Remote ???? Location Requirement: Must reside in an approved state (FL, GA, PA, NC, SC, TN, or ... Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge ...
Remote ???? Location Requirement: Must reside in an approved state (FL, GA, PA, NC, SC, TN, or ... Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge ...
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.
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.
Work Style: Remote ???? Location Requirement: Must reside in Florida or Georgia ???? FTE ... low denial rates and maximizing recovery across the enterprise. Conducts root cause analysis of ...
Work Style: Remote ???? Location Requirement: Must reside in Florida or Georgia ???? FTE ... low denial rates and maximizing recovery across the enterprise. Conducts root cause analysis of ...
Work Style: Remote ???? Location Requirement: Must reside in Florida or Georgia ???? FTE ... denial trends and escalate findings to leadership with actionable insights for root cause analysis
Work Style: Remote ???? Location Requirement: Must reside in Florida or Georgia ???? FTE ... denial trends and escalate findings to leadership with actionable insights for root cause analysis
Remote ???? Location Requirement: Must reside in an approved state (FL, GA, PA, NC, SC, TN, or ... Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge ...
Remote ???? Location Requirement: Must reside in an approved state (FL, GA, PA, NC, SC, TN, or ... Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge ...
AR Follow Up Denials Specialist - Denial & Appeals Mgmt
Lakeland, FL · On-site +1
$17.84 - $20.53/hr
Remote worker after training at 210 South Florida Avenue Lakeland, FL Pay Rate : Min $17.84 Mid $20 ... Good analytical skills for problem solving, typing of 40 WPM and data entry. * Knowledge of ...
AR Follow Up Denials Specialist - Denial & Appeals Mgmt
Lakeland, FL · On-site +1
$17.84 - $20.53/hr
Remote worker after training at 210 South Florida Avenue Lakeland, FL Pay Rate : Min $17.84 Mid $20 ... Good analytical skills for problem solving, typing of 40 WPM and data entry. * Knowledge of ...
Epic Denials Management Operator
Tallahassee, FL · Remote
$17 - $22.75/hr
This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...
Epic Denials Management Operator
Tallahassee, FL · Remote
$17 - $22.75/hr
This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...
Epic Denials Management Operator
Lake Mary, FL · Remote
$15.75 - $21/hr
This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...
Epic Denials Management Operator
Lake Mary, FL · Remote
$15.75 - $21/hr
This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...
Epic Denials Management Operator
Tampa, FL · Remote
$17 - $22.75/hr
This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...
Epic Denials Management Operator
Tampa, FL · Remote
$17 - $22.75/hr
This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...
Epic Denials Management Operator
Miami, FL · Remote
$17.25 - $23/hr
This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...
Epic Denials Management Operator
Miami, FL · Remote
$17.25 - $23/hr
This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...
Epic Denials Management Operator
Jacksonville, FL · Remote
$16.75 - $22.25/hr
This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...
Epic Denials Management Operator
Jacksonville, FL · Remote
$16.75 - $22.25/hr
This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...
Utilization Review RN (Remote)
Fort Lauderdale, FL · Remote
$80K - $100K/yr
Excellent communication, analytical, and critical thinking skills * Ability to work independently ... Support denial prevention, documentation improvement, and revenue cycle initiatives * Ensure ...
Quick apply
Utilization Review RN (Remote)
Fort Lauderdale, FL · Remote
$80K - $100K/yr
Excellent communication, analytical, and critical thinking skills * Ability to work independently ... Support denial prevention, documentation improvement, and revenue cycle initiatives * Ensure ...
This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...
This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...
This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...
This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...
This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...
This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...
This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...
This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...
This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...
This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... Conduct Denial categorization and root cause analysis based on remittance information received from ...
Remote Utilization Review RN (Hospital-Based Experience Required)
Fort Lauderdale, FL · Remote
$80K - $105K/yr
Excellent communication, analytical, and critical thinking skills * Ability to work independently ... Support denial prevention, documentation improvement, and revenue cycle initiatives * Ensure ...
Quick apply
Remote Utilization Review RN (Hospital-Based Experience Required)
Fort Lauderdale, FL · Remote
$80K - $105K/yr
Excellent communication, analytical, and critical thinking skills * Ability to work independently ... Support denial prevention, documentation improvement, and revenue cycle initiatives * Ensure ...
Remote Employment Type: Full‑Time Position Summary Health Business Solutions (HBiz) is seeking an ... Reporting, Analytics & Risk Mitigation * Track audit outcomes, denial trends, and financial impact ...
