Denial Analytics & Revenue Cycle Specialist

Mile Bluff Medical Center; Mauston (WI); On-site; USD 55,000 - 75,000; Full time

Job summary

Mile Bluff Medical Center in Mauston, WI is seeking a Denial Management Specialist to analyze data, identify root causes, and implement process improvements to reduce denials and write-offs. You will develop revenue cycle reports and monitor denials to support operational performance.

The role requires strong analytical skills, attention to detail, and collaboration with clinical and administrative teams to educate on denial trends and optimize billing processes.

Qualifications

• High school diploma or equivalent required.
• AA or 4 years of equivalent experience required.
• 5+ years of related work experience preferred.
• Experience working in the medical industry preferred.
• Exceptional accuracy and attention to detail required.

Responsibilities

• Creates Revenue Cycle reports.
• Responsible for collecting, researching and analyzing business and operational data.
• Provides monitoring and trending of system denials.
• Works with other departments, including operational, to reduce the dollar amounts of denials and rework.
• Works denials to resolution.
• Collaborates with other revenue cycle departments to educate on denial trends.
• Identifies and monitors process improvement efforts with the revenue cycle.
• Establishes definitions and criteria for reporting avoidable denials.
• Attends workshops and seminars to maintain a high level of knowledge and capabilities related to position.
• Perform other duties as requested.

Skills

Analytical thinking

Attention to detail

Interpersonal communication

Problem-solving

Data interpretation

Education

High school diploma or equivalent

AA degree or 4 years of equivalent experience

Job description

Mile Bluff Medical Center in Mauston, WI is seeking a Denial Management Specialist to analyze data, identify root causes, and implement process improvements to reduce denials and write-offs. You will develop revenue cycle reports and monitor denials to support operational performance.

The role requires strong analytical skills, attention to detail, and collaboration with clinical and administrative teams to educate on denial trends and optimize billing processes.