Denials Management & Revenue Integrity Specialist

AdventHealth; Florida; On-site; USD 28,000 - 52,000; Full time

Job summary

AdventHealth in Florida seeks a Denials Analyst to review and appeal denials across service lines, researching accounts, payer policies, and documentation to maximize reimbursement.

You will collaborate with patient financial services and clinical teams, generate reports, educate stakeholders on denial trends, and draft clear appeals. Requires 3+ years in denials/revenue cycle, knowledge of CPT/ICD, and proficiency in Excel.

Qualifications

• Understanding of revenue cycle processes including charge capture and billing regulations.
• Knowledge of CPT, HCPCS, ICD codes, UB-04 Revenue Codes, and modifiers.
• Ability to navigate the electronic medical record and correlate services to charges.
• Strong written communication and grammatical skills.
• Technical proficiency within Patient Accounting systems and applicable vendor technologies.

Responsibilities

• Reviews and appeals denials across all service lines system-wide.
• Researches account histories, payer portals, and payment records to determine appeal strategies.
• Evaluates denial types including charge audit, charge capture, authorization, timely filing, and payer policy denials.
• Drafts and submits written and verbal appeals with clear terminology.
• Collaborates with departments to gather supporting documentation and educate stakeholders on denial trends.

Skills

Revenue cycle

Analytical skills

Excel

Payer portals

Communication

Education

High School Grad or Equiv

Bachelors Preferred

Tools

Epic EHR

Job description

AdventHealth in Florida seeks a Denials Analyst to review and appeal denials across service lines, researching accounts, payer policies, and documentation to maximize reimbursement.

You will collaborate with patient financial services and clinical teams, generate reports, educate stakeholders on denial trends, and draft clear appeals. Requires 3+ years in denials/revenue cycle, knowledge of CPT/ICD, and proficiency in Excel.