Billing Denials Specialist

Cuyuna Regional Medical Center•Crosby, MN

About The Position

Optimize revenue and enhance claims processes in healthcare. Join Our Team at Cuyuna Regional Medical Center At Cuyuna Regional Medical Center (CRMC), we're more than just a healthcare organization - we're a community dedicated to making a meaningful impact. For more than 60 years, we've been providing compassionate, high-quality care in the Greater Brainerd Lakes Area and beyond. Our team is driven by a shared commitment to excellence, innovation, and putting people first - both our patients and our employees. Whether you're on the front lines of patient care or supporting operations behind the scenes, you'll find a culture of collaboration, growth, and respect. If you're looking for a career where your work truly matters, we invite you to join us at CRMC and be part of something bigger. A Day in the Life of a Billing Denials Specialist In the role of Denials Specialist, you will be at the forefront of managing and appealing insurance claim denials, ensuring accuracy and optimizing reimbursement for the facility. You will also be responsible for identifying and resolving credit discrepancies in patient accounts and supporting audit processes. Regular interaction with the Denials Committee and Business Office staff through monthly and quarterly presentations is key to communicating updates and educational content to improve departmental performance. Leadership responsibilities include training newer staff and overseeing their daily tasks to ensure compliance and efficiency. This position requires flexibility in scheduling, including potential rotating shifts, and the ability to adapt quickly to the changing needs of the department. About the Business Office Department Financial Integrity, Patient Focus What makes our Business Office truly special is the deep sense of connection, dedication and longevity within our team. Our Team thrives on flexibility and the desire to learn, knowing that every day presents new challenges. We embrace the evolving nature of our work with compassion and a commitment to problem-solving, critical thinking, and clear communication, all aimed at ensuring the financial side of healthcare operates smoothly, ethically, and transparently. Our patients have placed their trust in us to meet their healthcare needs, and we strive to manage their financial accounts with that same level of care and attention. Whether we're processing claims, managing reimbursements, analyzing revenue cycles, or training staff on financial policies, every task we take on is done with a focus on fairness, accuracy, and efficiency. While many of us didn’t initially set out for a career in healthcare finance, we’ve discovered a profound sense of purpose in helping our patients through the financial aspect of their health journey. Providing them with the support, guidance, and clarity they need to navigate what can often feel like a complex and overwhelming process.

Requirements

Successful completion of data entry, general clerical, ten key, and denials specialist standards administered by Cuyuna Regional Medical Center Human Resources staff
Associates degree in healthcare or business administration and/or related coursework -OR- comparable experience of three (3) years in a related healthcare field
Analytical problem solver
Independent worker
Strong communicator
Adaptable to change
Leadership skills
Detail-oriented

Responsibilities

Managing and appealing insurance claim denials
Ensuring accuracy and optimizing reimbursement for the facility
Identifying and resolving credit discrepancies in patient accounts
Supporting audit processes
Regular interaction with the Denials Committee and Business Office staff through monthly and quarterly presentations
Communicating updates and educational content to improve departmental performance
Training newer staff
Overseeing daily tasks of newer staff to ensure compliance and efficiency