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 an approved ...
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 an approved ...
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 an approved ...
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 an approved ...
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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 ...
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 ...
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Sr. Terraform Infrastructure Engineer / Infrastructure Architect (Remote)
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$93K - $127K/yr
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(Remote or Hybrid) Outpatient Psychiatrist (Adult) | Leadership Growth Opportunity
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We go beyond symptom management with an interdisciplinary care model grounded in collaboration ... operational coordination. Click Here to learn more about our services. Thrive Together:
Remote Operations Manager information
See Gainesville, FL salary details
$28.1K - $35.3K
20% of jobs
$37.1K is the 25th percentile. Wages below this are outliers.
$35.3K - $42.5K
20% of jobs
The median wage is $47.8K / yr.
$42.5K - $49.7K
14% of jobs
$49.7K - $56.9K
9% of jobs
$56.9K - $64.1K
11% of jobs
$65.6K is the 75th percentile. Wages above this are outliers.
$64.1K - $71.3K
6% of jobs
$71.3K - $78.5K
6% of jobs
$78.5K - $85.7K
4% of jobs
$85.7K - $92.9K
3% of jobs
$92.9K - $100.2K
2% of jobs
$100.2K - $107.4K
4% of jobs
$28.1K
$57.5K
$107.4K
How much do remote operations manager jobs pay per year?
What does a remote operations manager do?
The job duties of a remote operations manager involve managing a production process or the provision of a service. As a remote operations manager, you work from home to monitor business operations, plan a budget, and come up with strategies to improve efficiency, quality, and profits. Some of your job responsibilities vary depending on the industry in which you work. In fields such as production, you oversee quality assurance (QA) operations. In all positions, you coordinate with employees and departments and run meetings virtually. Some jobs require you to visit work or production sites occasionally.
What is a remote operations manager?
What is the difference between Remote Operations Manager vs Remote Project Coordinator?
| Aspect | Remote Operations Manager | Remote Project Coordinator |
|---|---|---|
| Responsibilities | Oversees daily operations, manages teams, ensures efficiency | Assists in project planning, coordinates tasks, tracks progress |
| Required Skills | Leadership, strategic planning, process optimization | Communication, organization, scheduling |
| Certifications | Operations management, project management (e.g., PMP) | Project management certifications (e.g., CAPM, PMP) |
| Work Environment | Remote, cross-functional teams, management level | Remote, project teams, coordination role |
The Remote Operations Manager focuses on overseeing overall operations and team management, requiring strategic and leadership skills. In contrast, the Remote Project Coordinator supports project execution, emphasizing organization and task coordination. Both roles often require project management certifications and operate in remote, team-based environments, but their scope and responsibilities differ significantly.
What are the key skills and qualifications needed to thrive as a remote operations manager, and why are they important?
How do remote operations managers effectively oversee distributed teams and ensure smooth workflow?

Full-time
Re-posted 4 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