The enterprise denial analyst is responsible for reviewing technical denial claims, submitting reconsiderations or appeals. Reporting to the enterprise technical denial assistant manager, this role is responsible for optimizing the financial outcomes of the hospital-based 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 treatments; review of payer contracts; and 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 assistant manager and enterprise senior denial manager, maintains a strong working relationship with the enterprise managed care department to escalate and resolve atypical denial issues. Knowledgeable of state/federal laws that relate to contracts and to the appeals process.
The enterprise denial analyst is considered a technical denial expert in denial management and ensures all denied claims are accurately worked from a technical/billing perspective. Works in collaboration with the different revenue cycle departments through the enterprise to establish best practice solutions to maximize reimbursement and minimize organizational write-offs.
Minimum Education and Experience Requirements:
Education and Experience:
Knowledge, Skills and Abilities:
Minimum Pay Rate - Hourly: $21.06
Midpoint Pay Rate - Hourly: $26.31
Internal Applicants - Apply Here
We invite you to join our team! Our work and passion for excellence are intended to have an impact beyond the communities in which we serve. You may apply for a maximum of 10 positions at any given time. For general application process topics please review our Frequently Asked Questions. For technical assistance please contact Human Resources at 352-265-0441.
UF Health Shands Hospital is committed to diversity as a competitive advantage in attracting top talent from across the nation and around the world. We believe in sharing knowledge, learning from one another, valuing different opinions, and celebrating the things that make each one of us unique in our own right. UF Health Shands Hospital is an equal opportunity employer and drug-free workplace. Equal Opportunity Employer M/F/D/V
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Enterprise Denial Coding Analyst (Fully remote from most states)| Enterprise Denials
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Enterprise Denial Analyst (Remote within Florida - Part-Time) | Enterprise Denials
Gainesville, FL
Shift/Days: Days, Variable
Posted FTE: 0.50 = 20 Hours
As you would expect from an organization this size, our core benefits include medical insurance and prescription drug plans, short-term and long-term disability, life insurance, generous paid time off, 10 paid holidays per year and an employee assistance plan. Voluntary benefits include tuition reimbursement, dependent care and health care reimbursement accounts, dental insurance, vision plan and more. Retirement benefits include a 403(b) plan.
UF Health Shands is recognized as Florida’s premier hospital system. We're an integral part of the University of Florida, which ranks as the nation’s Number 1 public university by the Wall Street Journal.
Our steadfast commitment to delivering top-tier clinical care leads to outstanding outcomes, consistently garnering our hospital national acclaim, including:
It's our privilege to provide exceptional, patient-centered health care that bolsters our communities and strengthens our role as the perennial health care leader in Florida.
There’s a reason the Sunshine State is the tourism capital of the world and the third-most populous state in the country. As a Florida resident, you’re never far from the world’s best beaches, theme parks and attractions (and their Florida resident discounts), and cultural arts. Factor in our favorable tax rate and entrepreneurial spirit, and it’s easy to see why so many individuals, families and businesses choose to make Florida their home.
For a full list of UF Health career opportunities statewide, go to our main career site.
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