Manager, Specialty Billing

UF Health • Gainesville, FL

5d

About The Position

Oversee day-to-day billing operations for research/clinical trials, transplant services, and client/corporate billing portfolios across HB and PB. Ensure accurate, compliant, and timely claim production and sponsor/client invoicing; minimize billing-driven denials and avoidable write-offs; accelerate cash and improve billing quality through standardized workflows, controls, and cross-functional collaboration.

Requirements

• Associate degree in Healthcare Administration, Healthcare Management, or a related field highly preferred.
• Minimum of 3 to 4 years of progressive revenue cycle experience, including 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.
• A formal degree may be substituted with 6+ years of direct, hands-on revenue cycle and supervisory experience.
• Demonstrated experience with Epic and revenue cycle technologies.
• Proven success leading teams through organizational change and process improvement initiatives.
• Deep expertise in Hospital Billing (HB) and Professional Billing (PB), Research billing operations, Transplant billing processes, Client and corporate billing environments.
• Working knowledge of HIPAA compliance and privacy requirements, Research billing audit practices, Clinical trial billing regulations, Transplant billing regulatory requirements.
• Thorough understanding of CMS and commercial payer billing regulations, UB-04 and CMS-1500 claim forms, NCCI edits, Medically Unlikely Edits (MUEs), Local Coverage Determinations (LCDs), National Coverage Determinations (NCDs), Timely filing requirements and specialty case implications.
• Research billing expertise, including Sponsor billing, Study budget management, Billing grids, Clinical trial compliance, Investigational charge capture, Sponsor invoicing and reconciliation.
• Transplant billing expertise, including Organ acquisition cost accounting, DRG and bundling methodologies, Transplant modifiers, Coordination with Organ Procurement Organizations (OPOs).
• Client and corporate billing proficiency, including Contract invoicing, Third-party billing, Departmental billing, Special program billing, Statement generation and reconciliation processes.
• Strong ability to interpret and reconcile Sponsor agreements, Payer coverage determinations, Institutional billing policies, Billing responsibilities to prevent duplicate billing and ensure compliance.
• Demonstrated change leadership and continuous improvement mindset, including experience implementing Standardized playbooks, Workflow optimization initiatives, Automation solutions.
• Excellent written and verbal communication skills.
• Strong cross-functional collaboration skills with the ability to work effectively across operational, clinical, research, financial, and compliance teams.
• Technical proficiency with Epic and revenue cycle management (RCM) systems, Research billing modules, Work queue configuration, Reporting and analytics tools, Electronic sponsor invoicing platforms.

Responsibilities

• Oversee day-to-day billing operations for research/clinical trials, transplant services, and client/corporate billing portfolios across HB and PB.
• Ensure accurate, compliant, and timely claim production and sponsor/client invoicing.
• Minimize billing-driven denials and avoidable write-offs.
• Accelerate cash and improve billing quality through standardized workflows, controls, and cross-functional collaboration.

What This Job Offers

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