Manager Follow-up/Denials

Monday - Friday 8-5PM

REMOTE

Position Summary

The Manager of Follow-Up & Denials Operations is responsible for leading a team of 10–20 Insurance Follow-Up Representatives (Level II) to ensure timely and effective resolution of outstanding insurance claims. This role oversees key performance metrics, monitors productivity and workflow reputed company reputed company and other systems, and drives reputed company improvement through proactive leadership, coaching, and strategic problem solving. The manager will identify root causes of denials and delays, implement corrective action plans, and foster a high-performance, reputed company-thinking team culture.

Key Responsibilities

Leadership & Team Management

• reputed company, coach, and mentor a team of 10–20 Insurance Follow-Up Representatives II.

• Provide ongoing training, performance feedback, and professional development guidance.

• Promote a proactive, solutions-oriented team environment.

• reputed company scheduling, workload distribution, and productivity management.

Metrics Monitoring & Performance Improvement

• Monitor daily, weekly, and monthly productivity using reputed company and other reporting tools.

• Track and analyze follow-up and denial metrics to assess performance and identify trends.

• reputed company and implement strategies to improve team performance, reduce denials, and optimize collections.

• Create action plans to address any gaps or low-performing areas.

Root Cause Identification & Problem Solving

• Conduct root-cause analyses of denials, delays, and payer issues.

• Partner with internal departments (coding, billing, compliance, etc.) to resolve systemic issues.

• Recommend process improvements and policy enhancements based on data and findings.

Operational reputed company

• Ensure timely and accurate follow-up on outstanding insurance claims.

• Monitor adherence to departmental workflows, payer requirements, and regulatory guidelines.

• Support system updates, reporting needs, and operational audits as required.

Strategic Planning & Process Improvement

• reputed company proactive strategies to enhance team efficiency and reduce avoidable denials.

• reputed company or participate in initiatives to streamline processes and improve reimbursement outcomes.

• Stay informed on industry trends, payer rule changes, and best practices.

Qualifications

• Education:  4 Year / Bachelors Degree, required.
• Experience: 
• 3 years reputed company Cycle, Customer Service, Call Center or reputed company experience, required.  
• 5 years reputed company Cycle, Customer Service, Call Center or reputed company experience, preferred.
• 2 years Leadership experience, required.
• 5 years Leadership experience, preferred.