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UF Health Jacksonville · 2 months ago

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

Gainesville, Florida

Full-time

Onsite

Mid Level

4+ years exp

UF Health Jacksonville is seeking an Enterprise Denial Analyst to optimize financial outcomes by managing technical denial claims and appeals. This role involves analyzing denied payments, maintaining payer relationships, and collaborating with various departments to enhance reimbursement processes.

EducationHealth CareHospital

H1B Sponsor Likely

Responsibilities

Reviewing technical denial claims and submitting reconsiderations or appeals

Optimizing financial outcomes of the hospital-based revenue cycle through maintaining a low denial rate and high reimbursement rate

Initiating root cause analysis of denied payments through comprehensive means

Researching patient stays and treatment, reviewing payer contracts, and analyzing historical denials and appeals

Maintaining third-party payer relationships and responding to inquiries and complaints

Collaborating with the Enterprise Technical Denial Assistance Manager and Enterprise Sr Denial Manager

Establishing best practice solutions to maximize reimbursement and minimize organizational write-offs

Qualification

Hospital billingReimbursementDenialsAppealsThird-party contractsFederalState regulationsMicrosoft Office ProductsHIPAA guidelinesResearch skillsCritical thinkingAttention to detailOrganizational skillsCommunicationTime managementProblem-solving skills

Required

High school graduate required

four (4) years coding or billing, insurance follow up, collections or denial management in a hospital /clinical setting

Demonstrated knowledge of hospital billing and reimbursement

Demonstrated knowledge of denials and appeals

Demonstrated knowledge of third-party contracts

Demonstrated knowledge of federal and state regulations governing the healthcare industry

Excellent critical thinking and analytical skills

Attention to detail and ability to complete the job with minimal errors and work independently

Proficient organizational skills

Excellent writing and communication skills

Ability to prioritize and manage time effectively

Proficient in Microsoft Office Products such as Outlook, Word, Excel

Knowledge of HIPPA guidelines

Ability to read and interpret EOBs

Strong research and problem-solving skills

High level of comfort with computer systems

Motor Vehicle Operator Designation: Employees in this position will not operate vehicles for an assigned business purpose

Licensure/Certification/Registration: None

Preferred

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

3 years coding or billing, insurance follow up, collections or denial management in a hospital /clinical setting

Company

UF Health Jacksonville

UF Health Jacksonville is an academic health center that provides health professional and clinical research education.

Founded in 1870

Jacksonville, Florida, USA

1001-5000 employees

https://ufhealthjax.org

H1B Sponsorship

UF Health Jacksonville has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (13)

2024 (11)

2023 (18)