Overview Work remotely while using your denial management expertise to make a direct impact on ... with contractual deadlines Qualifications Minimum Qualifications * High School Diploma or GED ...
Overview Work remotely while using your denial management expertise to make a direct impact on ... with contractual deadlines Qualifications Minimum Qualifications * High School Diploma or GED ...
Overview Work remotely while using your denial management expertise to make a direct impact on ... with contractual deadlines Qualifications Minimum Qualifications * High School Diploma or GED ...
Overview Work remotely while using your denial management expertise to make a direct impact on ... with contractual deadlines Qualifications Minimum Qualifications * High School Diploma or GED ...
Overview Work remotely while using your denial management expertise to make a direct impact on ... contractual deadlines. * Maintain detailed account documentation and ensure all actions are ...
Overview Work remotely while using your denial management expertise to make a direct impact on ... contractual deadlines. * Maintain detailed account documentation and ensure all actions are ...
Overview Work remotely while using your denial management expertise to make a direct impact on ... contractual deadlines. * Maintain detailed account documentation and ensure all actions are ...
Overview Work remotely while using your denial management expertise to make a direct impact on ... contractual deadlines. * Maintain detailed account documentation and ensure all actions are ...
Underpayments and contractual variance * Bad debt and preventable write-offs * Patient collections ... Denial Management and Payer Performance * Develop an enterprise-wide denial prevention and ...
New
Quick apply
Underpayments and contractual variance * Bad debt and preventable write-offs * Patient collections ... Denial Management and Payer Performance * Develop an enterprise-wide denial prevention and ...
New
Underpayments and contractual variance * Bad debt and preventable write-offs * Patient collections ... Denial Management and Payer Performance * Develop an enterprise-wide denial prevention and ...
Underpayments and contractual variance * Bad debt and preventable write-offs * Patient collections ... Denial Management and Payer Performance * Develop an enterprise-wide denial prevention and ...
... billing, collections, denial management, transplant global billing, payer relations, payer ... Reviews and analyzes reimbursement trends, payment variances, contractual compliance, and payer ...
... billing, collections, denial management, transplant global billing, payer relations, payer ... Reviews and analyzes reimbursement trends, payment variances, contractual compliance, and payer ...
... billing, collections, denial management, transplant global billing, payer relations, payer ... Reviews and analyzes reimbursement trends, payment variances, contractual compliance, and payer ...
... billing, collections, denial management, transplant global billing, payer relations, payer ... Reviews and analyzes reimbursement trends, payment variances, contractual compliance, and payer ...
... billing, collections, denial management, transplant global billing, payer relations, payer ... Reviews and analyzes reimbursement trends, payment variances, contractual compliance, and payer ...
Quick apply
... billing, collections, denial management, transplant global billing, payer relations, payer ... Reviews and analyzes reimbursement trends, payment variances, contractual compliance, and payer ...
The Onyx Group - Denial & AR Follow-Up Specialist
Greenville, SC · On-site
$17.75 - $21.75/hr
Denials & AR Follow-Up Team Lead / Revenue Cycle Manager Position Overview: The Denials & AR ... contractual reimbursement expectations. • Investigate underpayments and payment variances to ...
The Onyx Group - Denial & AR Follow-Up Specialist
Greenville, SC · On-site
$17.75 - $21.75/hr
Denials & AR Follow-Up Team Lead / Revenue Cycle Manager Position Overview: The Denials & AR ... contractual reimbursement expectations. • Investigate underpayments and payment variances to ...
... with contractual reimbursement methodologies. Monitor unapplied cash, payment variances, credit ... Claims Denials & Revenue Integrity Develop and oversee the organization's denial management program ...
Quick apply
... with contractual reimbursement methodologies. Monitor unapplied cash, payment variances, credit ... Claims Denials & Revenue Integrity Develop and oversee the organization's denial management program ...
The Onyx Group - Denial & AR Follow-Up Specialist
Greenville, SC · On-site
$17.75 - $21.75/hr
Denials & AR Follow-Up Team Lead / Revenue Cycle Manager Position Overview: The Denials & AR ... contractual reimbursement expectations. • Investigate underpayments and payment variances to ...
