UF Health

Role Description The Manager, RCM Reporting & Analytics, supports the enterprise-wide operational delivery of revenue cycle reporting and analytics functions across UF Health. This position is responsible for the day-to-day management of the analytics team, including analysts, report writers, and developers, ensuring the timely and accurate delivery of dashboards, operational reports, and data insights that drive performance improvement across all revenue cycle domains, including patient access, coding, billing, collections, and denials management. The Manager works closely with the Director to execute the analytics strategy, maintain reporting standards, and serve as a hands-on technical leader and primary point of escalation for the team. This role partners with cross-functional operational and clinical leaders to translate complex data into clear, actionable intelligence aligned with organizational goals. Responsibilities - Lead the daily operations of the RCM Reporting & Analytics team, overseeing analysts, report developers, and project priorities. - Develop and optimize dashboards, scorecards, and operational reports using Power BI to deliver timely, accurate business insights. - Serve as the subject matter expert for Epic Revenue Cycle reporting, including Clarity, Caboodle, Reporting Workbench, and SlicerDicer. - Integrate Epic and third-party data sources to create reliable, enterprise-wide reporting solutions. - Identify trends and develop predictive analytics to support revenue cycle performance and strategic decision-making. - Mentor, coach, and develop team members while fostering a high-performing, collaborative culture. - Act as the primary escalation point for complex reporting requests and analytics initiatives. - Partner with IT, Epic, Finance, and operational leaders to support data governance and reporting enhancements. - Build and manage the revenue cycle reporting request/ticket system to improve visibility, prioritization, and service delivery. Qualifications - Bachelor's degree in Health Informatics, Business Analytics, Computer Science, Health Administration, or a related field required. - 5+ years of progressive healthcare data analytics experience within a revenue cycle environment. - At least 1 year of leadership experience supervising or leading analysts and/or report writers. - Hands-on experience with Epic Revenue Cycle reporting tools, including Clarity, Cogito/SlicerDicer, and Reporting Workbench. - Experience integrating Epic and non-Epic data sources, including third-party billing systems, clearinghouses, and payer data. - Proficiency in Power BI for dashboard development and data visualization. - Experience with data modeling and analytics development. - Strong knowledge of end-to-end revenue cycle workflows, performance metrics, and patient financial services operations. Preferred Certifications - Epic Certification in Clarity, Cogito, or another Revenue Cycle reporting module preferred. - Microsoft Power BI Certification preferred.

Role Description Bring your claims expertise to a remote team committed to service excellence and operational success. - Work Style: Remote - Location Requirement: Gainesville, FL - FTE: Full-Time (1.0 FTE) This position is responsible for coordinating incoming and outgoing payer correspondence, reviewing claim documentation, supporting Epic account updates, and ensuring accurate claim processing and routing. Ideal candidates are detail-oriented, analytical, and thrive in a fast-paced environment while helping drive efficiency and accuracy across the revenue cycle team. Qualifications - High School Diploma/Equivalent Requirements - 2+ years of experience in insurance claims processing and support. - Working knowledge of insurance policies, coverage, and claims adjudication processes. - Experience investigating, analyzing, and resolving claim-related issues. - Strong communication and customer service skills with the ability to interact effectively with claimants and stakeholders. - Demonstrated ability to maintain accurate records and ensure compliance with regulatory and audit requirements.

Role Description Work remotely while using your denial management expertise to make a direct impact on healthcare operations. - Work Style: Remote - Location Requirement: Must reside in Florida or Georgia - FTE: Full-Time (1.0 FTE) Responsible for reviewing technical denial claims and submitting reconsiderations and appeals to ensure accurate and timely reimbursement. Optimizes financial performance within the revenue cycle by maintaining low denial rates and maximizing recovery across the enterprise. - Conducts root cause analysis of denied payments through comprehensive review of patient encounters, payer contracts, historical denial trends, and appeal outcomes. - Maintains strong relationships with third-party payers, responding to inquiries, disputes, and correspondence. - Collaborates with Enterprise Technical Denial Assistance leadership and Managed Care to escalate and resolve complex denial issues while ensuring compliance with state and federal regulations. - Serves as a subject matter expert in denial management, partnering with revenue cycle teams to implement best practices that improve reimbursement and reduce organizational write-offs. Qualifications - High School Diploma or GED required - Minimum of four (4) years of experience in billing, insurance follow-up, collections, or denial management within a hospital or clinical setting Requirements - Identify, prioritize, and resolve denied claims, including initiating timely appeals and reconsiderations - Interpret and apply payer contract terms to ensure accurate claim resolution and reimbursement - Conduct internal and external correspondence clearly, professionally, and in compliance with organizational standards - Review and take appropriate action on EOBs, denial letters, appeal determinations, and documentation requests in a timely manner - Meet productivity and accuracy standards, including working an average of 60 accounts per day with a 98% accuracy rate - Manage and work multiple payer workqueues, including Medicare, Medicaid, government, commercial, and Medicare Advantage plans - Research and resolve denials related to eligibility, registration, billing errors, missing information, and documentation requests - Initiate and follow up on appeals to prevent timely filing denials and ensure optimal reimbursement outcomes - Evaluate accounts and drive resolution using tools such as remittance advice, denial codes, and payer communications - Identify payer-specific denial trends and escalate findings to leadership with actionable insights for root cause analysis - Collaborate with revenue cycle teams across the enterprise to recommend process improvements and prevent future denials - Review payer policies and communications to identify risks to reimbursement and stay current on regulatory and industry best practices - Proactively identify and resolve at-risk A/R to minimize revenue loss and ensure compliance with contractual deadlines Company Description

Role Description Enjoy the flexibility of a remote role while supporting ERP systems that power critical healthcare operations. - Work Style: Remote - Location Requirement: Must reside in an authorized state (FL, GA, MO, PA, NC, SC, TN, or TX) - FTE: Full-Time (1.0 FTE) Analyzes business needs and defines the scope and objectives for IT systems software. Designs software solutions through programming specifications, diagrams, and flowcharts, as well as writing and debugging code to optimize platform performance. Configures and customizes vendor systems software, develops diagnostic programs to test integrated systems, and resolves system faults. Documents technical specifications, collaborates with cross-functional teams to enhance applications, and assists in troubleshooting software defects to ensure system efficiency. Qualifications - Education: Associate’s degree in business administration, Allied Health, Computer Science, or a related field required. - Two (2) years of specialized training in an applicable field may be accepted in lieu of the education requirement. - Preferred: Bachelor’s degree in a related field preferred. - 3+ years of experience in software development and programming. - Proficiency in programming languages such as Java, C#, or SQL. - Experience designing software solutions and debugging code. - Strong technical documentation skills and ability to collaborate with cross-functional teams. - Knowledge of system integration and software testing methodologies. Requirements - Analyzes business needs and defines the scope and objectives for IT systems and software solutions. - Designs software solutions using programming specifications, diagrams, and flowcharts. - Writes, tests, and debugs code to optimize platform performance. - Configures and customizes vendor-provided systems software to meet business requirements. - Develops diagnostic programs to test integrated systems and ensure functionality. - Documents technical specifications and collaborates with cross-functional teams to enhance applications. - Troubleshoots and resolves software defects to ensure system efficiency and reliability. Company Description

Role Description Bring your claims expertise to a remote team committed to service excellence and operational success. - 💻 Work Style: Remote - 📍 Location Requirement: Gainesville, FL - 🕒 FTE: Full-Time (1.0 FTE) This position is responsible for coordinating incoming and outgoing payer correspondence, reviewing claim documentation, supporting Epic account updates, and ensuring accurate claim processing and routing. Ideal candidates are detail-oriented, analytical, and thrive in a fast-paced environment while helping drive efficiency and accuracy across the revenue cycle team. Qualifications - High School Diploma/Equivalent Requirements - 2+ years of experience in insurance claims processing and support. - Working knowledge of insurance policies, coverage, and claims adjudication processes. - Experience investigating, analyzing, and resolving claim-related issues. - Strong communication and customer service skills with the ability to interact effectively with claimants and stakeholders. - Demonstrated ability to maintain accurate records and ensure compliance with regulatory and audit requirements.

