Supervisor Patient Financial Services

Supervisor, Patient Financial Services - Denials Management Experienced healthcare revenue cycle professional specializing in the analytical review of hospital denials, root cause analysis, denial prevention, and reduction of reimbursement loss. Proven ability to identify denial trends, improve claims resolution processes, and collaborate across departments to reduce avoidable denials and strengthen revenue integrity. Skilled in interpreting payer guidelines, monitoring denial metrics, and implementing process improvements that enhance financial performance and operational efficiency. Strong background in hospital billing workflows, appeals management, and cross-functional problem solving within complex healthcare environments. Key Responsibilities Conduct detailed analytical review of hospital denials to identify trends, patterns, and revenue impact. Perform root cause analysis of denied claims and develop corrective action plans. Lead denial prevention initiatives through process improvement and payer compliance monitoring. Drive reduction of hospital denials by partnering with Patient Access, Case Management, HIM, Coding, and Billing teams. Monitor denial data, KPIs, and reimbursement trends to support leadership decision-making. Review payer policies and regulatory updates to ensure billing accuracy and compliance. Coordinate and support appeals strategies for complex or high-value denials. Develop reporting and dashboards to track denial performance and opportunities for improvement. Recommend workflow enhancements to improve clean claim rates and reduce rework. Serve as a subject matter expert on hospital denials and revenue cycle optimization. Collaborate with operational leaders to implement sustainable denial reduction strategies. Support departmental goals and special projects related to revenue recovery and financial performance. Qualifications Education: High School Diploma or GED, required. 2 Year / Associate Degree, required. 4 Year / Bachelors Degree, preferred. Experience: Two years of Revenue Cycle, customer service or related experience; required. Three years of Revenue Cycle, customer service or related experience, preferred. One year of Leadership experience, preferred. Licensure/Certification: Coding Certification - CPC, RHIT or RHIA; preferred. Additional Skills Required: Ability to successfully complete generic and department-specific skills validation and competency testing. Understands and can apply knowledge of decision support applications, data source systems and operational procedures and appropriate internal controls. Human relations and interpersonal skills necessary for interacting with management, team members and administration. Excellent verbal and written communication skills. Proficient in Word and Excel. Ability to effectively train new and existing team members. Ability to design, analyze and implement processes surrounding billing, third party relationships, compliance, collections, and other financial functions to ensure effective and efficient operations. Additional Skills Preferred: Operationally understand and navigate the Epic system. Coding knowledge (CPT, HCPCS, ICD10). Medical Terminology. Knowledge of Billing Guidelines, Payor Guidelines and CCI Edits. Leadership Note This role currently has no direct reports but functions as a lead resource for denial management initiatives and cross-departmental collaboration. #J-18808-Ljbffr Novant Health