Denials Manager

Company: Conifer Revenue Cycle Solutions
Location: Frisco
Posted on: March 6, 2025

Job Description:

JOB SUMMARY
The company is seeking a candidate who can think strategically and execute tactically. He/she will be customer-focused, detail oriented, articulate, and credible and have the ability to instill confidence in the most demanding customers, such as: the executives and senior leaders of Revenue Cycle Services. The role will require a delivery strategy focused on results, performance, process and prioritization. The Manager will bring methods, process and organization to the Company Revenue Cycle Management function to help build and maintain credibility with internal and external clients.
Under general supervision of the Client Delivery, Senior Director(s), this individual plays a lead role with reporting, interpretation and analysis, presentations, in support of various client revenue cycle performance improvement efforts. The focus of this position is identification of client revenue cycle improvement opportunities through functioning as an analyst, facilitator, consultant, and/or project manager as required within our performance improvement initiatives. Interfaces regularly with/ RCM Senior Director to produce relevant, reliable, accurate and timely results and deliverables.
This individual needs to be able to work independently and with little supervision; prioritizes and manages multiple tasks to meet deadlines; and seeks guidance from manager as needed to clarify assignments or requests, ask questions, or seek additional information.ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

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• Responsible for budgeting, forecast and Annual renewal of All executed CCNs each year - Managing key contract documents such as Master Facility Listing and Services provided.
  
• Works collaboratively with RCM Senior Directors and Client Delivery Directors in setting direction of client revenue cycle project and performance improvement efforts including: defining issues; identifying root causes; interpreting data; understanding data dependencies; goal setting; establishing tracking and reporting metrics; updating project plans; and, providing performance reports and deliverable preparation.
  
• Effectively organizes content & format of documents & analyses to facilitate understanding & decision making by RCM and client Senior Leaders
  
• Perform Interim Client Delivery Executive Level work throughout the year as a part of the Development Plan and as Interim needs arise.
  
• Provides project management, analysis and/or technical expertise for a broad array of Revenue Cycle initiatives. Has responsibility for assisting teams in support of Regional or National Analysis.
  
• Synchronizes efforts between RCM and other conifer business units in support of client revenue cycle performance improvement initiatives
  
• Develop, implement, analyze, and maintain RCM dashboards, scorecards, status reports and other standard reports.
  
• Produces or develops deliverables for RCM Senior Director client meetings.
  
  SUPERVISORY RESPONSIBILITIES
  This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
  
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  • No. Direct Reports (incl. titles) Varies
    
    KNOWLEDGE, SKILLS, ABILITIES
    To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
    
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    • Extensive experience interacting with Client Service - minimum of 5+ years
      
    • Effective writing, presentation and communication skills
      
    • Effective in influencing and negotiating - builds relationships and respect across functions and at all levels to gain support
      
    • Extensive Knowledge of Revenue Cycle Management
      
    • Knowledge of Industry Issues and Concerns
      
    • Intermediate-advanced analytical skills demonstrated through the successful performance of numerous special analytical projects
      
    • Soft skills, including business partnering in a matrix organization
      
    • Extensive working knowledge of Microsoft Office, Showcase and Business Intelligence Platforms
      
    • Ability to interpret requests/requirements and effectively present data to support performance improvement activities
      
    • Ability to prioritize work efforts
      
    • Ability to work successfully under deadlines
      
    • Requires an understanding of systems and processes that impact revenue cycle performance and capabilities.
      
    • Central point of contact between Conifer service lines and the client regarding performance.
      
    • Possesses the ability to build trusting relationships with Client Executives at all levels.
      
    • Possesses analytical ability sufficient to work in a data-heavy environment and to identify trends in the data.
      
    • Possess business acumen with an emphasis on: effective communication (i.e., listening, written and verbal), negotiation, influencing decision makers, business planning, strategy, problem solving, decision making and time management skills.
      
    • Understanding of the market, trends, competition, and key pain points for hospital executives.
      
    • Intermediate MS Office required (Outlook, Excel, Word, and PowerPoint)
      
      Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
      EDUCATION / EXPERIENCE
      Include minimum education, technical training, and/or experience required to perform the job.
      
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      • B.A. /B.S. degree or equivalent experience
        
        PHYSICAL DEMANDS
        The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
        
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        • Not applicable
          
          WORK ENVIRONMENT
          The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
          
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          • Not applicable
            
            OTHER
            
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            • May require travel
              
              As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
              
              Compensation and Benefit Information
              Compensation
              
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              • Pay: $72,508.80 - $108,763.20 annually. Compensation depends on location, qualifications, and experience.
                
              • Management level positions may be eligible for sign-on and relocation bonuses.
                
                Benefits
                Conifer offers the following benefits, subject to employment status:
                
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                • Medical, dental, vision, disability, life, and business travel insurance
                  
                • Paid time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked.
                  
                • 401k with up to 6% employer match
                  
                • 10 paid holidays per year
                  
                • Health savings accounts, healthcare & dependent flexible spending accounts
                  
                • Employee Assistance program, Employee discount program
                  
                • Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
                  
                • For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
                  
                  2503000541Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

Keywords: Conifer Revenue Cycle Solutions, Frisco , Denials Manager, Executive , Frisco, Texas