Denials & AR Senior Manager

The Denials & AR Senior Manager at R1 is responsible for process improvement, account management, and employee development. This includes overseeing denials management, A/R inventory control, conducting audits, managing team performance, and ensuring adequate staffing levels. Additionally, this role involves meeting with clients and ensuring that revenue targets are consistently achieved, making it essential for candidates to have strong leadership and client-facing skills.

To apply for the Denials & AR Senior Manager position at R1, candidates should have substantial experience in the revenue cycle management field, particularly with denials and appeals, and a proven track record in managing high dollar/complex claims. You should possess excellent leadership qualities, have experience in training and coaching staff, and possess a strong understanding of workflows and inventory management practices.

At R1, employee development is a key focus for the Denials & AR Senior Manager role. The position itself involves mentoring and coaching team members while actively identifying areas for improvement. R1 fosters a collaborative environment where employees can learn continuously, interact with diverse groups, and access resources that empower them to develop their careers within the organization.

As a Denials & AR Senior Manager at R1, you'll work on various critical projects, including refining processes for handling denials, improving A/R inventory management, and enhancing team workflows. Additionally, you'll manage high-stake accounts, analyze trends for reporting to clients, and play an integral role in monthly client meetings, making your role pivotal in both internal and external operations.

In this role, the Denials & AR Senior Manager will work with multiple computer systems and hospital collection systems. Familiarity with these systems will be crucial for managing inventory, performing reconciliations, and generating client reports. The ability to navigate complex software efficiently will greatly contribute to your success in overseeing denials and A/R processes.

In answering this question, highlight specific examples of your experience with complex claims and your approach to resolving denials. Discuss how you’ve streamlined processes and engaged stakeholders to enhance the accounts receivable workflow, showcasing your effectiveness as a Denials & AR Senior Manager.

To effectively answer this question, emphasize your approach to leadership and team management. Describe your methods for setting clear expectations, conducting regular performance reviews, and providing constructive feedback. Share examples of how you’ve motivated teams to not only meet but exceed performance goals.

When discussing strategies for process improvement, outline specific initiatives you've implemented previously. Be sure to include methodologies you've used, such as Lean or Six Sigma principles, to enhance efficiency and reduce errors in the A/R processes.

Discuss the importance of communication and transparency when managing client relations. Provide examples of successful client interactions and how you effectively addressed their needs or concerns as a Denials & AR Senior Manager while maintaining a positive relationship.

Select a specific situation where you faced challenges in denial cases or A/R management, and describe your analytical process in addressing the issue. Highlight the steps you took to resolve it and the positive outcome that resulted, demonstrating your problem-solving capabilities.

Describe your philosophy concerning employee training and development by sharing your experiences. Focus on methodologies you’ve found effective, how you identify training needs, and the impacts of your efforts on team performance as Denials & AR Senior Manager.

Explain your process for collecting data on A/R trends, such as utilizing analytics and monitoring key performance indicators. Describe how you communicate these trends to stakeholders and how it informs decision-making within your team and for clients.

Discuss your experience with technology in managing denials, emphasizing software tools, analytics platforms, or automation technologies. Highlight how these resources have increased productivity or accuracy in addressing denials and achieving desired outcomes.

In your response, illustrate your prioritization techniques, such as categorizing denials by dollar amount or urgency. Emphasize your ability to delegate effectively and manage resources to address the most critical issues in a timely manner.

When answering this question, connect your background, experience, and values to R1's mission and values. Share your passion for enhancing patient experiences through financial performance and discuss what excites you about joining the R1 team as Denials & AR Senior Manager.