Semesteria Logo
MicroSourcing

Clinical Denials Manager

MicroSourcing

Posted

3 weeks ago

Taguig, National Capital Region, Philippines

Onsite

PHP 60K

Mid Level

Full Time

Match

Skills

Experience

Industry

Sema

Sema Summary

The Clinical Denials and Appeals Manager at MicroSourcing is responsible for overseeing the denials management process within the healthcare sector. The role involves analyzing denial data, implementing strategies to resolve appeals, and coordinating with various departments to enhance revenue cycles. Applicants should have strong analytical and communication skills and relevant experience in healthcare administration. This position is located onsite in Taguig, Philippines.

About Company

MicroSourcing specializes in providing outsourced solutions for various business functions, including customer support and healthcare services.

Core Requirements

  • Experience in healthcare administration
  • Strong analytical skills
  • Ability to manage teams
  • Effective communication skills
  • Bachelor’s degree in a related field

Responsibilities

  • Manage the clinical denials process
  • Conduct denial trend analysis
  • Develop strategies to reduce denials
  • Coordinate with healthcare providers for appeals
  • Train staff on denial management
  • Collaborate with finance teams to improve revenue
  • Prepare reports for management review

Must Have skills

Analytical skillsHealthcare knowledgeTeam managementCommunication skillsProblem-solving skills

Nice To Have Skills

Project managementKnowledge of billing systemsExperience with claims processingData analysis toolsLeadership experience

Job Keywords

denials managementhealthcare administrationappeals processingrevenue cycleteam leadership

Similar Jobs