Overview Work remotely while using your denial management expertise to make a direct impact on ... Identifies and resolves at-risk accounts receivable to minimize revenue loss and meet contractual ...
Overview Work remotely while using your denial management expertise to make a direct impact on ... Identifies and resolves at-risk accounts receivable to minimize revenue loss and meet contractual ...
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 ...
Sr. Dir, Revenue Cycle Management
Alpharetta, GA · On-site +1
Denial prevention and resolution * Accounts receivable follow-up * Patient billing and collections ... Underpayments and contractual variance * Bad debt and preventable write-offs * Patient collections
Sr. Dir, Revenue Cycle Management
Alpharetta, GA · On-site +1
Denial prevention and resolution * Accounts receivable follow-up * Patient billing and collections ... Underpayments and contractual variance * Bad debt and preventable write-offs * Patient collections
Denial prevention and resolution * Accounts receivable follow-up * Patient billing and collections ... Underpayments and contractual variance * Bad debt and preventable write-offs * Patient collections
Quick apply
Denial prevention and resolution * Accounts receivable follow-up * Patient billing and collections ... Underpayments and contractual variance * Bad debt and preventable write-offs * Patient collections
Denial prevention and resolution * Accounts receivable follow-up * Patient billing and collections ... Underpayments and contractual variance * Bad debt and preventable write-offs * Patient collections
Denial prevention and resolution * Accounts receivable follow-up * Patient billing and collections ... Underpayments and contractual variance * Bad debt and preventable write-offs * Patient collections
... 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 ...
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... 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 ...
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 ...
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... with contractual reimbursement methodologies. Monitor unapplied cash, payment variances, credit ... Claims Denials & Revenue Integrity Develop and oversee the organization's denial management program ...
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 ...
Senior Denials Representative
Phoenix, AZ · On-site
$17 - $22.75/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
$17 - $22.75/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
$17.75 - $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 ...
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.
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.
Contractual Denial Management information
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Full-time
Re-posted 6 days ago
Job description
Overview
Responsibilities
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, 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 ManagedCare Department to escalate and resolve atypical denial issues. Knowledgeable of state/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 through the enterprise to establish best practice solutions to maximize reimbursement and minimize organizational write-offs
Responsibilities
Key Responsibilities
- Identifies, prioritizes, and resolves denied claims or initiates appeals to maximize reimbursement.
- Interprets and applies payer contract terms, billing policies, and reimbursement guidelines.
- Reviews and responds to EOBs, denial letters, appeal determinations, and documentation requests in a timely and professional manner.
- Meets established productivity and quality standards while managing assigned denial workqueues.
- Manages multiple payer workqueues, including Medicare, Medicaid, government, commercial, and Medicare Advantage plans.
- Researches and resolves denials related to eligibility, registration, billing, documentation, and insurance follow-up, initiating timely appeals to prevent filing deadlines.
- Evaluates accounts using remittances, denial reason codes, remark codes, and payer communications to drive claim resolution.
- Prepares, submits, and follows up on appeals and reconsiderations to optimize reimbursement and protect organizational revenue.
- Identifies payer-specific denial trends, escalates root causes, and recommends process improvements to reduce future denials.
- Collaborates with revenue cycle teams to improve registration, charge capture, billing edits, and other upstream processes that prevent denials.
- Monitors payer policy changes, identifies reimbursement risks, and ensures compliance with billing regulations and best practices.
- Identifies and resolves at-risk accounts receivable to minimize revenue loss and meet contractual filing deadlines.
Qualifications
Minimum Qualifications
- High School Diploma or GED required; Associate's degree or higher in a health or business-related field preferred.
- Four (4) years of experience in medical coding, billing, insurance follow-up, collections, or denial management in a hospital or clinical setting.
- Experience with medical coding, medical record review, auditing, or insurance processes preferred.
- Experience supporting data governance, data quality, and security policies.
- Strong skills in report and dashboard development.
- Ability to monitor business intelligence tools, analyze performance, 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