Denials Specialist - Medical Bill Audit - (260003L8)
Under the direction of the Dir Denial & Medical Bill Audit, the Denials Specialist provides operational and administrative support to the Denials Team to ensure accurate, timely, and consistent handling of denial‑related activities. This role is responsible for reviewing denial and refund work queues, routing accounts to the appropriate queues, supporting attorney and vendor referrals, reviewing correspondence, and providing ongoing assistance to team members as needed. The Denials Specialist demonstrates reliability, attention to detail, and a clear understanding of departmental objectives, policies, and procedures. All duties are performed in accordance with Tampa General Healthcare's mission, vision, and values, with a focus on supporting revenue integrity and customer service excellence.Essential Functions:Reviews the Denials and Refund work queues and routes accounts to the appropriate queues in accordance with established procedures.Provides follow‑up and support related to attorney and vendor referrals, ensuring timely documentation and tracking.Reviews correspondence related to denials, refunds, and appeals and distributes information appropriately to support team workflows.Maintains timely and accurate reporting of legal and vendor referrals.Provides administrative and operational support to the Denials Team as needed to ensure continuity of operations.Monitors and reports issues impacting cash flow and participates in performance improvement initiatives.Utilizes Excel and PowerPoint to support data tracking, reporting, and presentations.Communicates professionally and effectively with internal departments, vendors, attorneys, and other stakeholders.Assists with training and onboarding of new team members by sharing knowledge and providing feedback as requested.Performs all duties in compliance with departmental policies and Tampa General Healthcare’s mission, vision, and values.
High School Diploma or GEDThree (3) years billing and/or collection experience working in a medical setting.Skills & Abilities:Working knowledge of hospital billing, collections, receivables processing, and payer requirements related to denials and refunds.Proficiency in Microsoft Excel and PowerPoint, with the ability to support reporting, tracking, and presentation needs.Ability to consistently perform work with a high level of accuracy, ensuring accounts and referrals are processed correctly and timely.Strong verbal and written communication skills, including effective telephone etiquette when following up with vendors, attorneys, and internal stakeholders.Ability to manage multiple tasks, meet deadlines, and consistently complete assignments to successful conclusion.Ability to work cooperatively with team members, provide support as needed, and contribute to a positive and productive team environment.
: Tampa
TGH Corporate Center
606 W Kennedy Blvd
Tampa 33606
Eligible for Remote Work: Hybrid Remote
: Patient Financial Services
: Florida Health Sciences Center Tampa General Hospital
: Full-time
Scheduled Days: Monday, Tuesday, Wednesday, Thursday, Friday
: Day Job
: Hybrid Remote
Shift Hours: 8:00 am - 4:30 pm
: 20.76
: Oct 1, 2026, 5:06:50 PM
Tampa General is a private not-for-profit hospital and one of the most comprehensive medical facilities in West Central Florida serving a dozen counties with a population in excess of 4 million. As one of the largest hospitals in Florida, Tampa General is licensed for 982 beds, and with over 15,000 team members, is one of the region’s largest employers.
Consistently recognized for world-class care, Tampa General Hospital is ranked as the #1 hospital in Tampa Bay by U.S. News & World Report for 2024-25 and is nationally ranked as among the top 50 hospitals in the nation in eight specialties. Additionally, Tampa General was ranked as “high performing,” or among the top 10% of hospitals in the nation, in five more specialties along with 12 procedures and conditions.
TGH partners with the USF Health Morsani College of Medicine to pioneer breakthrough treatments, conduct game-changing clinical research and train the next generation of health care professionals. TGH is the region's only academic health system, having been affiliated with the USF Health Morsani College of Medicine since the school was created in the early 1970s.
TGH is the area’s only Level I trauma center and one of two ABA-verified Adult & Pediatric burn centers in Florida. With five medical helicopters, we are able to transport critically injured or ill patients from 23 surrounding counties to receive the advanced care they need. The hospital is home to the leading organ transplant center in the country, having performed more than 14,000 adult solid organ transplants, including the state’s first successful heart transplant in 1985. Tampa General Hospital is committed to serving all residents of West Central Florida. We provide comprehensive health services, ranging from wellness and primary care to the most complex specialty care and post-acute services.