Remote Employment Type: Full‑Time Position Summary Health Business Solutions (HBiz) is seeking an ... Reporting, Analytics & Risk Mitigation * Track audit outcomes, denial trends, and financial impact ...
Work Style: Onsite or Remote ???? Location: Gainesville, FL ???? FTE: Full-Time (1.0 FTE) ⏰ ... denial resolution, and reimbursement optimization through the review and analysis of ICD-10 and CPT ...
Work Style: Onsite or Remote ???? Location: Gainesville, FL ???? FTE: Full-Time (1.0 FTE) ⏰ ... denial resolution, and reimbursement optimization through the review and analysis of ICD-10 and CPT ...
Remote Denial Analyst information
What is a remote denial analyst?
What skills and qualifications are needed to thrive as a remote denial analyst?
What is the difference between Remote Denial Analyst vs Remote Claims Processor?
| Aspect | Remote Denial Analyst | Remote Claims Processor |
|---|---|---|
| Primary Role | Review and analyze insurance claim denials to determine validity and suggest resolutions. | Process and review insurance claims for accuracy, completeness, and approval. |
| Required Credentials | Knowledge of insurance policies, claims processing, and denial reasons; certifications like CPC or CPC-H are common. | Basic understanding of insurance claims; certifications are often similar but less specialized. |
| Work Environment | Remote, often in healthcare or insurance companies, focusing on claims review. | Remote or office-based, handling claims data and customer interactions. |
While both roles involve insurance claims, the Remote Denial Analyst specializes in reviewing denied claims to identify issues, whereas the Remote Claims Processor handles the overall processing and approval of claims. The Denial Analyst requires more expertise in denial reasons and related certifications, making it a more analytical role focused on resolution.
What are common challenges faced by remote denial analysts and how can they be managed?
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Full-time
Re-posted 9 days ago
Job description
Work remotely while using your denial management expertise to make a direct impact on healthcare operations.
???? Work Style: Remote
???? Location Requirement: Must reside in an approved state (FL, GA, PA, NC, SC, TN, or TX)
???? FTE: Full-Time (1.0 FTE)
Responsible for maintaining low denial rates and optimizing reimbursement across the enterprise by ensuring high coding standards and effective denial management practices. Leads and supports initiatives to improve coding accuracy, reimbursement outcomes, and appeal turnaround times.
Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge Description Master (CDM) processes, authorization trends, and payer denials. Identifies opportunities for performance improvement and implements strategies to enhance revenue cycle outcomes.
Educates departments on appropriate charging, billing, and coding practices to ensure regulatory compliance. Collaborates with Managed Care, Compliance, and operational teams to resolve complex issues with departments and payers, driving sustainable improvements in reimbursement and denial prevention.
Responsibilities
Key Responsibilities:
- Manages clinical denials from clinical denial workqueues including claim resubmission, authorization verification, payer claim reprocessing, claim reconsiderations, and appeals.
- Works closely with managed care teams and payers to reduce denials and increase reimbursement.
- Develops recommendations for coding and documentation process improvements based on denial analysis and coding guidelines.
- Completes assigned work within established productivity and accuracy standards, including processing assigned denial workqueues while maintaining quality expectations.
- Uses coding software, NCCI, ICD-10, CPT, HCPCS, and CMS coding guidelines to accurately review, code, and correct accounts.
- Collaborates with department managers to report, track, and resolve denials. Assists with investigations and audits to identify, correct, trend, and report charging, coding, and billing compliance issues.
- Manages assigned payer workqueues including Medicare, Medicaid, government payers, commercial payers, Medicare Advantage plans, and other payer types.
- Researches payer denials related to authorization, medical necessity, non-covered services, coding, and billing, and initiates timely reconsiderations and appeals to prevent filing denials.
- Prepares detailed, customized reconsiderations and appeals based on medical record review and organizational policies and procedures.
- Identifies denial trends and escalates root cause findings to management for additional follow-up and process improvement.
- Reviews payer communications to identify reimbursement risks related to medical policies, coverage requirements, and prior authorizations.
- Reviews and corrects coding, modifiers, diagnosis sequencing, and charges in accordance with coding, charging, and billing guidelines.
- Partners with departments to educate staff and improve documentation, coding, charging, and authorization processes to reduce denials and improve reimbursement.
Qualifications
Minimum Qualifications:
- High School Diploma or GED required
- One of the following coding certifications required: CPC, COC, RHIT, RHIA, or CCS
- 1–2 years of coding experience, along with 1–2 years of denial management and/or insurance-related experience
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