Baptist Memorial Health Care Supervisor Denial Mitigation/ Jackson, MS in MEMPHIS, Tennessee

Baptist Memorial Health Care System Jackson, MS

Job Description

Job Title: Supervisor, Denial Mitigation

Job Code:

Unit: Baptist Memorial Health Care Corporation

Department: Denial Mitigation

Reports To: System Director, Clinical Documentation Integrity

Purpose of Position and Scope of Responsibility:

The Denials Mitigation Supervisor supervises the daily operations of the Denials Mitigation team to ensure that denials are addressed in a timely manner and in accordance with BMHCC and/or the payer’s policies and procedures. The supervisor has a thorough understanding of Baptist’s Revenue and Reimbursement Cycle, payer contractual guidelines, billing procedures, including the billing software system. The supervisor will be responsible for analyzing and interpreting trends associated with denials and appeals to effectively manage reimbursement, and build strategies for mitigating future denials. This role will develop training and tools to support the denials and appeals management processes. The supervisor has a clear and functional understanding and the ability to troubleshoot the roles supported. Responsible for assuring compliance with all local, state and federal regulations,. Incumbent is accountable for these functions 24 hours per day, 7 days per week. This position is under the general direction of the Manager, Denial Mitigation

Qualifications:

Minimum Qualifications

Education Bachelor’s degree in Nursing preferred.

Experience 3-5 Years Denial Experience

Basic understanding of Revenue Cycle functions, flow, and operations strongly preferred

Licensure, Registration, Certification Current licensure as a registered nurse in the State

of Mississippi.

Lawson Position Code #: 10040265

Day Shift: Yes

Department Name: HS Denial Mitigation