Clinical Supervisor, Denial Management RN

CorroHealth

. Manage denials and clinical appeals services on behalf of clients .

Posted 10/6/2026full-timeRemote • Florida • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing clinical appeals and denials, with a strong focus on team leadership, operational oversight, and compliance with HIPAA/HITECH standards. Proficient in developing workflows, conducting root cause analysis, and ensuring quality assurance in revenue cycle management.

Highest-signal resume keywords

RN LicenseDenials ManagementTeam LeadershipHIPAA ComplianceCPT and ICD 10 Knowledge

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Denials ManagementAppeal WritingRoot Cause AnalysisRevenue Cycle ManagementWorkflow DevelopmentCPT KnowledgeICD 10 KnowledgeCDI ExperienceCCS CertificationDRG Appeals Experience

Soft Skills

Excellent CommunicationInterpersonal SkillsOrganizational SkillsCritical ThinkingMentorship

Tools & Technologies

EpicMS OfficeMS Teams

Certifications & Qualifications

RN License

Industry Keywords

HealthcareInsuranceMedicareMedicaidCommercial InsuranceManaged CareQuality AssuranceComplianceKPI ManagementTraining Coordination

About the role

Key responsibilities & impact

Manage denials and clinical appeals services on behalf of clients
Provide leadership and oversee daily operations of an Appeals team comprising Appeal Coordinators and support staff
Manage relationships, staff performance, and quality assurance
Provide regular support, mentorship, guidance, and development for team members
Organize and oversee Appeals team processes and workflows
Ensure team members understand and execute duties and delegated tasks
Interact with internal and external customers, including payers
Manage staff performance and revenue cycle management using KPIs
Conduct root cause analysis of denials
Coordinate across departments
Develop workflows and manage escalations
Prepare and report operational progress
Manage relationships with the team and external parties
Coordinate training
Prepare documents
Oversee compliance
Review and audit documentation

Requirements

What you’ll need

RN license in good standing is required
RN required
Experience directly managing a team preferred
Excellent communication and interpersonal skills, especially to connect to remote team members and internal/external customers
Outstanding organizational and leadership skills
Ability to delegate responsibilities and provide leadership and training to key personnel
Excellent critical thinking skills
Ability to provide strategic thought to process improvement or standardization
Confidentiality
Strict adherence to HIPAA/HITECH compliance
RN degree and license required/preferred
Payor and Provider Appeal Experience preferred
Knowledge of CPT and ICD 10 guidelines
Knowledge of Medicare, Medicaid, Commercial, and Managed Care
CDI, CCS, and DRG appeals experience preferred and a plus
3 to 5 years of experience/prior working knowledge in healthcare, insurance, specifically in denials management/claims and appeal writing
Experience working in Epic
Proficient in relevant computer applications such as MS Office and Teams
Accurate keyboard skills
Ability to collaborate with staff and other departments within the hospital system
Ability to work daytime business hours in CST/EST
Ability to perform computer-based work for 6–8 hours a day
Ability to lift and move material weighing up to 20 lbs. infrequently

Benefits

Comp & perks

Professional development and personal growth opportunities
Remote work from home
Daytime business hours CST/EST
Reasonable accommodations for individuals with disabilities