Manager, Specialty Billing

UF Health; Gainesville (FL); On-site; USD 75,000 - 100,000; Full time

Job summary

UF Health is seeking an experienced Revenue Cycle Operations Leader to oversee day-to-day billing for research, clinical trials, transplant services, and sponsor invoicing across HB and PB. You will drive accurate, compliant claim production and minimize denials.

The role focuses on accelerating cash flow through standardized workflows, controls, and cross-functional collaboration with operational, clinical, research, financial, and compliance teams.

Qualifications

• Associate degree in Healthcare Administration, Healthcare Management, or related field preferred.
• 3–4 years of progressive revenue cycle experience, including 1–2 years in HB/PB billing operations.
• Minimum 3 years of supervisory experience in hospital and/or professional billing operations.
• Experience with Epic and revenue cycle technologies.
• Knowledge of HIPAA, CMS rules, and research/transplant billing requirements.

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 write-offs; accelerate cash and improve billing quality through standardized workflows, controls, and cross-functional collaboration.

Education

Associate degree in Healthcare Administration or Healthcare Management

Tools

Epic

RCM systems

Sponsor invoicing platforms

Job description

Overview

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.

Overview

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.

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.


• 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.