Top 36 Revenue cycle management Jobs in Gainesville Fl

Denial Recovery Analyst | Enterprise Denials
UF Health —Gainesville, FL
- Full-time
- Remote
- Research
- Mid-level
- High school diploma or GED
AR Resolution Specialist Lead
The Cardiac and Vascular Institute —Gainesville, FL
- Full-time
- Hybrid work
- Research
- High school diploma or GED
- Analysis skills
Quick Apply
Medical Insurance Billing Specialist
Accent Physician Specialists —Gainesville, FL
- $16 - $23 an hour
- Full-time
- Hybrid work
- Mid-level
- Medical terminology
- Communication skills
- Health savings account
- Health insurance
Quick Apply
9d
Field Sales Consultant
Epos Now —Florida
- From $52,000 a year
- Full-time
- Hospitality
- Spanish
- English
- Paid training
- Mileage reimbursement
Quick Apply
1d
Delegated Network Compliance & Audit Manager | Managed Care & Corporate Development
UF Health —Gainesville, FL
- Full-time
- 5 years
- Office
- Analysis skills
7d
Operating Room Scheduling Manager
HCA Florida North Florida Hospital —Gainesville, FL
- Full-time
- Surgery
- 5 years
- Experience equivalent to degree accepted
- Employee stock purchase plan
- Disability insurance
Quick Apply
4d
Regional Coding Operations Manager WFH
HCA Florida North Florida Hospital —Gainesville, FL
- Full-time
- 5 years
- Critical & Intensive Care
- Travel
- Employee stock purchase plan
- Disability insurance
Quick Apply
14d
Project Accountant
NV5 —Alachua, FL
- Full-time
- Bachelor of Science
- ERP systems
- Mid-level
- Health insurance
- Dental insurance
Clinical Coder III - Department of Neurosurgery
University of Florida —Gainesville, FL
- $25.40 - $28.38 an hour
- Full-time
- Anatomy knowledge
- Surgery
- 5 years
1d
Enterprise Account Manager
Infotech —Gainesville, FL
- Google Workspace
- Civil engineering
- Bachelor's degree
- Paid holidays
- Health insurance
Quick Apply
7d
Sales Representative
DEX Imaging —Gainesville, FL
- Full-time
- Mid-level
- Office
- Ability to lift 50 pounds
- Opportunities for advancement
Quick Apply
Facility Inpatient Coding Audit Team Lead
GEBBS HEALTHCARE SOLUTIONS INC —United States
- $18 - $38 an hour
- Full-time
- Remote
- 3 years
- Supervising experience
- Mentoring
- Paid holidays
- Health insurance
Quick Apply
10d

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Houston Methodist —Florida
Critically evaluates her or his own performance, accepts constructive criticism, and looks for ways to improve. *Travel specifications may vary by department**.
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Medical AR Specialist
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Identify, review, research, and resolve credit balances ensuring the correct disposition of funds. Proven experience in submitting tiered appeals using precise…
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Credentialing Coordinator, Lead
Orthopedic One —Westerville, OH
Performs other administrative tasks at the request of management as related to credentialing and board certification documentation.
10d

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revenue cycle management jobs near gainesville fl

Denial Recovery Analyst | Enterprise Denials

UF Health -
Gainesville, FL

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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

revenue cycle management jobs in gainesville fl

Denial Recovery Analyst | Enterprise Denials

AR Resolution Specialist Lead

Medical Insurance Billing Specialist

Field Sales Consultant

Delegated Network Compliance & Audit Manager | Managed Care & Corporate Development

Operating Room Scheduling Manager

Regional Coding Operations Manager WFH

Project Accountant

Clinical Coder III - Department of Neurosurgery

Enterprise Account Manager

Sales Representative

Facility Inpatient Coding Audit Team Lead

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