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UF Health · 9 hours ago

RN Clinical Denial Recover Analyst | Full Time | Day Shift

Jacksonville, FL

Full-time

Onsite

Entry, Mid Level

2+ years exp

UF Health is a healthcare organization seeking a clinical denial management nurse responsible for managing clinical denials across all UF hospitals. This role involves tracking, reporting, and appealing denied claims to maximize reimbursement and minimize write-offs.

Health CareMedical

Growth Opportunities

Responsibilities

Completing, tracking, and reporting clinical denials at an enterprise level between all UF hospitals

Serving as a support to revenue cycle including clinical departments, finance, accounting, compliance, patient financial services, revenue integrity, managed care, utilization review, and patient access

Ensuring all denied claims are accurately worked from a clinical perspective and appropriately appealed

Qualification

Licensed Registered Nurse (RN)Clinical denial managementHospital billing knowledgeCPCCOCRHITRHIACCSCoding experienceMedical record reviewAnalytical skillsMicrosoft Office proficiencyHIPAA knowledgeComfort with technologyAttention to detailOrganizational skillsCommunication skillsProblem-solving skills

Required

High School Diploma or GED

Licensed to practice Registered Nursing (RN) or Practical Nursing (LPN) in the State of Florida

2-3 years of clinical experience as a Registered Nurse (RN) OR 3-5 years of clinical experience as a Licensed Practical Nurse (LPN)

Demonstrated knowledge of hospital billing and reimbursement, Medicare and Medicaid denials and appeals, third-party contracts, and federal and state healthcare regulations

Strong critical thinking and analytical skills

High attention to detail with the ability to work independently and produce work with minimal errors

Excellent organizational and time-management skills with the ability to prioritize workload

Strong written and verbal communication skills

Proficiency in Microsoft Office applications, including Outlook, Word, and Excel

Knowledge of HIPAA guidelines

Ability to read and interpret Explanation of Benefits (EOBs)

Strong research and problem-solving skills

High level of comfort with computer systems and technology

Preferred

Bachelor's Degree in Nursing (BSN)

CPC, COC, RHIT, RHIA, or CCS

Knowledge of or experience in coding, medical record review, auditing, and/or insurance

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