Manager, Underpayment/Variance

UF Health; Gainesville (FL); On-site; USD 85,000 - 110,000; Full time

Job summary

UF Health in Gainesville seeks a leader to manage underpayment and variance resolution for Hospital and Professional claims, driving recovery of underpayments and reducing aging. You will coordinate payer negotiations, leverage data to identify trends, and implement process improvements across clinical, financial operations, IT, and revenue cycle teams.

Ideal candidates have an associate degree, 3–4 years revenue cycle experience, and at least 3 years of supervisory experience, with Epic

Qualifications

• Associate degree in Healthcare Administration or related field preferred.
• 3–4 years progressive revenue cycle experience; 1–2 years in HB/PB billing.
• Minimum 3 years supervisory experience in hospital/professional billing.
• Epic experience; revenue cycle software knowledge.
• Strong analytical skills; root-cause analysis and data-driven improvements.
• Knowledge of payer adjudication, CPT/ICD impacts, contracts, and clinical documentation.
• Excellent communication and cross-functional collaboration.
• Regulatory compliance, audit readiness, and process improvement focus.

Responsibilities

• Lead underpayment and variance resolution for HB and PB claims.
• Drive recovery of underpayments and resolution of variances.
• Negotiate with payers and improve denial management processes.
• Implement process improvements to maximize net revenue.
• Collaborate with clinical, financial operations, IT, and revenue cycle stakeholders.

Skills

Supervisory experience

Revenue cycle

Excel

Data analysis

Payer adjudication

CPT/ICD impacts

Contract terms

Clinical documentation

Leadership coaching

Regulatory compliance

Audit readiness

Process improvement

Communication & stakeholder mgmt

Education

Associate degree in Healthcare Administration/related field

Tools

Epic

Microsoft Excel

Reporting/Analytics tools

Job description

Overview

Lead underpayment and variance resolution for Hospital (HB) and Professional (PB) claims. Drive recovery of underpayments, resolution of payment variances, payer negotiations, and process improvements to maximize net revenue and reduce rework and aging.

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 and problem-solving skills, including the ability to:
  • Conduct root-cause analysis
  • Identify trends and operational issues
  • Develop and present actionable recommendations
  • Drive data-informed improvements
• Strong knowledge of:
  • Payer adjudication practices
  • CPT and ICD coding impacts on reimbursement and denials
  • Contract terms and payer agreements
  • Clinical documentation requirements and their influence on payments
• Proven leadership, coaching, and performance management capabilities.
• Proficiency with:
  • Reporting and analytics tools
  • Microsoft Excel
  • Data analysis and interpretation
  • Data-driven decision making
• Excellent communication and stakeholder management skills, with the ability to collaborate effectively across:
  • Clinical teams
  • Financial operations
  • Information Technology (IT) departments
  • Revenue cycle stakeholders
• High attention to detail, integrity, and professionalism.
• Demonstrated commitment to:
  • Regulatory compliance
  • Audit readiness
  • Operational accuracy
  • Continuous process improvement and quality outcomes.