Baptist Memorial Health Care Supervisor Denial Mitigation/ Jackson, MS in MEMPHIS, Tennessee
Baptist Memorial Health Care System Jackson, MS
Job Title: Supervisor, Denial Mitigation
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
Education Bachelor’s degree in Nursing preferred.
Experience 3-5 Years Denial ExperienceBasic understanding of Revenue Cycle functions, flow, and operations strongly preferred
Licensure, Registration, Certification Current licensure as a registered nurse in the Stateof Mississippi.
Lawson Position Code #: 10040265
Day Shift: Yes
Department Name: HS Denial Mitigation