Remote Supervisor, Clinical Denials & Appeals

ECU Health; Greenville (NC); Remote; USD 69,000 - 100,000; Full time

Job summary

ECU Health in Greenville, NC seeks a Manager to coordinate the daily work of Clinical Appeals Specialists who handle denied claims, ensuring timely follow-up and balanced workload. The role includes staff development, performance reviews, and onboarding of new employees.

You will stay current on payer contracts and government regulations, participate in payer relations, and supervise RNs. This remote role is based out of Greenville, NC with day shifts and competitive benefits.

Qualifications

• Bachelor's degree or higher required.
• 3 to 4 years of experience in insurance/denials required.
• ADN degree required; BSN may substitute.
• Two years of experience beyond 4 years can substitute for the Associates degree.
• RN licensure required.

Responsibilities

• Coordinate and direct daily activities of Clinical Appeals Specialists.
• Provide staff training and development; conduct performance evaluations.
• Review denial inventory and ensure timely follow up and balanced workload.
• Stay current on federal, state and local regulations and payer policies.
• Oversee hiring and onboarding of staff.
• Represent area in payer escalation and Managed Care reimbursement discussions.
• Supervise RNs and ensure staffing levels in department.

Skills

RN Licensure

Education

Bachelor's degree or higher

ADN degree required

BSN may substitute for ADN

Two years beyond 4 years substitute for Associates

Job description

ECU Health in Greenville, NC seeks a Manager to coordinate the daily work of Clinical Appeals Specialists who handle denied claims, ensuring timely follow-up and balanced workload. The role includes staff development, performance reviews, and onboarding of new employees.

You will stay current on payer contracts and government regulations, participate in payer relations, and supervise RNs. This remote role is based out of Greenville, NC with day shifts and competitive benefits.