Job description

Central Maine Healthcare is looking for a Revenue Cycle Denials Manager!

The right candidate will have a strong revenue cycle background, can oversee our denials team and focus on denial prevention and mitigation. Must have strong analytic ability and preference given to those candidates with experience in Cerner, Experian and Excel.

The position will provide overall administration, direction, coordination, and evaluation of Patient Financial Services and is specifically responsible for the following:
1. Claims Processing
2. Claims Edit Management (DNFB)
3. Payer Analytics
4. Accounts Receivable Management
5. Payment Variance Resolution, including Patient and Payer Credits
6. Patient Follow Up
7. Payment Posting & Reconciliation
8. Customer Service
9. Collections
10. Vendor Management
11. Denial/Edit avoidance, mitigation and timely resolution

Education and Experience:
12. Bachelor’s Degree preferred, Associated Degree required or Four (4) years progressive, relevant knowledge toward mastery in the field accepted in lieu of degree, and
13. Five (5) years of progressively responsible management level experience in a similar size and scope organization or system in Revenue Cycle.

It is critical that this position be highly effective in delivering the services described above and work harmoniously with leaders and staff across the organization. Effectiveness will be measured in terms of measurable results, commitment, staff engagement and customer satisfaction (at all levels).

Job Type: Full-time

Pay: $69,306.00 - $87,339.00 per year

Benefits:

• 401(k) matching
• Dental insurance
• Disability insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Work Location: In person

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