Supervisor, Denials

Role Description

The Supervisor, Denials Operations leads the day-to-day execution of denial management workflows for a team of individual contributors. This role is responsible for ensuring work moves efficiently, performance expectations are met, and quality standards are consistently upheld within a high-volume, production-driven environment.

• Manage real-time work distribution to balance workloads and ensure continuous progress
• Monitor account movement across workflow stages and intervene to prevent delays
• Identify and escalate workflow bottlenecks or system issues impacting throughput
• Lead, coach, and support a team of 8–15 team mates
• Provide real-time feedback to improve productivity, quality, and adherence
• Conduct 1:1s and performance discussions to reinforce expectations
• Track productivity, quality, and cycle time metrics
• Address performance gaps quickly and reinforce accountability
• Ensure adherence to payer guidelines, internal processes, and regulatory requirements
• Maintain audit readiness and enforce HIPAA compliance
• Support resolution of complex or escalated accounts
• Provide guidance on payer requirements and workflow expectations
• Support onboarding and ongoing training for team members
• Reinforce adoption of new workflows, tools, and automation

Qualifications

• Experience leading frontline teams in a high-volume, performance-driven environment
• Strong ability to manage daily workflow execution and drive productivity
• Knowledge of denial management processes and payer requirements
• Strong coaching, communication, and problem-solving skills
• Ability to operate in a fast-paced environment and make real-time decisions

Requirements

• Bachelor’s degree preferred or equivalent experience
• 3–5+ years healthcare revenue cycle experience (denials management preferred)
• 1–3+ years of supervisory or leadership experience
• Experience with Medicare, Medicaid, and commercial payers

Core Expectations

• Demonstrate integrity and ethics in day-to-day tasks and decision making
• Support Compliance Program by adhering to policies and procedures pertaining to HIPAA, GLBA, FCRA, and other laws applicable to business practices
• US remote-based colleagues are not permitted to work from a location outside of the United States, at any time, without prior, written approval

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Disclaimer

The duties listed above are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to the position. This position may be required to perform other duties. If such work becomes a permanent and regular part of the job, a new description will be prepared.