Mgr, Billing UF Health - 4.0 Gainesville, FL Job Details Full-time 21 hours ago Qualifications Stakeholder engagement Accounts receivable optimization National Correct Coding Initiative (NCCI) guidelines Data analysis reporting Accounts receivable management Automation Team leadership Overseeing healthcare denial management CMS Regulatory compliance in claims processing Operations transformation Process design HIPAA Data reporting Change management Key Performance Indicators CMS regulatory compliance Supervising experience Medicare regulations Medical billing data analysis Healthcare privacy protection Health information regulatory compliance Leading team collaboration initiatives Centers for Medicare & Medicaid Services (CMS) billing regulations Medical claims submission Operational excellence initiatives Process improvement planning Epic Managing medical billing & coding team teams Medical claim denial management

Full Job Description Overview:

Oversee day-to-day billing operations for hospital and professional (HB/PB) services, ensuring accurate, timely, and compliant claim production and submission. This role ensures accurate, timely, and compliant claim production and submission, drives clean-claim performance and first-pass acceptance, accelerates cash, reduces billing-driven denials and avoidable write-offs, and operationalizes standardized workflows, controls, and performance management across facilities and service lines.

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.

Deep knowledge of:

Hospital Billing (HB) and Professional Billing (PB) workflows Payer billing rules and regulations UB-04 and

CMS-1500

claim forms NCCI edits Medically Unlikely Edits (MUEs) Local Coverage Determinations (LCDs) National Coverage Determinations (NCDs) Timely filing requirements Strong operational leadership and performance management discipline, including: Key Performance Indicators (KPIs) Operational cadence Accountability measures Proven success in: Improving clean claim rates Increasing first-pass claim acceptance Reducing denials Lowering accounts receivable (A/R) Excellent communication, cross-functional collaboration, and stakeholder management skills. Demonstrated change leadership and a continuous improvement mindset, including experience implementing: Standardized operational playbooks Automation initiatives Process optimization strategies Strong analytical proficiency with reporting tools and the ability to translate data into actionable operational improvements.

Working knowledge of:

HIPAA privacy and compliance requirements Billing audit practices Revenue cycle regulatory expectations.