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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
Part Time
Colleges & Universities
$59k-75k (estimate)
01/11/2024
05/22/2024
ufhealth.org
GAINESVILLE, FL
3,000 - 7,500
1958
JILL VERLANDER REED
$1B - $3B
Colleges & Universities