Vacancy Description
Position
Utilization & Denials Management Supervisor
Location
BGC, Taguig City
Work setup & shift
Onsite, Night shift
Key Responsibilities
- Supervise and support Clinical Denials, Appeals, and Utilization Review (UR) staff, including hiring, onboarding, and performance management
- Monitor daily workflows to ensure SLAs and KPIs are met, reallocating tasks to manage high‑risk cases and prevent backlogs
- Implement process improvements to reduce denials, write‑offs, and clinical inefficiencies
- Conduct audits and quality reviews to ensure compliance with payer regulations and clinical standards
- Collaborate with HIM, Revenue Integrity, Coding, and Billing teams to ensure clean claim generation and system optimization
- Report team performance in operations meetings and provide ongoing education on documentation updates and audit findings
- Coordinate with healthca...
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