Billing Denials Specialist

Posted 3 Days Ago
Be an Early Applicant
56441, Crosby, MN, USA
In-Office
Mid level
Other
The Role
Manages and appeals insurance claim denials, resolves patient account credit discrepancies, supports audits, and communicates process improvements through committee and business office presentations. Trains newer staff, oversees daily tasks, and promotes compliance, accuracy, and reimbursement efficiency. The role requires analytical problem-solving, strong communication, adaptability, attention to detail, and scheduling flexibility.
Summary Generated by Built In
Optimize revenue and enhance claims processes in healthcare.
Join Our Team at Cuyuna Regional Medical Center

At Cuyuna Regional Medical Center (CRMC), we're more than just a healthcare organization - we're a community dedicated to making a meaningful impact. For more than 60 years, we've been providing compassionate, high-quality care in the Greater Brainerd Lakes Area and beyond. Our team is driven by a shared commitment to excellence, innovation, and putting people first - both our patients and our employees. Whether you're on the front lines of patient care or supporting operations behind the scenes, you'll find a culture of collaboration, growth, and respect. If you're looking for a career where your work truly matters, we invite you to join us at CRMC and be part of something bigger.



A Day in the Life of a Billing Denials Specialist

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.


About the Business Office Department Financial Integrity, Patient Focus

What makes our Business Office truly special is the deep sense of connection, dedication and longevity within our team. Our Team thrives on flexibility and the desire to learn, knowing that every day presents new challenges. We embrace the evolving nature of our work with compassion and a commitment to problem-solving, critical thinking, and clear communication, all aimed at ensuring the financial side of healthcare operates smoothly, ethically, and transparently.  Our patients have placed their trust in us to meet their healthcare needs, and we strive to manage their financial accounts with that same level of care and attention. Whether we're processing claims, managing reimbursements, analyzing revenue cycles, or training staff on financial policies, every task we take on is done with a focus on fairness, accuracy, and efficiency.  While many of us didn’t initially set out for a career in healthcare finance, we’ve discovered a profound sense of purpose in helping our patients through the financial aspect of their health journey.  Providing them with the support, guidance, and clarity they need to navigate what can often feel like a complex and overwhelming process.


Ideal Candidate (What will make you a great fit!)
  • Analytical problem solver
  • Independent worker
  • Strong communicator
  • Adaptable to change
  • Leadership skills
  • Detail-oriented
QualificationsEducation and ExperienceRequired
  • 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

Compensation and Benefits

The pay range is listed above. Actual pay rate offered is determined based on experience in this role. Please be sure to include all applicable experience in your application.
Cuyuna Regional Medical Center offers a comprehensive benefits package designed to support the health, financial security, and overall well-being of our employees. Eligible employees receive medical insurance, dental insurance, and vision insurance, health savings accounts, life insurance, and employer contributions to a 401(k) retirement plan. Additional benefits include paid time off, participation in 401(k) and 457(b) plans, educational assistance and reimbursement, an employee assistance program, work-life balance support, gym membership and other discounts, and employee recognition programs.

A full job description is provided when an interview is scheduled. If needed, you may request a copy earlier by emailing us at [email protected]. CRMC is an Equal Opportunity/Affirmative Action Employer (M/F/Disability/Veteran). If you need an accommodation during the application process, please call 218-546-4415 or email [email protected] for assistance.

Skills Required

  • Successful completion of Cuyuna Regional Medical Center Human Resources standards for data entry, general clerical work, ten-key proficiency, and denials specialization
  • Associate degree in healthcare or business administration, related coursework, or comparable experience
  • Three years of experience in a related healthcare field if substituting experience for education
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The Company
HQ: Crosby, MN
900 Employees
Year Founded: 1964

What We Do

Cuyuna Regional Medical Center (CRMC) is a nonprofit critical access hospital serving the Brainerd Lakes region of Minnesota. Dedicated to delivering exceptional care and compassion, CRMC provides a full spectrum of comprehensive primary and specialty care, including emergency services, surgical procedures, and diagnostic imaging, to over 60,000 residents across various rural communities, prioritizing patient-centered care and innovation to reduce the need for travel.

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