Life at Ascension: Where purpose meets opportunity

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter.

Equal employment opportunity employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

Fraud prevention notice

Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process, our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.

E-Verify statement

Employer participates in the Electronic Employment Verification Program. Please click here for more information.