Manager, Denial Management

UF Health; Gainesville (FL); On-site; USD 90,000 - 120,000; Full time

Job summary

UF Health is seeking a strategic leader to oversee denial management for Hospital and Professional billing, focusing on identifying, appealing, and preventing denials to maximize revenue and improve acceptance rates.

The role requires driving root-cause analysis, payer strategy, cross-functional remediation, and robust performance reporting to minimize denial volumes and financial impact across the health system.

Qualifications

• Education: Associate degree in Healthcare Administration, Healthcare Management, or a related field highly preferred.
• Experience: 3–4 years of progressive revenue cycle experience, including 1–2 years in HB and/or PB billing 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 revenue cycle and supervisory experience.
• Experience with Epic and revenue cycle technologies.
• Leadership: proven success leading teams through organizational change and process improvement initiatives.
• Licensing/Certifications: Not required.
• Analytical skills: root-cause analysis, data interpretation, data-driven decisions, operational problem solving.
• Deep knowledge: payer rules, CPT/ICD coding impacts on denials, clinical documentation, coverage determinants, authorization workflows, denial drivers and resolution strategies.
• Proven leadership, coaching, and performance management abilities.
• Excellent written and verbal communication, and strong stakeholder management.
• Experience implementing process improvements, workflow optimization, and automation in complex healthcare environments.
• Attention to detail and strong organizational skills.
• Commitment to regulatory compliance, audit readiness, operational excellence, and continuous improvement.
• Solid problem-solving, communication, organizational, and interpersonal skills.

Responsibilities

• Lead denial management operations for 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.
• Collaborate across departments and organizational levels to implement process improvements and automation in denial management.

Job description

Overview

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.

Qualifications

• Education: Associate degree in Healthcare Administration, Healthcare Management, or a related field highly preferred.
• Experience: 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.
• License/Certification/Registration: Not required.
• Strong analytical skills with experience in:
  • Root-cause analysis
  • Data interpretation
  • Data-driven decision making
  • 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
  • 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
  • Automation solutions within complex healthcare environments
• High attention to detail and strong organizational skills.
• Demonstrated commitment to:
  • Regulatory compliance
  • Audit readiness
  • Operational excellence
  • Continuous improvement
• Solid problem-solving, communication, organizational, and interpersonal skills.