UF Health

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

Role Description The Clinical Denial Management Nurse is responsible for completing, tracking, and reporting clinical denials across all UF hospitals at an enterprise level. Reporting to the Enterprise Denial Nurse Manager, this role supports key revenue cycle functions including: - Clinical departments - Finance - Accounting - Compliance - Patient financial services - Revenue integrity - Managed care - Utilization review - Patient access Serves as a clinical expert in denial management, reviewing denied claims from a clinical perspective and developing effective appeal strategies. Ensures appropriate documentation and submission of appeals to maximize reimbursement and minimize organizational write-offs. Collaborates with cross-functional teams to identify denial trends, improve processes, and support enterprise-wide initiatives that enhance revenue cycle performance and compliance. Qualifications - Associate’s or Bachelor’s degree in Nursing required - Bachelor’s degree preferred - International Medical Graduate (IMG) with a Medical School Diploma may be considered in lieu of nursing degree - Active RN license required (if applicable based on education pathway) - Certified Clinical Documentation Specialist (CCDS), Certified Documentation Integrity Practitioner (CDIP), or equivalent CDI certification preferred Requirements - 5+ years of experience in Clinical Documentation Improvement (CDI), including leadership or lead-level responsibilities - Strong expertise in regulatory compliance, audit management, and clinical documentation standards - Proven ability to develop and implement training programs and process improvement initiatives - Demonstrated success leading cross-functional teams and collaborating with clinical and coding professionals - Experience monitoring documentation quality, analyzing trends, and reporting outcomes Company Description

Overview Optimizes the financial performance of healthcare operations by analyzing revenue cycle data and identifying opportunities for improvement. Collaborates with billing, coding, finance, and clinical teams to ensure accurate claims submission, monitor accounts receivable, and resolve billing discrepancies. Supports compliance with regulatory standards and assists in the implementation of revenue cycle management tools. Prepares and delivers detailed performance reports to support leadership decision-making and contributes to strategies that enhance revenue cycle efficiency and improve overall collections. Responsibilities Key Responsibilities • Analyze revenue cycle data to identify opportunities for financial performance improvement• Collaborate with billing, coding, finance, and clinical teams to ensure accurate claim submission and optimal revenue capture• Monitor accounts receivable and resolve billing discrepancies in a timely manner• Support compliance with regulatory standards and organizational policies related to revenue cycle operations• Conduct audits and prepare performance reports to support operational and financial decision-making• Assist in training staff on revenue cycle systems, tools, and processes• Contribute to the development and implementation of strategies to enhance revenue cycle efficiency and collections Qualifications Required Qualifications Education • High School Diploma or GED required• Bachelor’s degree in healthcare administration, Business, Finance, or a related field preferred Experience & Skills • Minimum of 3 years of experience in healthcare revenue cycle analysis• Proficiency in data analysis and financial reporting tools (e.g., Excel, reporting dashboards)• Strong knowledge of billing, coding, and claims processing workflows• Demonstrated experience collaborating with clinical, billing, and finance teams• Familiarity with healthcare regulations and compliance standards Certification • Coding certification (e.g., CPC, CCS, RHIT, or RHIA) required within one (1) year of hire

Overview The Clinical Denial Management Nurse is responsible for completing, tracking, and reporting clinical denials at an enterprise level across all UF hospitals. Reporting to the Enterprise Denial Nurse Manager, this role supports Revenue Cycle functions including clinical departments, finance, accounting, compliance, patient financial services, revenue integrity, managed care, utilization review, and patient access. The Clinical Denial Management Nurse serves as a clinical expert in denial management, ensuring all denied claims are reviewed from a clinical perspective and appropriately appealed to secure maximum reimbursement and minimize organizational write-offs. Responsibilities Necessary Skills - Knowledge of hospital billing and reimbursement, including Medicare/Medicaid denials, appeals, contracts, and healthcare regulations - Ability to read and interpret Explanation of Benefits (EOBs) - Strong critical thinking, analytical, and problem-solving skills - High attention to detail with ability to work independently and accurately - Strong organizational and time-management skills - Excellent written and verbal communication skills - Proficiency in Microsoft Office (Outlook, Word, Excel) - Knowledge of HIPAA guidelines - Comfort working with computer systems and healthcare technology Qualifications Qualifications Education: - High School Diploma or GED required - BSN preferred Licensure: - Active RN or LPN license in the State of Florida required - CPC, COC, RHIT, RHIA, or CCS preferred Experience: - RN: 2–3 years clinical experience required OR - LPN: 3–5 years clinical experience required - Coding, medical record review, auditing, or insurance experience preferred

