Working in conjunction with the Enterprise Technical Denial Assistance Manager and Enterprise Sr ... to prevent filing deadlines. * Evaluates accounts using remittances, denial reason codes, remark ...
Working in conjunction with the Enterprise Technical Denial Assistance Manager and Enterprise Sr ... to prevent filing deadlines. * Evaluates accounts using remittances, denial reason codes, remark ...
Claims A/R and Denial Analyst Escalations - CPC Lead
West Long Branch, NJ · On-site
$35 - $38/hr
Master claim denials and claims processing to support denial prevention strategies and drive claim ... Identify denial and payer trends and communicate findings to AR management and senior leadership.
Quick apply
Claims A/R and Denial Analyst Escalations - CPC Lead
West Long Branch, NJ · On-site
$35 - $38/hr
Master claim denials and claims processing to support denial prevention strategies and drive claim ... Identify denial and payer trends and communicate findings to AR management and senior leadership.
Working in conjunction with the Enterprise Technical Denial Assistance Manager and Enterprise Sr ... to prevent filing deadlines. * Evaluates accounts using remittances, denial reason codes, remark ...
Working in conjunction with the Enterprise Technical Denial Assistance Manager and Enterprise Sr ... to prevent filing deadlines. * Evaluates accounts using remittances, denial reason codes, remark ...
Senior Denials Prevention Process Improvement Advisor
$69K - $104K/yr
The Denial Prevention Process Improvement Advisor leads the performance of deep dive analysis on clinical and technical denials for his or her respective client, utilizing multiple analytics tools ...
Senior Denials Prevention Process Improvement Advisor
$69K - $104K/yr
The Denial Prevention Process Improvement Advisor leads the performance of deep dive analysis on clinical and technical denials for his or her respective client, utilizing multiple analytics tools ...
Senior Revenue Cycle Analyst (CA)
$80K - $121K/yr
... denial prevention strategies. The Senior Analyst serves as a key analytical resource, translating performance data into operational recommendations that align with regional and system revenue cycle ...
Senior Revenue Cycle Analyst (CA)
$80K - $121K/yr
... denial prevention strategies. The Senior Analyst serves as a key analytical resource, translating performance data into operational recommendations that align with regional and system revenue cycle ...
Senior Revenue Cycle Analyst (CA)
$80K - $121K/yr
... denial prevention strategies. The Senior Analyst serves as a key analytical resource, translating performance data into operational recommendations that align with regional and system revenue cycle ...
Senior Revenue Cycle Analyst (CA)
$80K - $121K/yr
... denial prevention strategies. The Senior Analyst serves as a key analytical resource, translating performance data into operational recommendations that align with regional and system revenue cycle ...
Senior Director, Patient Access
Blue Ash, OH · On-site
$69.23 - $72.12/hr
Senior Director, Patient Access (2 Openings) ? Appleton, WI or Roanoke, VA ? $144,000-$150,000 Base ... denial prevention * Analyze operational and financial data to identify trends and improvement ...
Senior Director, Patient Access
Blue Ash, OH · On-site
$69.23 - $72.12/hr
Senior Director, Patient Access (2 Openings) ? Appleton, WI or Roanoke, VA ? $144,000-$150,000 Base ... denial prevention * Analyze operational and financial data to identify trends and improvement ...
Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge ... Educates departments on denial prevention strategies, including improvements in coding, charging ...
Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge ... Educates departments on denial prevention strategies, including improvements in coding, charging ...
Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge ... Educates departments on denial prevention strategies, including improvements in coding, charging ...
Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge ... Educates departments on denial prevention strategies, including improvements in coding, charging ...
Analyze medical records or other medical documentation to validate services, tests, supplies and ... Denial Prevention Nurse Consultant
Analyze medical records or other medical documentation to validate services, tests, supplies and ... Denial Prevention Nurse Consultant
... low denial rates and maximizing recovery across the enterprise. Conducts root cause analysis of ... Initiate, track, and follow up on appeals to prevent timely filing denials and maximize ...
... low denial rates and maximizing recovery across the enterprise. Conducts root cause analysis of ... Initiate, track, and follow up on appeals to prevent timely filing denials and maximize ...
Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge ... and denial prevention. Responsibilities Key Responsibilities: * Manages clinical denials from ...
Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge ... and denial prevention. Responsibilities Key Responsibilities: * Manages clinical denials from ...
