Accounts Receivables Director-Hospital Denials & Audits

Accounts Receivables Director Hospital Denials and Audit Overview of PositionThe Accounts Receivables Director, Hospital Denials & Audit, is responsible for managing a team of Denials Specialists, Nurses, Audit Specialists, Contract Modelers and a small clerical staff in support of the Hospital Revenue Cycle Management Team. Location: Remote/Telecommuter role with up to 20% overnight travelWhat will be my duties and responsibilities in this job?Serves as an escalation point for these areas: Denials, Audit, and Contract ModelingMonitors revenue on a daily/weekly/monthly basisEnsure that team KPIs are metIdentifying and working on process improvement initiatives including but not limited to evaluating their current processes and working on initiatives to improve them, optimization initiatives, workflow system improvements, and initiatives focused on increasing revenue.Does forecasting for the team and manages the teams P&LWorking on migrations to a new workflow systemPeople Management creates job descriptions, hires new people, mentors direct reports, and performs corrective actions when neededWorks with the Sales Team to advance denial & audit services salesAttends client meetingsDoes regular report outs to the Vice President, Revenue OperationsWhat are the requirements needed for this position?5-7+ years of experience managing hospital claims denial management. Must have experience with medical necessity denials5+ years of people management experience, managing multiple teams of at least 20+ peopleExperience managing a P&LStrong reporting experience required. Must be able to work on new reports and client-facing reports5+ years of client facing experience. Must be able to build strong relationships with our existing & new clients. Proven process improvement experienceKnowledgeable about hospital-based systemsWhat other skills/experience would be helpful to have?Experience managing an Audit team would be helpfulExperience working with the Sales Team to assist in sales of additional denial & audit services would be preferable Experience working with another outsourcing revenue cycle vendor would be helpfulWhat are the working conditions and physical requirements of this job? General office demandsHow much should I expect to travel?May require up to 20% overnight travel. Employees in roles that require travel will need to be able to qualify for a company credit card or be able to use their own personal credit card for travel expenses and submit for reimbursement. li-remoteJoin our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system! COVID Vaccination Requirements We remain committed to doing our part to ensure the health, safety, and well-being of our team members and our communities. As such, we require all employees to disclose COVID-19 vaccination status prior to beginning employment and we may require periodic testing for certain roles. In addition, some roles require full COVID-19 vaccination as an essential job function. Change Healthcare adheres to COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Equal Opportunity/Affirmative Action Statement Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at and the supplemental information at you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to [Click Here to Email Your Resumé] with ''Applicant requesting reasonable accommodation'' as the subject. Resumes or CVs submitted to this email box will not be accepted.Click here English_formattedESQA508c.pdf to view our pay transparency nondiscrimination policy.California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcares Privacy Notice to California Job Applicants Regarding the Collection of Personal Information (. Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.Change Healthcare is an equal opportunity employer. All qualified applicant will reveive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status.

Created: 2025-09-06