The Onyx Group - Denial & AR Follow-Up Specialist
Greenville, SC · On-site
$17.75 - $21.75/hr
Denials & AR Follow-Up Team Lead / Revenue Cycle Manager Position Overview: The Denials & AR ... contractual reimbursement expectations. • Investigate underpayments and payment variances to ...
Senior Denials Representative
Phoenix, AZ · On-site +1
$17.75 - $23.75/hr
Manage second-level appeals, payer project submissions, and complex clinical or contractual denials ... Serve as the primary contact for assigned payer denial projects and monitor progress through ...
Senior Denials Representative
Phoenix, AZ · On-site +1
$17.75 - $23.75/hr
Manage second-level appeals, payer project submissions, and complex clinical or contractual denials ... Serve as the primary contact for assigned payer denial projects and monitor progress through ...
Lead end-to-end revenue cycle operations including billing, collections, denial management ... contractual obligations. * Establish, refine, and enforce standard work, operational policies ...
Lead end-to-end revenue cycle operations including billing, collections, denial management ... contractual obligations. * Establish, refine, and enforce standard work, operational policies ...
Lead end-to-end revenue cycle operations including billing, collections, denial management ... contractual obligations. * Establish, refine, and enforce standard work, operational policies ...
Lead end-to-end revenue cycle operations including billing, collections, denial management ... contractual obligations. * Establish, refine, and enforce standard work, operational policies ...
Senior Denials Representative
$17.75 - $23.75/hr
Manage second-level appeals, payer project submissions, and complex clinical or contractual denials ... Serve as the primary contact for assigned payer denial projects and monitor progress through ...
Senior Denials Representative
$17.75 - $23.75/hr
Manage second-level appeals, payer project submissions, and complex clinical or contractual denials ... Serve as the primary contact for assigned payer denial projects and monitor progress through ...
Senior Denials Representative
$17 - $22.75/hr
... expertise in denial management and revenue cycle operations helps recover revenue, reduce ... Manage second-level appeals, payer project submissions, and complex clinical or contractual denials.
Quick apply
Senior Denials Representative
$17 - $22.75/hr
... expertise in denial management and revenue cycle operations helps recover revenue, reduce ... Manage second-level appeals, payer project submissions, and complex clinical or contractual denials.
Accounts Receivable Supervisor
Austin, TX · On-site
$24 - $27/hr
This role is responsible for managing complex appeals, monitoring denial and appeal performance ... Ensures all appeals are submitted within payer-specific, contractual, and regulatory timelines.
Quick apply
Accounts Receivable Supervisor
Austin, TX · On-site
$24 - $27/hr
This role is responsible for managing complex appeals, monitoring denial and appeal performance ... Ensures all appeals are submitted within payer-specific, contractual, and regulatory timelines.
Accounts Receivable Supervisor
Austin, TX · On-site
$24 - $27/hr
This role is responsible for managing complex appeals, monitoring denial and appeal performance ... Ensures all appeals are submitted within payer-specific, contractual, and regulatory timelines.
Accounts Receivable Supervisor
Austin, TX · On-site
$24 - $27/hr
This role is responsible for managing complex appeals, monitoring denial and appeal performance ... Ensures all appeals are submitted within payer-specific, contractual, and regulatory timelines.
Accounts Receivable Supervisor
Austin, TX · Hybrid
$24 - $27/hr
This role is responsible for managing complex appeals, monitoring denial and appeal performance ... Ensures all appeals are submitted within payer-specific, contractual, and regulatory timelines.
Accounts Receivable Supervisor
Austin, TX · Hybrid
$24 - $27/hr
This role is responsible for managing complex appeals, monitoring denial and appeal performance ... Ensures all appeals are submitted within payer-specific, contractual, and regulatory timelines.
Contractual Denial Management information
What cities are hiring for Contractual Denial Management jobs? Cities with the most Contractual Denial Management job openings:
What are the most commonly searched types of Denial Management jobs? The most popular types of Denial Management jobs are:
What states have the most Contractual Denial Management jobs? States with the most job openings for Contractual Denial Management jobs include:
Full-time
Re-posted 2 days ago
Job description
Overview
Work remotely while using your denial management expertise to make a direct impact on healthcare operations.
