Denials Specialist, RCM

Job Description

Job Description

This Specialist will join the claims follow up team and be responsible for processing insurance company remittances, denials follow up, and other tasks related to insurance claim accounts receivable. The Revenue Cycle Management (RCM) team is looking for someone with insurance claims denials follow up experience, plus critical thinking skills, attention to detail, and the ability to learn quickly and adapt to a changing environment.

Education / Experience :

• High School Diploma required
• Two years' experience in healthcare administration / revenue cycle
• CRCR Certification preferred

Skills :

Primary Responsibilities : The purpose of this position is to execute follow-up actions on insurance claims; expedite positive cash flow, maximize reimbursement, and resolve claims denials and issues with payers in the assigned area of the Revenue Cycle claims process.

Essential Functions :

Physical Requirements :

Mayfield Clinic Mission : To provide the best neurological care for our patients through :

Mayfield Clinic Values : All associates who are affiliated with the Mayfield Clinic must agree to use these values as a basis for their employment, and recognize that they are part of the associate’s annual Performance Review and Development Plan :