Role Description Responsible for maintaining low denial rates and optimizing reimbursement across the enterprise by ensuring high coding standards and effective denial management practices. Leads and supports initiatives to improve coding accuracy, reimbursement outcomes, and appeal turnaround times. - Perform in-depth analysis of denial trends, including Epic system edits, coding validation, Charge Description Master (CDM) processes, authorization trends, and payer denials. - Identify opportunities for performance improvement and implement strategies to enhance revenue cycle outcomes. - Educate departments on appropriate charging, billing, and coding practices to ensure regulatory compliance. - Collaborate with Managed Care, Compliance, and operational teams to resolve complex issues with departments and payers, driving sustainable improvements in reimbursement and denial prevention. Qualifications - High School Diploma or GED required. - One (1) of the following coding certifications required: CPC, COC, RHIT, RHIA, or CCS. - One (1) to two (2) years of coding experience required. - One (1) to two (2) years of denial management and/or insurance-related experience required. Requirements - Manage and resolve clinical denials through claim corrections, resubmissions, authorization verification, payer reprocessing, reconsiderations, and appeals. - Analyze denial trends and identify opportunities to improve coding accuracy, documentation quality, reimbursement outcomes, and denial prevention efforts. - Research and resolve denials related to authorization, medical necessity, coding, billing, non-covered services, and payer policy requirements. - Prepare and submit detailed appeals and reconsiderations supported by medical record documentation, coding guidelines, and payer requirements. - Apply ICD-10-CM, CPT, HCPCS, NCCI, CMS, and payer-specific guidelines to review, validate, and correct coding and billing issues. - Review and adjust charges, diagnosis coding, procedure coding, modifiers, and billing information to ensure regulatory compliance and reimbursement accuracy. - Collaborate with Managed Care, Revenue Cycle, Compliance, Coding, and operational departments to resolve complex denial and reimbursement issues. - Monitor payer communications, policy updates, reimbursement changes, and authorization requirements to identify risks and improve reimbursement performance. - Track, trend, and report denial activity, root causes, and reimbursement opportunities while providing recommendations for process improvement. - Participate in audits, compliance reviews, denial prevention initiatives, and revenue integrity activities to improve financial performance. - Meet established productivity and quality standards while managing multiple payer work queues, including Medicare, Medicaid, government, and commercial payers. - Educate departments on denial prevention strategies, coding accuracy, charge capture, documentation improvement, and reimbursement best practices. Benefits - Work Style: Remote - Location Requirement: Must reside in an approved state (FL, GA, PA, NC, SC, TN, or TX) - FTE: Full-Time (1.0 FTE)

Role Description Work remotely while using your denial management expertise to make a direct impact on healthcare operations. - Work Style: Remote - Location Requirement: Must reside in an approved state (FL, GA, PA, NC, SC, TN, or TX) - FTE: Full-Time (1.0 FTE) Responsible for maintaining low denial rates and optimizing reimbursement across the enterprise by ensuring high coding standards and effective denial management practices. Leads and supports initiatives to improve coding accuracy, reimbursement outcomes, and appeal turnaround times. Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge Description Master (CDM) processes, authorization trends, and payer denials. Identifies opportunities for performance improvement and implements strategies to enhance revenue cycle outcomes. Educates departments on appropriate charging, billing, and coding practices to ensure regulatory compliance. Collaborates with Managed Care, Compliance, and operational teams to resolve complex issues with departments and payers, driving sustainable improvements in reimbursement and denial prevention. Qualifications - High School Diploma or GED required - One of the following coding certifications required: CPC, COC, RHIT, RHIA, or CCS - 1–2 years of coding experience, along with 1–2 years of denial management and/or insurance-related experience Requirements - Manages clinical denials from assigned work queues, including claim resubmissions, authorization verification, payer reprocessing, reconsiderations, and appeals - Partners closely with Managed Care and payers to reduce denials and improve reimbursement outcomes - Analyzes denial trends and develops recommendations to improve coding accuracy and documentation practices - Meets established productivity and accuracy standards, including reviewing approximately 30 accounts per day with a 98% accuracy rate - Applies coding guidelines (NCCI, ICD-10, CPT, HCPCS, CMS) to accurately review, code, and correct accounts - Collaborates with department managers to track, report, and resolve denials, including participating in audits and compliance reviews - Identifies root causes of denials, tracks trends, and escalates findings to leadership for follow-up and process improvement - Works across multiple payer work queues, including Medicare, Medicaid, government, and commercial payers - Research denials related to authorization, medical necessity, non-covered services, coding, and billing issues, ensuring timely resolution and appeal submission - Prepares and submits detailed, well-supported reconsiderations and appeals based on medical record review and payer requirements - Monitors payer communications and policy updates to identify risks impacting reimbursement and authorization requirements - Reviews and corrects coding, including modifier usage, diagnosis sequencing, and compliance with coding guidelines - Reviews and adjusts charges as needed based on documentation, billing, and regulatory standards - Educates departments on denial prevention strategies, including improvements in coding, charging, and authorization processes

