Why Mayo Clinic
Mayo Clinic is the nation’s best hospital (U.S. News & World Report, 2022-2023) and ranked #1 in more specialties than any other care provider. We have a vast array of opportunities ranging from Nursing, Clinical, to Finance, IT, Administrative, Research and Support Services to name a few. Across all locations, you’ll find career opportunities that support diversity, equity and inclusion. At Mayo Clinic, we invest in you with opportunities for growth and development and our benefits and compensation package are highly competitive. We invite you to be a part of our team where you’ll discover a culture of teamwork, professionalism, mutual respect, and most importantly, a life-changing career!
Mayo Clinic offers a variety of employee benefits. For additional information please visit Mayo Clinic Benefits. Eligibility may vary.
Position description
The denials recovery representative II 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.
Qualifications
High School Diploma or GED and 2 years of experience in medical billing (hospital and/or professional)
OR
Bachelor’s Degree Required. 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.
Additional qualifications
Associates degree or higher preferred and Four years of relevant experience preferred.
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.
Exemption status
Non-exempt
Compensation Detail
$20.45 – $31.98 / hour
Benefits eligible
Yes
Schedule
Full Time
Hours / Pay period
80
Schedule details
100% Remote, can work from any location
Days Monday-Friday
Weekend schedule
N/A
Remote
Yes
International Assignment
No
Site description
Mayo Clinic is located in the heart of downtown Rochester, Minnesota, a vibrant, friendly city that provides a highly livable environment for more than 34,000 Mayo staff and students. The city is consistently ranked among the best places to live in the United States because of its affordable cost of living, healthy lifestyle, excellent school systems and exceptionally high quality of life.
Recruiter
Veronica Bartz
EOE
As an Affirmative Action and Equal Opportunity Employer Mayo Clinic is committed to creating an inclusive environment that values the diversity of its employees and does not discriminate against any employee or candidate. Women, minorities, veterans, people from the LGBTQ communities and people with disabilities are strongly encouraged to apply to join our teams. Reasonable accommodations to access job openings or to apply for a job are available.
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