Executive Director, Denial Management
Altamonte Springs, Fl, Us
Directed an enterprise-wide operation for denial and contractual underpayment management, implementing prevention strategies and maximizing revenue recovery for over 40 AdventHealth hospitals. Led a cross-functional team, including clinical, coding, administrative, prevention, education, and analytics professionals, to comprehensively address denial and underpayment issues. • Led the rollout of the new centralized denial management workforce at AdventHealth • Leveraged matrix relationships of facility and corporate revenue cycle and managed care leaders to develop and implement denial mitigation and avoidance strategies, escalate and resolve payer contractual violations, and bring awareness to payer behavior and policy developments • Developed reporting capabilities to provide insight into denial management operations