Role Description Ensures coordination and continuity of patient care for transplant patients in order to maintain organized and efficient support to staff and other health care professionals. Responsible for: - Identifying the patient's alterations in health - Assessing the patient's response to treatment protocols - Communicating appropriate data to physician staff - Implementing nursing interventions based upon established treatment protocols - Anticipating potential outcomes for patients at risk for complications Must demonstrate ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to age-specific needs and organ(s) transplanted and provide care according to protocols and with practice of nursing. Qualifications - Graduate of an accredited four (4) year baccalaureate program in nursing; in lieu of a BSN, extensive and directly clinically-related experience is required (greater than 10 years directly relatable experience in the solid organ body system) - Master's degree in nursing or master's degree 'eligible' (i.e. completion of academic coursework) or related health care field preferred - Currently licensed as a registered nurse (RN) or Advanced/Registered Nurse Practitioner (ARNP) in Florida - Minimum of 3 years experience in nursing with at least 2 years experience in critical care or transplantation - Knowledgeable in transplant immunology, technical aspects of surgery, interpretation of diagnostic and laboratory data, and clinical management of patients - If experienced in all areas listed, will consider enrollees in baccalaureate program Requirements - Motor Vehicle Operator Designation: Employees in this position will not operate vehicles for an assigned business purpose

Title: Certified Ophthalmic Assistant | Eye Center | Day Shift | Part-time Location: Gainesville United States Job Description: Overview The Ophthalmic Assistant participates in the care of patients in a clinic setting by performing ophthalmic examinations such as, Visual Assessments, Pupillary Assessments, Tonometry, Lensometry, Contact Lens, Visual Field Examinations, Slit Lamp Examinations Goldman Visual Fields, Ophthalmic photography, placing patients in rooms, preparing patients for exams/procedures and providing patient/family support. Schedules patient appointments, handles referrals. Prepares and maintains patient medical records. The incumbent may be responsible for obtaining insurance coverage and benefits, obtaining authorizations and updating demographic/financial data. Qualifications Minimum Education and Experience Requirements: - Completion of a twelve-week formal COA training program or completion of the AAO Independent Study Course, followed by successfully passing the JCAHPO COA certification exam (or obtained within the 1st year of employment). - Annual continuing education credits must be maintained. - Basic knowledge of computers is preferred. - Person should display initiative, and have the ability to multitask. - Proven ability to problem-solve and be a team player is essential. Motor Vehicle Operator Designation: None provided Licensure/Certification/Registration: - Certified Ophthalmic Assistant. - Certificate in Basic Life Support.

Role Description Responsible for accurately posting and reconciling all third-party payer and patient payments for the healthcare system, while ensuring timely resolution of accounts within Epic work queues. Balances daily cash reports and makes appropriate determinations regarding contractual adjustments, including verifying balances, calculating adjustments, and posting transactions during the payment posting process. Supports the financial integrity of the UF Health Central Florida healthcare system by efficiently processing payments, denials, and adjustments while ensuring compliance with regulatory and organizational requirements. Responsibilities - Accurately apply and reconcile internal and external payments and denials, including importing and processing cash batches, wires, lockbox transactions, and ACH payments. - Utilize departmental tools and processes to post allowed adjustments, write-offs, denials, and payer/plan changes in accordance with established guidelines. - Research and resolve undistributed and unapplied payments within assigned Epic HB Resolute work queues to ensure timely and accurate account resolution. - Prepare and maintain appropriate forms and reports to document cash activity, while balancing payment posting across all facilities and applicable general ledger accounts. - Ensure clearing accounts are appropriately utilized, monitored, and reconciled. - Identify and resolve conflicting account information and inconsistencies in receivables to support accurate financial reporting and account integrity. - Support the overall success of the Cash Team by assisting with additional duties and departmental responsibilities as assigned. Qualifications - High school graduate required - Some college-level coursework in business, finance, or accounting preferred - Three (3) years of general clerical experience preferred, including simple bookkeeping, typing, and data entry skills - Minimum of one (1) year of experience in a hospital business setting involving finance, accounting, or collection systems - Strong organizational skills with the ability to work independently - Excellent written and verbal communication skills - Above-average math skills with proficiency in keyboarding and calculator use - Ability to adapt quickly in a high-volume, fast-paced environment - Ability to read, write, speak, and understand English effectively