Denials Supervisor

The Opportunity

CAREER OPPORTUNITY OFFERING: Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits
Career Advancement

This position pays between $52,100.00 - $78,150.00 based on experience.

About the Role

The RN/LPN Denial Supervisor is responsible for day-to-day operations related to reviewing of denials and drafting of appeals by the Denials/Audit Nurse Specialists. The Supervisor provides daily operational support to the Nurse Denial Specialists and facilitates communication between teams to ensure appeal processes are performed efficiently and effectively. The Supervisor manages denial workflow throughout the team and participates in activities of Denial Management that will provide an opportunity to identify areas for improvement in workflow and quality of work performed. The Supervisor will participate in Human Resource activities that will both evaluate and enhance the knowledge and skill set of the Denials/Audit Nurses.

Essential Job Functions

• Reviews daily inventory and makes adjustments to staff assignments in order to focus on areas that will bring the greatest return on claim recovery.
• Adds addresses issues presented by staff and other customers to assist with claim resolution which may include collaboration with superiors, peers, other departments, and payers.
• Aids the SMART (Specialized Mentor and RevCycle Trainer) with identifying educational needs and providing resources to new hires and existing staff.
• Aids manager with interviewing, hiring and performance management and development of staff; assists with counseling and discipline of employees when necessary, in accordance with department and/or organizational policies; participates in mid-year and yearly evaluations.
• Attends payer meetings to lead clinical denial issues; Services as backup support for department, facility and other meetings as needed.

Customer Obsession

Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.

Embracing New Ideas

Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.

Striving for Excellence

Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.

Legally Required License

Registered Nurse or Licensed Practical Nurse

Job Experience

Less than 3 Years

People Leadership Experience

Less than 3 Years

Education Level

Associates Degree or Equivalent Experience

Preferred Knowledge, Skills and Abilities

• Experience in Hospital Operations, Denial Management, Case Management, Utilization Review, and/or prior clinical experience preferred.

Join An Award-winning Company

• Five-time winner of “Best in KLAS” 2020-2022, 2024-2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution
• 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle
• 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment
• 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance
• 2020, 2022-2023 Energage Top Workplaces USA
• 2022-2024 Fortune Media Best Workplaces in Healthcare
• 2024 Monster Top Workplace for Remote Work
• 2024 Great Place to Work certified

Company Culture

We believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:

• Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
• Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
• Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
• Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

Equal Employment Opportunity

Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law.