Billing Denials Specialist

Cuyuna Regional Medical Center•Crosby, MN

About The Position

The Billing Denials Specialist manages and appeals insurance claim denials to help ensure accuracy and optimize facility reimbursement. The role also identifies and resolves credit discrepancies in patient accounts and supports audit processes. The specialist regularly interacts with the Denials Committee and Business Office staff, delivering monthly and quarterly presentations with updates and educational content to improve departmental performance. Leadership responsibilities include training newer staff and overseeing their daily tasks to support compliance and efficiency. The position requires flexibility in scheduling, including potential rotating shifts, and the ability to adapt to changing departmental needs.

Requirements

Successfully complete data entry, general clerical, ten key, and denials specialist standards administered by Cuyuna Regional Medical Center Human Resources staff.
Associate degree in healthcare or business administration and/or related coursework, or comparable experience of three years in a related healthcare field.
Analytical problem-solving skills.
Ability to work independently.
Strong communication skills.
Adaptability to change.
Leadership skills.
Attention to detail.

Responsibilities

Manage and appeal insurance claim denials.
Identify and resolve credit discrepancies in patient accounts.
Support audit processes.
Present updates and educational content to the Denials Committee and Business Office staff on a monthly and quarterly basis.
Train newer staff and oversee their daily tasks to ensure compliance and efficiency.