UToledo Careers

Title: Manager of Denials

Department Org: Patient Financial Svcs - 108870

Employee Classification: J1 - Salaried Full Time HSC

Bargaining Unit: Professional Staff Association

Primary Location: HSC H

Shift:  1

Start Time:  8:00 am   End Time:  4:30 pm

Posted Salary: Salary based on experience

Float: False

Rotate: False

On Call: False

Travel: False

Weekend/Holiday: False

Job Description:

The Denial Manager assumes responsibility and accountability for managing denials for third-party payers, as well as vendor denial management relations at University of Toledo Medical Center. This includes overseeing the denial process used by both in-house staff and affiliated denial management vendors, and continually working to identify opportunities for workflow improvements. The manager collaborates with the Patient Financial Assistance Director and other team members to set departmental goals, measure process effectiveness and productivity, and identify any need for updated policies and procedures. Reporting to the Patient Financial Services Director, the Denial Manager serves as a liaison to revenue cycle staff, clinical departments, payers, and patients by ensuring effective communication between all parties.

Minimum Qualifications:

• Active RN licensure in state of Ohio Preferred.
• Minimum of three (3) years’ work experience in a clinical setting.
• Experience in denial reduction and or UR process improvements with proven results.
• Experience with hospital or professional billing.
• Federal and state regulations related to denials and appeals.
• Ability to take initiative by identifying problems, conceptualizing resolutions, and implementing change.
• Possesses efficient time-management skills and proven ability to multitask under tight deadlines.
• Demonstrates excellent leadership, conflict-resolution, and customer service skills.
• Exceptional writing and communication skills
• Strong comfort level with computer systems

Conditions of Employment:

Equal Employment Opportunity Statement:

The University of Toledo is an equal opportunity, affirmative action employer. The University of Toledo does not discriminate in employment, educational programs, or activities on the basis of race, color, religion, sex, age, ancestry, national origin, sexual orientation, gender identity and expression, military or veteran status, disability, familial status, or political affiliation. 

The University is dedicated to the goal of building a culturally diverse and pluralistic faculty and staff committed to teaching and working in a multicultural environment and strongly encourages applications from women, minorities, individuals with disabilities, dual-career professionals and covered veterans.

The University of Toledo provides reasonable accommodation to individuals with disabilities. If you require accommodation to complete this application, or for testing or interviewing, please contact the HR Compliance at  hrcompliance@utoledo.edu or 419-530-4747 between the hours of 8:30AM and 5:00PM or apply online for an accommodation request. 

Computer access is available at most public libraries and at the Office of Human Resources located in the Center for Administrative Support on the Main Campus of the University of Toledo.