2 jobs found in Gainesville

Overview: Responsible for instituting strategic initiatives, which position the UF Health system to maximize reimbursement opportunities and make appropriate adjustments in response to the federal and state regulatory environment. Responsibilities: Responsibilities: Reimbursement Activities – Oversees reimbursement activities for the UF Health enterprise including regulatory compliance, CMS cost report and FHURS (State of Florida) reporting, government payment rate updates, monthly accounting and annual budgeting for reimbursement activities, organ acquisition cost-based reimbursement, federal and state graduate medical education (GME) funding, and other supplemental funding mechanisms. Plans and directs the reimbursement strategies of UF Health service lines and affiliates, including related home office cost reports.   Legislative Oversight - In coordination with UF Health government affairs team members, monitors and supports federal and state litigation,...

Overview: Leads all back-end revenue cycle operations for UF Health, including billing, collections, payment posting, and account resolution. Ensures the financial health of the system by optimizing claim submissions, accelerating payment, reducing denials, and cultivating a positive financial experience for patients. Working cross-functionally, drives high standards for accuracy, compliance, and customer service, and ensures the team adapts to changing payer landscapes and regulatory environments. Responsibilities: Direct the billing and collections lifecycle from claims submission to payment, including oversight of government and commercial payer processes Establish effective policies for bad debt, charity care, and patient payment plans in alignment with UF Health and regulatory frameworks Lead strategies to reduce A/R days, minimize avoidable write-offs, and improve first-pass claim acceptance Drive continuous improvement in patient billing communications,...