Top 128 Senior account development Jobs in Gainesville, Fl

Denial Recovery Analyst | Enterprise Denials
UF Health —Gainesville, FL
- Full-time
- Remote
- Research
- Mid-level
- High school diploma or GED
Customer Success Manager
Feathr —Gainesville, FL
- $75,000 a year
- Full-time
- Remote
- Background check
- Mid-level
- Contracts
- Paid holidays
- Health insurance
Quick Apply
Clin Nurse Coord Med Surg Days
HCA Florida North Florida Hospital —Gainesville, FL
- Full-time
- Mid-level
- Medical-Surgical
- 1 year
- Employee stock purchase plan
- Disability insurance
Quick Apply
Clin Nurse Coord Neuro
HCA Florida North Florida Hospital —Gainesville, FL
- Full-time
- Mid-level
- Neurology
- 1 year
- Employee stock purchase plan
- Disability insurance
Quick Apply
Board-Certified Behavior Analyst
Action Behavior Centers —Gainesville, FL
- $80,000 - $117,000 a year
- Full-time
- Background check
- Mid-level
- Master's degree
- Continuing education credits
- Paid parental leave
Quick Apply
18h
Physical Therapist
HCA Florida North Florida Hospital —Gainesville, FL
- Full-time
- Surgery
- Physical & Rehabilitation Medicine
- Mid-level
- Employee stock purchase plan
- Disability insurance
Quick Apply
RN Emergency Clin Nurse Coord
HCA Florida North Florida Hospital —Gainesville, FL
- Full-time
- Mid-level
- Pediatrics
- Medical-Surgical
- Employee stock purchase plan
- Disability insurance
Quick Apply
10d
Physical Therapist IRF
HCA Florida Gainesville Hospital —Gainesville, FL
- Full-time
- Surgery
- Physical & Rehabilitation Medicine
- Mid-level
- Employee stock purchase plan
- Disability insurance
Quick Apply
RN CVICU CLINICAL NURSE COORD
HCA Florida North Florida Hospital —Gainesville, FL
- Full-time
- Mid-level
- Medical-Surgical
- 1 year
- Employee stock purchase plan
- Disability insurance
Quick Apply
7d
General Regional Business Development Manager SE- Florida / Georgia
Florim USA —Florida
- $90,000 - $120,000 a year
- Full-time
- Background check
- Spanish
- Marketing
- Health insurance
- Dental insurance
Quick Apply
Nurse Educator Surgical Services
HCA Florida North Florida Hospital —Gainesville, FL
- Full-time
- Surgery
- Mid-level
- Travel
- Employee stock purchase plan
- Disability insurance
Quick Apply
EP Cardiovascular Technologist II
HCA Florida North Florida Hospital —Gainesville, FL
- Full-time
- Mid-level
- Medical-Surgical
- Cardiology
- Employee stock purchase plan
- Disability insurance
Quick Apply
Physical Therapist
HCA Florida North Florida Hospital —Gainesville, FL
- Full-time
- Surgery
- Physical & Rehabilitation Medicine
- Mid-level
- Employee stock purchase plan
- Disability insurance
Quick Apply
Physical Therapist
HCA Florida Gainesville Hospital —Gainesville, FL
- Full-time
- Surgery
- Physical & Rehabilitation Medicine
- Mid-level
- Employee stock purchase plan
- Disability insurance
Quick Apply
1d
Account Executive
Tradesmen International, LLC —Gainesville, FL
- Full-time
- Construction site
- Mid-level
- Business development
- Paid holidays
- Disability insurance
Senior Outside B2B Sales Executive
Wholesale Payments —Florida
- $93,489 - $223,999 a year
- Full-time
- Remote
- Business development
- Fair chance
- Senior level
- Paid training
- Health savings account
Quick Apply
RN Coord EMS PRN
HCA Florida North Florida Hospital —Gainesville, FL
- PRN
- Mid-level
- Pediatrics
- Medical-Surgical
- Employee stock purchase plan
- Disability insurance
Quick Apply
CT Technologist
HCA Florida North Florida Hospital —Gainesville, FL
- Part-time
- Mid-level
- Trade school
- Medical-Surgical
- Employee stock purchase plan
- Disability insurance
Quick Apply
8d
Respiratory Therapist RRT
HCA Florida North Florida Hospital —Gainesville, FL
- Full-time
- Mid-level
- Critical & Intensive Care
- Experience equivalent to degree accepted
- Employee stock purchase plan
- Disability insurance
Quick Apply
Regional Sales Manager- Southeast
Hercules Sealing Products —Florida
- $70,000 - $100,000 a year
- Full-time
- Marketing
- 5 years
- Writing skills
- Paid holidays
- Health insurance
Quick Apply

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Denial Recovery Analyst | Enterprise Denials

UF Health -
Gainesville, FL

Apply Now

Job Details

Full-time

Qualifications

Research
High school diploma or GED
Hospital experience

Full Job Description

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 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, and 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 Managed Care Department to escalate and resolve atypical denial issues.

Knowledgeable of state and 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 throughout the enterprise to establish best practice solutions to maximize reimbursement and minimize organizational write-offs.

Responsibilities:

Key Responsibilities

Identify, prioritize, and resolve denied claims, including initiating timely appeals and reconsiderations
Interpret and apply payer contract terms to ensure accurate claim resolution and reimbursement
Conduct internal and external correspondence clearly, professionally, and in compliance with organizational standards
Review and take appropriate action on EOBs, denial letters, appeal determinations, and documentation requests in a timely manner
Meet productivity and accuracy standards, including working an average of 60 accounts per day with a 98% accuracy rate
Manage and work multiple payer workqueues, including Medicare, Medicaid, government, commercial, and Medicare Advantage plans
Research and resolve denials related to eligibility, registration, billing errors, missing information, and documentation requests
Initiate and follow up on appeals to prevent timely filing denials and ensure optimal reimbursement outcomes
Evaluate accounts and drive resolution using tools such as remittance advice, denial codes, and payer communications
Identify payer-specific denial trends and escalate findings to leadership with actionable insights for root cause analysis
Collaborate with revenue cycle teams across the enterprise to recommend process improvements and prevent future denials
Review payer policies and communications to identify risks to reimbursement and stay current on regulatory and industry best practices
Proactively identify and resolve at-risk A/R to minimize revenue loss and ensure compliance with contractual deadlines

Qualifications:

Minimum Qualifications

High School Diploma or GED required
Minimum of four (4) years of experience in billing, insurance follow-up, collections, or denial management within a hospital or clinical setting

Preferred Qualifications

Associate’s degree or higher in a health or business-related field
Experience in coding, medical record review, auditing, or insurance-related functions
Experience supporting data governance and security policies
Strong skills in report and dashboard development
Ability to monitor BI tools and recommend process improvements

Apply Now

Refine Your Search

senior account development jobs in gainesville, fl

Denial Recovery Analyst | Enterprise Denials

Customer Success Manager

Clin Nurse Coord Med Surg Days

Clin Nurse Coord Neuro

Board-Certified Behavior Analyst

Physical Therapist

RN Emergency Clin Nurse Coord

Physical Therapist IRF

RN CVICU CLINICAL NURSE COORD

General Regional Business Development Manager SE- Florida / Georgia

Nurse Educator Surgical Services

EP Cardiovascular Technologist II

Physical Therapist

Physical Therapist

Account Executive

Senior Outside B2B Sales Executive

RN Coord EMS PRN

CT Technologist

Respiratory Therapist RRT

Regional Sales Manager- Southeast

I want to receive the latest job alert for senior account development in gainesville, fl

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