REMOTE
The Manager of Follow-Up & Denials Operations is responsible for leading a team of 10–20 Insurance Follow-Up Representatives (Level II) to ensure timely and effective resolution of outstanding insurance claims. This role oversees key performance metrics, monitors productivity and workflow within Infor and other systems, and drives continuous improvement through proactive leadership, coaching, and strategic problem solving. The manager will identify root causes of denials and delays, implement corrective action plans, and foster a high-performance, forward-thinking team culture.
Lead, coach, and mentor a team of 10–20 Insurance Follow-Up Representatives II.
Provide ongoing training, performance feedback, and professional development guidance.
Promote a proactive, solutions-oriented team environment.
Oversee scheduling, workload distribution, and productivity management.
Monitor daily, weekly, and monthly productivity using Infor and other reporting tools.
Track and analyze follow-up and denial metrics to assess performance and identify trends.
Develop and implement strategies to improve team performance, reduce denials, and optimize collections.
Create action plans to address any gaps or low-performing areas.
Conduct root-cause analyses of denials, delays, and payer issues.
Partner with internal departments (coding, billing, compliance, etc.) to resolve systemic issues.
Recommend process improvements and policy enhancements based on data and findings.
Ensure timely and accurate follow-up on outstanding insurance claims.
Monitor adherence to departmental workflows, payer requirements, and regulatory guidelines.
Support system updates, reporting needs, and operational audits as required.
Develop proactive strategies to enhance team efficiency and reduce avoidable denials.
Lead or participate in initiatives to streamline processes and improve reimbursement outcomes.
Stay informed on industry trends, payer rule changes, and best practices.