Supervisor, Denials Management
Altru Health System
People & HR, Operations
Grand Forks, ND, USA
Posted on Feb 6, 2026
Everything we do is underscored by a why — and that why is one another.
Location:
Altru Health System
PO Box 6002
Grand Forks, ND 58201Summary:
Insurance Billing Specialist (Remote)Schedule: Monday–Friday, 8 a.m.–5 p.m.
Location: Remote
Position Summary
We’re seeking a self‑driven, highly organized Insurance Billing Specialist to support our billing and denial follow‑up processes. The ideal candidate excels in productivity, accuracy, and independent work.
Minimum Qualification
3+ years of experience in insurance billing, denial follow-up, accounting, or finance
Required: Associates - Business/Finance/Healthcare- OR -Associates - Related Field
Preferred: Bachelors - Business/Finance/Healthcare- OR -Bachelors - Related Field
Why Join Us
Fully remote position
Consistent daytime schedule
Collaborative and supportive team environment
Job Description Summary
The Supervisor Denials Management facilitates staff and organizational meetings, evaluates and coordinates staffing levels, and promotes the activities, initiatives and decisions made by Altru and the Finance Team. This individual monitors billing; follows up and supports Continuous Quality Improvement (CQI); develops, implements and monitors reporting mechanisms for revenue producing areas; and provides reporting of denial trending and developing thresholds of data that mark changes in payments from third parties. Acts as a liaison for physician services and all departments; contacts third party payors and PPO networks proactively; develops, implements and monitors appeals process for claims recovery strategies; demonstrates an understanding of the department/system budget; assists in maintenance, enhancement and problem solving of the patient accounting system; and is responsible for analysis of third-party remittances.
Essential Job Functions:
Advises leadership of significant and/or unexpected variances. Demonstrates an understanding of the budget and assists leadership in keeping within fiscal parameters. Assists leadership in requests for capital expenditures.
Develops and implements short term goals and is responsible for measurable outcomes and effective use of resources. Responsible for program and service development in response to both internal and external stakeholders.
Participates in the development and implementation of policies, procedures, and job descriptions. Serves as a resource for staff and physicians regarding policies, procedures, and practices. Carries out the hiring process for Manager-approved positions. Provides information and makes recommendations to the Manager on disciplinary action and separation related decisions. Promotes continuous staff participation in the performance review process.
Completes reporting and record keeping requirements accurately and within established timelines. Monitors services for efficiency and accuracy by evaluating, initiating and participating in restructuring of current and new procedures, services, and/or programs.
Carries out time and attendance responsibilities according to established procedure. Coordinates staffing and scheduling duties in accordance with established procedure and practices.
Monitors billing flow and supports Continuous Quality Improvement (CQI) to assure all procedures are in compliance with hospital, clinic, federal, state and other regulatory agencies according to policies, procedures and established guidelines.
Oversees development, testing, analysis, implementation and maintenance of clinics and hospital patient accounting systems according to established guidelines. Serves as key resource to staff.
Performs other duties as assigned or needed to meet the needs of the department/organization.
Certification:
Driver's License with Acceptable Driving Record | Driver's License - Current State Licensed | Prior to Start Date | HR Primary Sources
Education:
• Required: Associates - Business/Finance/Healthcare- OR -Associates - Related Field• Preferred: Bachelors - Business/Finance/Healthcare- OR -Bachelors - Related FieldWork Experience:
• Required: A minimum of 3 years Related ExperienceLanguage Requirements:
This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members.
Physical Demands :
• Sit: Frequently (34-66%)• Stand: Occasionally (5-33%)• Walk: Frequently (34-66%)• Stoop/Bend: Occasionally (5-33%)• Reach: Frequently (34-66%)• Crawl: Not Applicable• Squat/Crouch/Kneel: Occasionally (5-33%)• Twist: Occasionally (5-33%)• Handle/Finger/Feel: Continuously (67-100%)• See: Continuously (67-100%)• Hear: Continuously (67-100%)Weight Demands:
• Lift -Floor to Waist Level: Sedentary (<10 pounds)• Carry: Sedentary (<10 pounds)• Push/Pull: Sedentary (<10 pounds)• Slide/Transfer: Not ApplicableWorking Conditions:
• Indoor: Continuously (67-100%)• Outdoor: Not Applicable• Extreme Temperature: Not ApplicableDriving Requirement Definitions:
- Professional Drivers: Persons who drive as their main responsibility OR transport passengers or hazardous materials.
- Frequent Drivers: Persons whose main responsibility is not driving, but drive daily or almost daily.
- Occasional Drivers: Persons who drive from once per month to as frequently as once per week.
- Infrequent Drivers: Persons who are generally not expected to drive.
Driving Requirement for this position:
Occasional DriverReference ID: R7149Making a real difference. For one another.
To take the best care of our patients and community — including friends, family, and neighbors — we need people who are committed to growth, excellence, and one another.
At Altru, you’ll find a culture where support and teamwork are at the heart of what we do. You’ll have opportunities to advance your skills, work with the latest technologies, experience the fulfillment that comes from giving back, and take your career wherever you want it to go.
Join our team and be a part of a small community with a big heart.
Altru offers a comprehensive benefits package to its full- and part-time employees. Excellent benefits include a health plan and 401(k) retirement plan. Other benefits include a dental plan, vision plan, life and disability insurance, education assistance, paid time off (PTO)
