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Billing Denials Specialist

Full Time

Job Description

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

Qualifications

Education and Experience

Required

  • 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 careers@cuyunamed.org. 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 careers@cuyunamed.org for assistance.

Schedule

8-hour Day Shift
Cuyuna Regional Medical Center
About Cuyuna Regional Medical Center

While the medical campus is in Crosby, Minnesota, CRMC draws market share from a much broader region in Central Minnesota. With 25 operating beds and $120 million in net patient revenues, CRMC has established itself as a key asset in the beautiful lake country of eastern Crow Wing County. CRMC has strategically partnered with health systems and institutions in Minnesota to provide a broad array of services that are not typically provided by critical access hospitals and has numerous branded service lines.

This healthcare system is a testimony to the positive, can-do spirit of its leadership, physicians, and staff. Working together, looking for ways to make things happen, they have established an integrated, 40-acre campus with a state-of-the-art hospital with technologically advanced surgical suites, advanced life support ambulance service, senior housing, and a long-term care facility. There are also three additional physician clinics in Baxter, Breezy Point and Longville. CRMC has 1,020 employees and an active medical staff of over 60 physicians and 23 advanced practice providers, which includes 15 surgeons and 45 primary care providers. More than 8,500 surgeries are performed annually at CRMC. The organization has a strong balance sheet with a solid operating margin and is the largest employer on the Cuyuna Range and the second largest employer in Crow Wing County. CRMC has been recognized nationally, regionally, and in the state for its excellence. The hospital is accredited by The Joint Commission Accreditation; The Commission on Cancer of the American College of Surgeons; and by the Commission on Office Laboratory Accreditation.

        

   

THE COMMUNITY

The Cuyuna Lakes area is home to Bay Lake, Crosby, Cuyuna, Deerwood, Emily, Ironton, Riverton, and Trommald. The area has nearly 6,000 year-round residents and thousands more seasonal residents and visitors. This is where small town charm meets the great outdoors. The Cuyuna Country State Recreation Area boasts over 500 lakes and 25 miles of forested shoreline providing peaceful relaxation for those who desire a place to picnic, bike, hike, fish, or ski/snowmobile. There are over 30 miles of groomed mountain biking and ATV trails, local swimming beaches and a variety of parks, 2 fine golf courses, and over 30 camp sites available. This is a safe and caring place for family, a regional hub for healthcare, and has an excellent school district that embraces technology, academics, and extracurricular activities. The community is proud to be a destination for tomorrow’s leaders and entrepreneurs. The community welcomes newcomers and guests during any season to experience how the area is accelerating. The locals state: “There are few times in life that you can be part of a story this big in a region this small.”

For additional information on Crosby, the Cuyuna Lakes Chamber of Commerce, and the Crosby- Ironton School District, as well as the surrounding Brainerd Lakes area, please visit the following websites:

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