Manager, Denial Management

UF Health • Gainesville, FL

5d

About The Position

Lead denial management operations for both Hospital (HB) and Professional (PB) billing to identify, appeal, and prevent denied claims, recover revenue, and improve claim acceptance rates. Drive root-cause analysis, payer strategy, cross-functional remediation, and performance reporting to reduce denial volumes, aging, and financial impact.

Requirements

• Minimum of 3 to 4 years of progressive revenue cycle experience
• At least 1 to 2 years in billing operations (HB and/or PB) within a hospital or multi-site health system with a two-year degree
• Minimum of 3 years of supervisory experience in hospital and/or professional billing operations
• Demonstrated experience with Epic and revenue cycle technologies
• Proven success leading teams through organizational change and process improvement initiatives
• Strong analytical skills with experience in root-cause analysis, data interpretation, data-driven decision making, and operational problem solving
• Deep knowledge of payer rules and reimbursement requirements, CPT and ICD coding impacts on denials, clinical documentation practices, coverage determination and authorization workflows, and revenue cycle denial drivers and resolution strategies
• Proven leadership, coaching, and performance management abilities
• Excellent written and verbal communication skills
• Strong stakeholder management capabilities with the ability to collaborate effectively across departments and organizational levels
• Experience implementing process improvement initiatives, workflow optimization strategies, and automation solutions within complex healthcare environments
• High attention to detail and strong organizational skills
• Demonstrated commitment to regulatory compliance, audit readiness, operational excellence, and continuous improvement
• Solid problem-solving, communication, organizational, and interpersonal skills

Nice To Haves

• Associate degree in Healthcare Administration, Healthcare Management, or a related field highly preferred

Responsibilities

• Identify, appeal, and prevent denied claims
• Recover revenue
• Improve claim acceptance rates
• Drive root-cause analysis
• Develop payer strategy
• Implement cross-functional remediation
• Generate performance reporting to reduce denial volumes, aging, and financial impact

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Associate degree