Senior Denial Mitigation Lead

Baptist; Memphis (TN); On-site; USD 75,000 - 105,000; Full time

Job summary

Baptist Memorial Health Care Corporation seeks a Denial Mitigation Lead to supervise the Denial Mitigation Department across oncology services and hospital sites. The role guides Financial Counselors, Authorization/Appeal Specialists, Denial Specialists, and Denial Analysts to ensure timely processing of denials and appeals per payer requirements.

Responsibilities include staff leadership, education on payer guidelines, workflow monitoring, and cross-functional collaboration with clinics and

Qualifications

• High school diploma or equivalent required.
• Associate or Bachelor’s degree in related field or 4 years’ experience in healthcare revenue cycle preferred.

Responsibilities

• Assist Supervisor/Manager in overseeing work assignments of staff responsible for financial applications, authorization, appeals, and correspondence for oncology or hospital services.
• Provide educational tools and ongoing training related to oncology drugs and outpatient services to meet medical necessity guidelines and obtain authorizations/appeals.
• Prepare information for staff meetings to update on payer updates, workflow changes, and other relevant information.
• Monitor workqueues to ensure timely authorizations, appeals, triage reviews, retros, write-offs, and report insufficiencies to supervisor/manager.
• Coordinate with internal and external customers to identify opportunities for workflow improvement.
• Report system or payer issues and propose resolutions; assist in implementing changes.
• Contribute to positive team climate and conduct staff education/site visits as needed.

Job description

Baptist Memorial Health Care Corporation seeks a Denial Mitigation Lead to supervise the Denial Mitigation Department across oncology services and hospital sites. The role guides Financial Counselors, Authorization/Appeal Specialists, Denial Specialists, and Denial Analysts to ensure timely processing of denials and appeals per payer requirements.

Responsibilities include staff leadership, education on payer guidelines, workflow monitoring, and cross-functional collaboration with clinics and