Revenue Cycle Denials Specialist – Claims & Reimbursements

Mayfield Clinic, Inc.; Cincinnati (OH); On-site; USD 42,000 - 61,000; Full time

Job summary

Mayfield Clinic in Cincinnati is seeking a Claims Follow-Up Specialist to process insurance remittances, follow up on denials, and manage accounts receivable within the Revenue Cycle Management team.

Ideal candidates will have experience with insurance claims denials follow‑up, strong attention to detail, and the ability to learn quickly in a fast-paced healthcare environment. High school diploma required; CRCR certification preferred.

Qualifications

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

Responsibilities

• Follow up on submitted claims to maximize reimbursement.
• Submit appeals and overturn denials; post payments.
• Process takeback requests and resubmit corrections as needed.
• Research payer questions and ensure timely responses.
• Maintain documentation in the practice management system.

Skills

Customer service

Empathy

Problem solving

Multitasking

Communication

Teamwork

Computer skills

Adaptability

Attention to detail

Education

High School Diploma

2 years healthcare exp

Tools

CRCR Certification

Job description

Mayfield Clinic in Cincinnati is seeking a Claims Follow-Up Specialist to process insurance remittances, follow up on denials, and manage accounts receivable within the Revenue Cycle Management team.

Ideal candidates will have experience with insurance claims denials follow‑up, strong attention to detail, and the ability to learn quickly in a fast-paced healthcare environment. High school diploma required; CRCR certification preferred.