Denials Recovery Rep-Hybrid

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    "ExternalDescriptionStr": "<p><strong>HYBRID:</strong> This is a hybrid position and must be located within <strong>100 miles</strong> of any of the Mayo Clinic campuses for on-site expectations based on business needs.&nbsp;<br>\n &nbsp;</p>\n<p>The denials recovery representative is an experienced position within the Mayo Clinic enterprise denials management team. This position is responsible for investigating and resolving denied payments from third party payers in an effort to prevent lost reimbursement. The position will require experience in successfully appealing denials, including root cause analysis and coordination with payers to enable proper claim adjudication. The ability to effectively communicate with third party payer representatives and knowledge of appeal guidelines will be vital to the role. This position will be responsible for working denials of higher complexity, and will require knowledge of payer appeal requirements. This role will require adherence to quality assurance metrics, as well productivity standards that will enable denial key performance indicators to be met.</p>",
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    "CorporateDescriptionStr": "<div>\n <b>Why Mayo Clinic</b>\n</div>\n<div>\n <br/> Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News &amp; World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and&nbsp;<a href=\"https://jobs.mayoclinic.org/benefits/\" target=\"_blank\" rel=\"nofollow\">comprehensive benefit plans</a>&nbsp;– to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.\n</div>\n<div>\n <br/>\n</div>\n<div>\n <b>Benefits Highlights</b> <br/> \n <ul>\n  <li>Medical:&nbsp;Multiple plan options.</li>\n  <li>Dental:&nbsp;Delta Dental or reimbursement account for flexible coverage.</li>\n  <li>Vision:&nbsp;Affordable plan with national network.</li>\n  <li>Pre-Tax Savings:&nbsp;HSA and FSAs for eligible expenses.</li>\n  <li>Retirement: Competitive retirement package to secure your future.</li>\n </ul>\n</div>",
    "ExternalPostedStartDate": "2026-06-04T20:01:34+00:00",
    "ExternalQualificationsStr": "<p>High School Diploma or GED and 2 years of experience in medical billing (hospital and/or professional)&nbsp;</p>\n<p>OR&nbsp;</p>\n<p>Bachelor’s Degree Required.&nbsp;</p>\n<p>Associates degree or higher and 4 years of relevant experience preferred.&nbsp;</p>\n<p><strong>Preferred Applicants</strong> will have <strong>5+ years</strong> of <strong>Accounts Receivable</strong> or <strong>Denial experience</strong>.&nbsp;</p>\n<p>Ability to read and communicate effectively in English. Basic computer/keyboarding skills, intermediate mathematic competency. Good written and verbal communication skills. Knowledge of proper phone etiquette and phone handling skills. Must maintain regular and acceptable attendance; may be required to work weekend, holiday or OT hours.<br>\n Knowledge of and experience with Epic, general knowledge of medical billing and collections processes, general knowledge of healthcare terminology and knowledge of contracted payers preferred. Healthcare Financial Management Association (HFMA) Certification Preferred.</p>\n<p><strong>**This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.</strong></p>\n<p><i>During the selection process, you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.</i></p>",
    "InternalQualificationsStr": "<p>High School Diploma or GED and 2 years of experience in medical billing (hospital and/or professional)&nbsp;</p>\n<p>OR&nbsp;</p>\n<p>Bachelor’s Degree Required.&nbsp;</p>\n<p>Associates degree or higher and 4 years of relevant experience preferred.&nbsp;</p>\n<p><strong>Preferred Applicants</strong> will have <strong>5+ years</strong> of <strong>Accounts Receivable</strong> or <strong>Denial experience</strong>.&nbsp;</p>\n<p>Ability to read and communicate effectively in English. Basic computer/keyboarding skills, intermediate mathematic competency. Good written and verbal communication skills. Knowledge of proper phone etiquette and phone handling skills. Must maintain regular and acceptable attendance; may be required to work weekend, holiday or OT hours.<br>\n Knowledge of and experience with Epic, general knowledge of medical billing and collections processes, general knowledge of healthcare terminology and knowledge of contracted payers preferred. Healthcare Financial Management Association (HFMA) Certification Preferred.</p>\n<p><strong>**This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.</strong></p>\n<p><i>During the selection process, you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.</i></p>",
    "OrganizationDescriptionStr": "<div>\n Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives.&nbsp;<a href=\"https://jobs.mayoclinic.org/alllocations\" target=\"_blank\" rel=\"nofollow\">Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is.</a>&nbsp;\n</div>\n<div>\n <br/> \n <div>\n  <b>Equal Opportunity</b>\n </div>\n <div>\n  <br/>All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the&nbsp;<a href=\"https://www.eeoc.gov/poster\" target=\"_blank\">\"EOE is the Law\"</a>.&nbsp; Mayo Clinic participates in&nbsp;<a href=\"https://www.e-verify.gov/sites/default/files/everify/posters/EVerifyParticipationPoster.pdf\" target=\"_blank\">E-Verify</a>&nbsp;and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.\n </div>\n</div>",
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