Assistant Manager

About the Role

Assistant Manager Appeals

Key Responsibilities

• Supervise and manage a team of Appeals Specialists handling insurance claim denials.
• Review denial trends and develop strategies to improve overturn rates and reduce recurring denials.
• Draft, review, and submit

  appeal letters

  with supporting clinical and coding documentation.
• Collaborate with internal stakeholders (coding, billing, and operations) to resolve denial root causes.
• Train and mentor team members on appeal processes, payer requirements, and compliance standards.
• Monitor KPIs:

  Appeals turnaround time, success rate, denial recovery rate, and productivity benchmarks

  .
• Escalate complex appeal cases to payers and ensure timely follow-up until resolution.
• Ensure compliance with HIPAA, payer policies, and internal RCM protocols.
  

Requirements

• 5-7 years of experience in RCM

  , with at least

  2+ years in Appeals/Denials Management

  .
• Strong understanding of

  US healthcare payer policies, denial codes, and appeal regulations

  .
• Hands-on experience in writing effective appeal letters and supporting documentation.
• Team leadership/people management experience.
• Proficiency with RCM/medical billing software and MS Office tools.
• Excellent communication, analytical, and problem-solving skills.