Healthcare Denials & Appeals Specialist

Moffitt Cancer Center; United States; Sur place; USD 44 000 - 67 000; Plein temps

Résumé du poste

Moffitt Cancer Center in Florida is seeking a Denials Review Specialist to coordinate denials review, appeals, and recovery processes in our Florida-based team. The role emphasizes accurate documentation, timely responses, and collaboration with care teams to optimize reimbursement.

The ideal candidate has strong analytical skills, experience with Medicare/Medicaid policies, and proficient MS Excel capabilities, with a focus on accuracy and regulatory compliance.

Qualifications

• Associate's degree or higher in healthcare, finance, or related field.
• Bachelor's degree plus 5 years healthcare experience and RN license required, or associates degree with 7 years experience.
• Experience with denials, appeals, and reimbursement processes preferred.
• Strong knowledge of Medicare/Medicaid regulations and coding concepts.
• Proficient in MS Office, especially Excel and Access.

Responsabilités

• Coordinate denials review and appeals management processes.
• Oversee denials management, claims recovery, and denial root cause analysis.
• Collaborate with care teams to optimize reimbursement and payment accuracy.
• Maintain documentation and ensure regulatory compliance.

Connaissances

denials management

claims recovery

root cause analysis

data analysis

communication

teamwork

attention to detail

reporting

Formation

Bachelor's degree

Associates degree

RN license

Outils

Soarian

MS Excel

MS Access

Description du poste

Moffitt Cancer Center in Florida is seeking a Denials Review Specialist to coordinate denials review, appeals, and recovery processes in our Florida-based team. The role emphasizes accurate documentation, timely responses, and collaboration with care teams to optimize reimbursement.

The ideal candidate has strong analytical skills, experience with Medicare/Medicaid policies, and proficient MS Excel capabilities, with a focus on accuracy and regulatory compliance.