Senior Denials Manager – Hospital & Professional Billing

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

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.