Billing Denials Specialist
About The Position
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.
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
Benefits
- medical insurance
- dental insurance
- vision insurance
- health savings accounts
- life insurance
- employer contributions to a 401(k) retirement plan
- paid time off
- participation in 401(k) and 457(b) plans
- educational assistance and reimbursement
- employee assistance program
- work-life balance support
- gym membership
- other discounts
- employee recognition programs
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