Work Style: Remote
Location Requirement: Must reside in Florida or Georgia
FTE: Full-Time (1.0 FTE)
Responsible for reviewing technical denial claims, submitting reconsiderations or appeals. Responsible to optimize the financial outcomes of revenue cycle through maintaining a low denial rate and high reimbursement rate at an enterprise level for UF Health.
Initiates a root cause analysis of denied payment through comprehensive means including, but not limited to, research of patient stays and treatment, review of payer contracts, analysis of historical denials, appeals and their outcomes, and emerging trends in payer practices and requirements.
Works to maintain third-party payer relationships, including responding to inquiries, complaints, and other correspondence. Working in conjunction with the Enterprise Technical Denial Assistance Manager and Enterprise Sr. Denial Manager, maintains a strong working relationship with the Enterprise Managed Care Department to escalate and resolve atypical denial issues.
Knowledgeable of state and federal laws that relate to contracts and to the appeals process. Considered a technical denial expert in denial management and ensures all denied claims are accurately worked from a technical/billing perspective.
Working in collaboration with the different Revenue Cycle departments throughout the enterprise to establish best practice solutions to maximize reimbursement and minimize organizational write-offs.
Responsibilities
Key Responsibilities
Qualifications
Minimum Qualifications
Preferred Qualifications
Work remotely while using your denial management expertise to make a direct impact on healthcare operations.
Work Style: Remote
Location Requirement: Must reside in Florida or Georgia
FTE: Full-Time (1.0 FTE)
Responsible for reviewing technical denial claims, submitting reconsiderations or appeals. Responsible to optimize the financial outcomes of revenue cycle through maintaining a low denial rate and high reimbursement rate at an enterprise level for UF Health.
Initiates a root cause analysis of denied payment through comprehensive means including, but not limited to, research of patient stays and treatment, review of payer contracts, analysis of historical denials, appeals and their outcomes, and emerging trends in payer practices and requirements.
Works to maintain third-party payer relationships, including responding to inquiries, complaints, and other correspondence. Working in conjunction with the Enterprise Technical Denial Assistance Manager and Enterprise Sr. Denial Manager, maintains a strong working relationship with the Enterprise Managed Care Department to escalate and resolve atypical denial issues.
Knowledgeable of state and federal laws that relate to contracts and to the appeals process. Considered a technical denial expert in denial management and ensures all denied claims are accurately worked from a technical/billing perspective.
Working in collaboration with the different Revenue Cycle departments throughout the enterprise to establish best practice solutions to maximize reimbursement and minimize organizational write-offs.
Responsibilities
Key Responsibilities
- Identify, prioritize, and resolve denied claims, including initiating timely appeals and reconsiderations
- Interpret and apply payer contract terms to ensure accurate claim resolution and reimbursement
- Conduct internal and external correspondence clearly, professionally, and in compliance with organizational standards
- Review and take appropriate action on EOBs, denial letters, appeal determinations, and documentation requests in a timely manner
- Meet productivity and accuracy standards, including working an average of 60 accounts per day with a 98% accuracy rate
- Manage and work multiple payer workqueues, including Medicare, Medicaid, government, commercial, and Medicare Advantage plans
- Research and resolve denials related to eligibility, registration, billing errors, missing information, and documentation requests
- Initiate and follow up on appeals to prevent timely filing denials and ensure optimal reimbursement outcomes
- Evaluate accounts and drive resolution using tools such as remittance advice, denial codes, and payer communications
- Identify payer-specific denial trends and escalate findings to leadership with actionable insights for root cause analysis
- Collaborate with revenue cycle teams across the enterprise to recommend process improvements and prevent future denials
- Review payer policies and communications to identify risks to reimbursement and stay current on regulatory and industry best practices
- Proactively identify and resolve at-risk A/R to minimize revenue loss and ensure compliance with contractual deadlines
Qualifications
Minimum Qualifications
- High School Diploma or GED required
- Minimum of four (4) years of experience in billing, insurance follow-up, collections, or denial management within a hospital or clinical setting
Preferred Qualifications
- Associate's degree or higher in a health or business-related field
- Experience in coding, medical record review, auditing, or insurance-related functions
- Experience supporting data governance and security policies
- Strong skills in report and dashboard development
- Ability to monitor BI tools and recommend process improvements
About UF Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Gainesville, FL, US
Year founded
1958