What are the responsibilities and job description for the Enterprise Nurse Denial Auditor I Enterprise Denials position at UF Health?
Job Opening Summary
The clinical denial management nurse auditor is responsible for completing, tracking and reporting clinical denials at an enterprise level between all UF hospitals. Reporting to the Enterprise Denial Management Manager, this role serves as a support to revenue cycle, including clinical departments, finance, accounting, compliance, patient financial services, revenue integrity, managed care, utilization review and patient access.
The clinical denial management nurse auditor is considered a clinical expert in denial management and ensures all denied claims are accurately worked from a clinical perspective and appropriately appealed to secure maximum reimbursement and minimize organizational write-offs.
Job Opening Qualifications
Minimum Education and Experience Requirements:- Required: LPN or RN.
- Required: 2-3 years of clinical experience as an RN or 3-5 years of clinical experience as an LPN.
- Preferred: CPC, COC, CCS.
- Preferred: Knowledge or experience related to coding, medical record review, auditing, insurance experience.
Motor Vehicle Operator Designation:
Employees in this position will operate vehicles for an assigned business purpose as a "non-frequent driver."
Licensure/Certification/Registration:
- Required: LPN or RN licensure from State of Florida.
Minimum Pay Rate - Hourly: $29.03
Midpoint Pay Rate - Hourly: $39.79
Internal Applicants - Apply Here
We invite you to join our team! Our work and passion for excellence are intended to have an impact beyond the communities in which we serve. You may apply for a maximum of 10 positions at any given time. For general application process topics please review our Frequently Asked Questions. For technical assistance please contact Human Resources at 352-265-0441.
UF Health Shands Hospital is committed to diversity as a competitive advantage in attracting top talent from across the nation and around the world. We believe in sharing knowledge, learning from one another, valuing different opinions, and celebrating the things that make each one of us unique in our own right. UF Health Shands Hospital is an equal opportunity employer and drug-free workplace. Equal Opportunity Employer M/F/D/V
