Denials Recovery Rep-Remote

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.

High School Diploma or GED and 2 years of experience in medical billing (hospital and/or professional) Required.

OR

Bachelors Degree Required.

Associates degree or higher preferred. Four years of relevant experience preferred.

Healthcare Financial Management Association (HFMA) Certification Preferred.

Ability to read and communicate effectively in English. Basic computer/keyboarding skills intermediate mathematic competency. Good written and verbal communication skills. Knowledge of proper phone etiquette and phone handling skills. Must maintain regular and acceptable attendance; may be required to work weekend holiday or OT hours.
Knowledge of and experience with Epic general knowledge of medical billing and collections processes general knowledge of healthcare terminology and knowledge of contracted payers preferred.

*This position is a 100% remote work. Individual may live anywhere in the US.
**This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.

During the selection process you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview a question will appear on your screen and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.