Work Schedule:

This is a full time, 1.0 FTE position. Shifts will be scheduled Monday - Friday. Hours may vary based on the operational needs of the department. This is a remote position.

Be part of something remarkable

Bring your leadership experience to the #1 hospital in Wisconsin!

We are seeking a Manager, Clinical Denial Management and Transplant Billing to:

• Manage the financial control, supervision and support of the billing and collection for hospital and professional transplant services, management of clinical denials as they relate to admissions, procedures, high-end radiology, and radiation oncology, and government audits specific to medical necessity issues.
• Ensure timely and accurate payment for all transplant services.
• Confirm timely and thorough appeal of all clinical denials including those related to medical necessity, length of stay, level of care, and prior authorization.
• Lead accurate and compliant resolution of all government-mandated medical necessity audits.

At UW Health, you will have:

• An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance.
• Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance.
• Access to UW Health's Wellness Options at Work that support employee/family well-being.
• Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement.

Education:

Minimum -Bachelor's degree from an accredited college or university in a business, healthcare administration or related major.

Preferred - BSN in nursing or other related healthcare field.

Work Experience:

Minimum -Five (5) years of experience in a health care setting, including at least th ree (3) years of related experience in a leadership role. Equivalent and relevant combination of Master's level education, fellowship, or experience may be considered in lieu of total experience.

Preferred -Five years (5) of management experience in healthcare revenue cycle operations for a large, complex health care environment, including experience in an academic medical center.

Licenses and Certifications:

Preferred -Licensed as a Registered Nurse in the State of Wisconsin or equivalency

Our Commitment to Diversity, Equity and Inclusion

UW Health is committed to being a diverse, inclusive and anti-racist workplace and is an Equal Employment Opportunity, Affirmative Action employer. Our integrity shines through in patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. Applications from Black, Indigenous and People of Color (BIPOC) individuals, LGBTQ+ and non-binary identities, women, persons with disabilities, military service members and veterans are strongly encouraged. EOE, including disability/veterans.