... low denial rates and maximizing recovery across the enterprise. Conducts root cause analysis of ... Initiate, track, and follow up on appeals to prevent timely filing denials and maximize ...
... low denial rates and maximizing recovery across the enterprise. Conducts root cause analysis of ... Initiate, track, and follow up on appeals to prevent timely filing denials and maximize ...
Senior Data Loss Prevention Analyst - Hybrid
Charlotte, NC · On-site
$56.37/hr
Senior Data Loss Prevention Analyst Genesis10 is currently seeking a Senior Data Loss Prevention Analyst for a hybrid position with a global financial institution located in Charlotte, NC. This is a ...
Senior Data Loss Prevention Analyst - Hybrid
Charlotte, NC · On-site
$56.37/hr
Senior Data Loss Prevention Analyst Genesis10 is currently seeking a Senior Data Loss Prevention Analyst for a hybrid position with a global financial institution located in Charlotte, NC. This is a ...
Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge ... and denial prevention. Responsibilities Key Responsibilities: * Manages clinical denials from ...
Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge ... and denial prevention. Responsibilities Key Responsibilities: * Manages clinical denials from ...
Analyze medical records or other medical documentation to validate services, tests, supplies and ... Denial Prevention Nurse Consultant
Analyze medical records or other medical documentation to validate services, tests, supplies and ... Denial Prevention Nurse Consultant
Senior Data Loss Prevention Analyst
Chicago, IL · On-site +1
S. The Senior Data Loss Prevention (DLP) Analyst will lead efforts to identify, develop, and implement data security controls and mitigation capabilities across a variety of infrastructure ...
Quick apply
Senior Data Loss Prevention Analyst
Chicago, IL · On-site +1
S. The Senior Data Loss Prevention (DLP) Analyst will lead efforts to identify, develop, and implement data security controls and mitigation capabilities across a variety of infrastructure ...
The Onyx Group - Denial & AR Follow-Up Specialist
Greenville, SC · On-site
$17.75 - $21.75/hr
Root Cause Analysis & Denial Prevention • Identify recurring denial trends and reimbursement obstacles. • Partner with Coding, Credentialing, Registration, Authorizations, Cash Posting, Credits ...
The Onyx Group - Denial & AR Follow-Up Specialist
Greenville, SC · On-site
$17.75 - $21.75/hr
Root Cause Analysis & Denial Prevention • Identify recurring denial trends and reimbursement obstacles. • Partner with Coding, Credentialing, Registration, Authorizations, Cash Posting, Credits ...
The Onyx Group - Denial & AR Follow-Up Specialist
Greenville, SC · On-site
$17.75 - $21.75/hr
Root Cause Analysis & Denial Prevention • Identify recurring denial trends and reimbursement obstacles. • Partner with Coding, Credentialing, Registration, Authorizations, Cash Posting, Credits ...
The Onyx Group - Denial & AR Follow-Up Specialist
Greenville, SC · On-site
$17.75 - $21.75/hr
Root Cause Analysis & Denial Prevention • Identify recurring denial trends and reimbursement obstacles. • Partner with Coding, Credentialing, Registration, Authorizations, Cash Posting, Credits ...
The Risk Prevention Analyst is responsible for providing operational risk assessments leveraging ... This role involves direct interaction with senior-level management at the financial institution and ...
The Risk Prevention Analyst is responsible for providing operational risk assessments leveraging ... This role involves direct interaction with senior-level management at the financial institution and ...
Senior Denial Prevention Analyst information
See salary details
$53.5K - $61.6K
1% of jobs
$61.6K - $69.7K
1% of jobs
$69.7K - $77.8K
3% of jobs
$77.8K - $85.9K
12% of jobs
$91.2K is the 25th percentile. Wages below this are outliers.
$85.9K - $94K
12% of jobs
$94K - $102K
14% of jobs
The median wage is $106.1K / yr.
$102K - $110.1K
14% of jobs
$110.1K - $118.2K
10% of jobs
$118.2K - $126.3K
3% of jobs
$126.3K - $134.4K
2% of jobs
$135.3K is the 75th percentile. Wages above this are outliers.
$134.4K - $142.5K
28% of jobs
$53.5K
$109.8K
$142.5K
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Denial Recovery Analyst | Enterprise Denials
Gainesville, FL • On-site
Full-time
Re-posted 22 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 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