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UF Health · 2 months ago

Denial Recovery Coding Analyst | Enterprise Denials | Day | Full-Time

Gainesville, FL

Full-time

Onsite

Mid Level

4+ years exp

UF Health is a healthcare organization seeking an Enterprise Denial Analyst responsible for reviewing technical denial claims and submitting reconsiderations or appeals. This role supports the optimization of financial outcomes by maintaining a low denial rate and achieving a high reimbursement rate across the enterprise.

Health CareMedical

Growth Opportunities

Responsibilities

Researching patient stays and treatments

Reviewing payer contracts

Analyzing historical denials, appeals, and their outcomes

Identifying and monitoring emerging trends in payer practices and requirements

Maintaining third-party payer relationships, responding to inquiries, complaints, and other correspondence in a professional and timely manner

Collaborating with the Enterprise Technical Denial Assistant Manager and Enterprise Senior Denial Manager to escalate and resolve atypical denial issues

Ensuring that all denied claims are accurately addressed from both a technical and billing perspective

Collaborating with departments across the revenue cycle enterprise to develop and implement best practice solutions that maximize reimbursement and minimize organizational write-offs

Qualification

Hospital billingDenialsAppealsThird-party contractsFederal regulationsState regulationsMicrosoft OfficeHIPAA knowledgeResearch abilitiesComputer systemsCritical thinkingAttention to detailOrganizational skillsCommunication skillsTime managementProblem-solving

Required

High school diploma or equivalent

Four (4) years of experience in coding or billing, insurance follow-up, collections, or denial management in a hospital or clinical setting

Demonstrated knowledge of: Hospital billing and reimbursement

Denials and appeals

Third-party contracts

Federal and state regulations governing the healthcare industry

Excellent critical thinking and analytical skills

Strong attention to detail with the ability to complete work accurately and independently

Effective organizational skills

Excellent written and verbal communication skills

Ability to prioritize and manage time effectively

Proficiency in Microsoft Office products (Outlook, Word, Excel)

Knowledge of HIPAA guidelines

Ability to read and interpret Explanations of Benefits (EOBs)

Strong research and problem-solving abilities

High level of comfort using computer systems

Preferred

Associate's degree or higher in a health or business-related field

Three (3) years of experience in coding or billing, insurance follow-up, collections, or denial management in a hospital or clinical setting

Company

UF Health

Glassdoor3.9

University of Florida Health is a world-class academic health center in Florida, encompassing hospitals, physician practices, colleges, centers, institutes, programs and services across northeast and north-central Florida.

Founded in 1958

Gainesville, Florida, USA

10001+ employees