Overview Manages the daily operations of the patient financial services team to ensure accurate and efficient billing and collections. Coordinates with healthcare providers and insurance companies to resolve billing issues and expedite payments. Monitors patient accounts for compliance with financial policies, trains staff on handling inquiries and payment plans, and implements process improvements to optimize revenue cycle management. Requires reviewing financial reports to identify trends and collaborating with other departments to streamline patient registration and insurance verification, all while maintaining strict confidentiality and data protection standards. Responsibilities Key Responsibilities - Manage and oversee all payer denial activities to support low denial rates and optimal reimbursement. - Direct daily operations of the denial management process and identify opportunities for workflow and process improvements. - Establish departmental goals, measure process effectiveness and productivity, and identify the need for updated policies and procedures. - Plan and organize projects aimed at improving billing effectiveness, reimbursement rates, and appeal turnaround times. - Perform denial trend analysis, including: - Epic system edits - Coding validation - Charge Description Master (CDM) processes impacting reimbursement - Authorization trends and performance improvement - Payer-specific denial trends - Collaborate with the Enterprise Clinical Denial Assistant Manager to educate departments on proper charging, billing, and coding practices to ensure regulatory compliance. - Partner with Managed Care and Compliance teams to resolve issues involving departments and payers. - Report to the Enterprise Senior Denial Manager. - Provide support across the revenue cycle, including: - Clinical departments - Patient Financial Services - Revenue Integrity - Managed Care - Lead and support the Clinical Denial team. Qualifications Required Education - High School Diploma or GED Preferred Education - Associate’s degree in a healthcare or business-related field Necessary Skills - Demonstrated knowledge of hospital billing and reimbursement processes, including denials and appeals, third-party contracts, insurance protocols, delay tactics, systems, and workflows, as well as federal and state healthcare regulations. - Ability to take initiative by identifying problems, developing solutions, and implementing process improvements. - Strong time-management skills with the ability to multitask effectively in a fast-paced environment with tight deadlines. - Proven leadership abilities, including conflict resolution and excellent customer service skills. - Exceptional written and verbal communication skills. - High level of proficiency with computer systems, including Microsoft Office applications (Word, Excel, Outlook, PowerPoint). Required Licensure/Certifications - One of the following certifications is required: CPC, COC, RHIT, RHIA, or CCS Preferred Licensure/Certifications - Not applicable Required Experience - Three (3) to five (5) years of experience, including: - Minimum of three (3) years of coding, insurance, or denial-related experience - Minimum of three (3) years of management experience Supervision - Supervisory Responsibility: Yes - Number of Employees Supervised: 1–5 Age of Patients Served - Not applicable If you want this aligned e

Overview Responsible for reviewing technical denial claims and submitting reconsiderations or appeals. Optimizes financial outcomes within the revenue cycle by maintaining low denial rates and maximizing reimbursement 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, complaints, and correspondence. Collaborates with Enterprise Technical Denial Assistance leadership and Managed Care to escalate and resolve complex denial issues. Ensures compliance with state and federal regulations related to contracts and appeals. Serves as a subject matter expert in denial management, ensuring accurate resolution of denied claims from a technical and billing perspective. Partners with revenue cycle departments across the enterprise to implement best practices that improve reimbursement and reduce organizational write-offs. Responsibilities Key Responsibilities - 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 Qualifications Minimum Qualifications - High School Diploma or GED required - Minimum of four (4) years of experience in coding, billing, insurance follow-up, collections, or denial management within a hospital or clinical setting Preferred Qualifications - Associate’s degree or higher in a health or business-related field - Experience in coding, medical record review, auditing, or insurance-related functions - Experience supporting data governance and security policies - Strong skills in report and dashboard development - Ability to monitor BI tools and recommend process improvements

Overview Be the bridge between coverage and care As an Insurance Claims Specialist, you play a critical role in ensuring claims are processed accurately, efficiently, and in compliance with regulatory standards. You’ll investigate and evaluate claims, verify coverage, and support timely resolution while collaborating with internal teams and external stakeholders. This role involves responding to inquiries, assisting clients with proper claim submission, and maintaining detailed, compliant records. Your work helps drive operational efficiency, supports audit readiness, and ensures a seamless claims experience for all parties involved. Responsibilities Key Responsibilities • Review and evaluate insurance claims to ensure accuracy and timely processing• Investigate claims, gather relevant information, and support settlement negotiations• Respond to inquiries from claimants, providers, and other related parties• Assist clients in submitting claims accurately and in accordance with guidelines• Collaborate with internal teams to facilitate efficient claim resolution• Maintain detailed, accurate records and ensure compliance with regulatory and audit requirements Qualifications Minimum Qualifications • High school diploma or equivalent required• 2+ years of experience in insurance claims processing or related support• Working knowledge of insurance policies, coverage, and claim adjudication processes• Experience investigating, resolving, and following up on claim issues• Strong communication and customer service skills• Ability to maintain accurate records and ensure compliance with regulatory requirements

Overview Where accuracy drives reimbursement and quality patient data. The Outpatient Coder is responsible for reviewing medical records and assigning accurate diagnostic and procedural codes using ICD and CPT classification systems in alignment with regulatory and organizational standards. This role ensures complete and compliant coding and charge entry, supports billing operations, and maintains the integrity of data for reimbursement and reporting. The coder collaborates with providers to improve documentation accuracy, identifies and resolves discrepancies within billing and abstracting systems, and contributes to continuous improvement through audits, training, and performance monitoring. Responsibilities Key Responsibilities - Reviews and analyzes medical records to assign accurate diagnostic and procedural codes - Ensures compliance with coding guidelines, regulatory requirements, and organizational policies - Collaborates with healthcare providers to clarify documentation and improve coding accuracy - Identifies and resolves coding discrepancies to maintain data integrity - Supports billing operations by providing accurate coded information for claims submission - Conducts audits of coded data and monitors productivity and quality metrics - Provides training and guidance to staff on coding procedures and updates Qualifications Minimum Qualifications - High school diploma or equivalent required - Three (3)+ years of medical coding or health information management experience preferred - Active coding certification required (RHIA, RHIT, CCS, CCA, CPC, or CPC-H) - Knowledge of ICD, CPT, and HCPCS coding standards - Understanding of medical terminology, anatomy, and physiology - Strong attention to detail with a focus on accuracy and compliance - Ability to review medical records and collaborate with providers to clarify documentation