Claims Denials & Revenue Recovery Specialist

mayfieldclinic; Cincinnati (OH); On-site; USD 42,000 - 62,000; Full time

Job summary

Mayfield Clinic in Cincinnati is seeking a Specialist to join the claims follow-up team, handling insurance remittances, denial follow-up, and other accounts receivable tasks.

The role requires two years in healthcare revenue cycle, a High School Diploma, and strong customer service, written and verbal communication, and critical thinking. CRCR certification is preferred and the candidate should learn quickly and adapt to change in a fast-paced environment.

Qualifications

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

Responsibilities

• Follow up on submitted claims and take corrective actions to overturn denials.
• Submit appeals and post payments; process takeback requests.
• Research and contact payers regarding unpaid claims.
• Ensure timely posting of remittance advice and update practice management system.
• Prioritize aging claims and manage refunds for credit balances.
• Provide customer service and communicate with patients/clients.

Skills

Customer service

Empathy

Problem solving

Multi-tasking

Communication

Teamwork

Computer literacy

Self-motivation

Education

High School Diploma

Healthcare revenue cycle experience (2 years)

CRCR Certification preferred

Tools

Practice management software

Multiple software applications

Job description

Mayfield Clinic in Cincinnati is seeking a Specialist to join the claims follow-up team, handling insurance remittances, denial follow-up, and other accounts receivable tasks.

The role requires two years in healthcare revenue cycle, a High School Diploma, and strong customer service, written and verbal communication, and critical thinking. CRCR certification is preferred and the candidate should learn quickly and adapt to change in a fast-paced environment.