Denials Recovery Rep-Hybrid

Mayo Clinic • Rochester, MN

9h • $22 - $34 • Hybrid

About The Position

The denials recovery representative is an experienced position within the Mayo Clinic enterprise denials management team. This position is responsible for investigating and resolving denied payments from third party payers in an effort to prevent lost reimbursement. The position will require experience in successfully appealing denials, including root cause analysis and coordination with payers to enable proper claim adjudication. The ability to effectively communicate with third party payer representatives and knowledge of appeal guidelines will be vital to the role. This position will be responsible for working denials of higher complexity, and will require knowledge of payer appeal requirements. This role will require adherence to quality assurance metrics, as well productivity standards that will enable denial key performance indicators to be met.

Requirements

• Experience in investigating and resolving denied payments from third party payers.
• Experience in successfully appealing denials.
• Experience in root cause analysis.
• Experience in coordination with payers to enable proper claim adjudication.
• Ability to effectively communicate with third party payer representatives.
• Knowledge of appeal guidelines.
• Knowledge of payer appeal requirements.

Responsibilities

• Investigating and resolving denied payments from third party payers.
• Appealing denials, including root cause analysis.
• Coordinating with payers to enable proper claim adjudication.
• Communicating effectively with third party payer representatives.
• Working denials of higher complexity.
• Adhering to quality assurance metrics and productivity standards.

Benefits

• Medical: Multiple plan options.
• Dental: Delta Dental or reimbursement account for flexible coverage.
• Vision: Affordable plan with national network.
• Pre-Tax Savings: HSA and FSAs for eligible expenses.
• Retirement: Competitive retirement package to secure your future.
• Continuing education and advancement opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed