Denials & Appeals Manager - Revenue Cycle

We’ve partnered with a nationally recognized health system in Florida to find an experienced Denials, Appeals & Recovery leader. This is a rare chance to step into a high-impact revenue cycle leadership role at one of the most respected healthcare organizations in the country. Our client is: A top-ranked hospital system — #1 in its region per U.S. News & World Report Magnet-designated for nursing excellence A consistent "A" rating for patient safety Nationally recognized for quality, patient experience, and workplace culture Ranked among the Top 10 World’s Best Hospitals Named a Top 15 Most Desired Place to Work in the Nation If you want your next move to be somewhere that’s genuinely regarded as a destination employer, this is it. The Role You’ll lead and develop a team of 10 specialists — including clinical denial nurses, coders, and underpayment/credit balance specialists — overseeing the full denials, appeals, and recovery operation. The department manages roughly $55M in denials, so your work directly protects the organization’s financial health. This role is about operational excellence and process improvement within an established, well-run department — not building from scratch. You’ll be measured on what matters: denial overturn rate and cash recoveries. What You’ll Own Daily leadership of the Denials, Appeals & Recovery team Analyzing denial trends to identify root causes and drive recoveries Ensuring denied and underpaid accounts are worked timely and appropriately Partnering with Managed Care on payer contracts and reimbursement strategy Leading payer Joint Operating Committees and maintaining payer report cards Coaching, developing, and supporting a tenured, specialized team What You’ll Bring Bachelor’s degree (relevant experience may substitute year-for-year) 10+ years in managed care, appeals/denials, and/or reimbursement — including 5+ years in written appeals CPC or CCS certification (AAPC or AHIMA)Strong working knowledge of major payers — Aetna, UnitedHealthcare, and Florida Blue experience is a plusHospital/health-system experience required (facility size flexible — what matters is understanding hospital insurance, reimbursement, contracts, and policies)Knowledge of Medicare NCD/LCD, ICD-10, CPT, DRG, HCPCS, and revenue codes preferred The Details Compensation: $90,000–$110,000 target (up to $120,000 DOE), plus annual bonus up to 15% Schedule: Monday–Friday, 8:00 AM–4:30 PM (onsite) Benefits: Full benefits package Relocation: Assistance available for the right candidate Interested, or know someone who’d be perfect? Apply here. All conversations are confidential. #J-18808-Ljbffr Networks Connect Healthcare Staffing