Senior Denials Prevention Process Improvement Advisor (Healthcare)

Location: Remote nationwide in the United States; travel to and work onsite at client, temporary, or corporate office locations may be required as business needs require.

Salary: $69,000–$104,100 per year, with final offers based on experience and geographic zone.

Company

hirify.global provides technology-enabled revenue cycle management solutions and point solutions for hospitals, health systems, and affiliated physician groups.

What you will do

• Analyze clinical and technical denials using parsed 835 data, Epic records, Access databases, SQL, and patient accounting systems.
• Perform root cause analysis and extrapolate account-level findings across denial trends for assigned hospitals.
• Lead monthly denial prevention meetings, onsite week kick-offs, close-outs, and client-facing committee reporting.
• Advise revenue cycle, finance, managed care, and hospital stakeholders on process, system, and education improvements.
• Create policies, procedures, tip sheets, reports, and summaries to support denial prevention initiatives.
• Develop training materials and train denial prevention staff, site directors, committee members, and revenue cycle staff.

Requirements

• Bachelor’s degree in healthcare administration, business, or a related discipline.
• Experience with project work, project management, data analytics, and intermediate Excel and Access skills.
• Advanced use of AI and experience managing teams that use AI for process and technology improvements.
• Ability to work with client stakeholders and facilitate recommendations for resolving denial-related issues.
• Ability and willingness to travel to and work onsite at client, temporary, or corporate office locations when required.

Nice to have

• Graduate degree.
• Certified Specialist Managed Care certification.
• LEAN Six Sigma Black Belt certification.
• Certified Revenue Cycle Representative certification.

Culture & Benefits

• Comprehensive healthcare, time off, retirement, and well-being benefits.
• Paid professional certifications and tuition reimbursement.
• Bonus and quarterly and annual incentive programs.
• Culture centered on collaboration, growth, innovation, work-life flexibility, and purpose.
• Recognition as a workplace and revenue cycle industry award recipient.