Zero Balance Manager (Denials)

TL;DR

Zero Balance Manager (Denials): Leading and optimizing Zero Balance Review operations to identify and recover hospital claims closed as zero balance with an accent on strategy development, team performance, and client satisfaction. Focus on executing recovery strategies across complex claim inventories, overseeing coding application and payer analysis, and driving measurable financial outcomes through operational excellence.

Location: Remote (Franklin, TN)

Company

hirify.global provides Specialty Revenue Cycle Management solutions leveraging its E360 RCM intelligent automation platform for hospitals, health systems, and ASCs nationwide.

What you will do

• Lead, mentor, and develop Zero Balance team, including hiring, onboarding, performance management, and succession planning.
• Define and execute recovery strategies for large, complex claim inventories, driving efficiency and continuous improvement.
• Oversee team performance metrics, quality control, and adherence to workflows and compliance standards.
• Serve as subject matter expert in hospital reimbursement, coding (CPT, ICD-10), and payer behavior for escalated claims.
• Act as primary client contact, managing communications, escalations, and partnerships with internal stakeholders.
• Analyze data, implement action plans, and collaborate on tools and processes to enhance recovery rates and financial results.

Requirements

• High School Diploma or GED required; Associates/Bachelor’s and CRCR Certification preferred.
• 5+ years in healthcare zero balance, 5+ years client-facing/customer service, 2-5 years supervisory experience.
• 5+ years commercial/government billing and collections; proven hospital revenue cycle with zero balance recovery focus.
• Expert in payer/provider claims processing, contracts, coding (CPT, ICD-10, modifiers), payer portals, and revenue cycle tech.
• Strong MS Office proficiency; ability to manage multiple priorities, analyze data, and work independently.
• Timely attendance and ability to perform essential duties.

Culture & Benefits

• High-performance, accountable culture with focus on professional growth, mentoring, and leadership development.
• Family-oriented environment emphasizing core values, work-life balance, flexibility, and cooperation.
• Top Workplaces award winner; recognized as #1 Specialty RCM provider and Inc. 5000 fast-growing company.
• Commitment to employee investment through tools, resources, and support for career advancement.