Associate Director of Denials Management

A company is looking for an Associate Director, Denials and Appeals.

Key Responsibilities

Lead and manage the claims follow-up and denials team, ensuring productivity and quality standards are met

Develop and implement strategies to reduce denials and improve first-pass claim resolution rates

Analyze denial trends and collaborate with internal departments to address root causes

Required Qualifications, Training, and Education

Bachelor's degree in Healthcare Administration, Accounting, Business, or related field or commensurate experience

5-10 years of experience in medical billing, denials and appeals, preferably in a laboratory or genetic testing environment

Strong understanding of remittance processing, EOB / ERA interpretation, and appeals practices

Proven leadership experience with the ability to manage and develop high-performing teams

Proficiency in billing systems, clearinghouses, and financial reporting tools