Denials & Appeals Manager

Job Description

Are you an experienced healthcare revenue cycle leader with a passion for resolving denials, managing appeals, and driving operational excellence? Networks Connect is seeking a Denials & Appeals Manager on behalf of our client, to oversee a high-performing team dedicated to ensuring accurate reimbursement, compliance, and patient-centered outcomes.

This role is ideal for a proven leader who thrives in a fast-paced environment, excels in problem-solving, and is ready to make a measurable impact within the healthcare financial operations space.

Earnings

$90,000 - $110,000 salary

Duties

• Lead and supervise the daily operations of the Denials, Appeals, and Recovery department.
• Drive strategies to minimize denials and maximize compliant reimbursement.
• Collaborate with payers, providers, and internal stakeholders to resolve complex claims and reimbursement issues.
• Monitor denial trends, analyze reports, and implement proactive solutions
• Ensure compliance with Medicare, Medicaid, Managed Care, and Commercial Insurance guidelines.
• Oversee departmental budget, staffing, and productivity to ensure efficiency and fiscal responsibility.
• Guide, mentor, and develop team members while fostering a positive, accountable work culture.

Requirements

• 10+ years of managed care, denials/appeals, or reimbursement experience, including at least 5 years in written appeals.
• Strong knowledge of ICD-10, CPT, DRG, HCPCS, and revenue codes.
• Demonstrated ability to lead teams, analyze complex problems, and drive results.
• Excellent communication and relationship-building skills with both internal teams and external partners.
• Preferred: Familiarity with Medicare/Medicaid regulations, managed care contracts, and payer policies.

Why Join Us?

• Competitive salary range: $90k – $110k
• Opportunity to shape and lead a high-impact revenue cycle team
• Work in a collaborative environment with strong leadership support
• Contribute to advancing healthcare quality and patient financial experience

License / Certification

• Bachelor’s degree required (relevant experience may substitute).
• CPC or CCS certification (required).