Revenue Cycle Denials Specialist

Shriners Children's; Tampa (FL); On-site; USD 70,000 - 90,000; Full time

Job summary

Shriner's Children’s is seeking a Denials Management Analyst to analyze denials data, track trends, and coordinate with payors and internal teams. The role supports appeals, audits, and process improvements across institutional and professional claims.

The ideal candidate has 5–7 years in healthcare revenue cycle, hands-on Epic PB Resolute experience, and strong Excel skills. CRCR/Epic certifications are preferred.

Qualifications

• Bachelor's degree or equivalent in healthcare revenue cycle.

Responsibilities

• Analyze denials data and track metrics/trends from multiple systems.
• Manage Epic work queues and resolve denials to support timely payor responses.
• Coordinate denial and audit activities for committees; prepare analyses and reports.
• Assist with mapping process improvements and rule creation in Epic.
• Maintain payer data and ensure retrievable organization of denial activities.

Skills

Denials management

Excel

Communication skills

Healthcare revenue cycle

Analytical thinking

NCCI edits/CPT-4/ICD-10 knowledge

Education

Bachelor's degree

CRCR Certification

Epic Certification

Epic PB Resolute experience

Tools

Epic PB Resolute

Job description

Shriner's Children’s is seeking a Denials Management Analyst to analyze denials data, track trends, and coordinate with payors and internal teams. The role supports appeals, audits, and process improvements across institutional and professional claims.

The ideal candidate has 5–7 years in healthcare revenue cycle, hands-on Epic PB Resolute experience, and strong Excel skills. CRCR/Epic certifications are preferred.