Apr 21, 2026
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...
UF Health
Jacksonville, FL
Full time