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$88k–$124k/yr
Full-time
associate degree
Medical insurance, Dental insurance, Vision insurance, HSA, FSA, Retirement package
Posted 9d ago
~40 hrs/week
Responsibilities
The Clinical Appeals Specialist is responsible for reviewing clinically related denials, payer audits, and correspondence to prepare appeal submissions. They act as a liaison to revenue cycle and case management teams to defend denied claims and identify denial prevention opportunities.
Requirements
Candidates must hold an active unrestricted RN license and have at least 3 years of relevant nursing experience. An associate degree is the minimum education requirement, with preference given to those with certifications like CCDS, CDIP, or HFMA.
Full job description
This is a hybrid position and must be located within 100 miles of any of the Mayo Clinic campuses for on-site expectations based on business needs.
Primary duties may include, but are not limited to, responsibility for reviewing assigned clinically related denials, payer audits, and payer correspondence as well as preparation of relevant appeal submission or audit responses. Utilizes clinical expertise and critical thinking in the evaluation of medical records against appropriate criteria and contract requirements and utilizes appropriate communication style to appeal or defend medically denied claims. Is a liaison and resource to revenue cycle, case management and practice stakeholders in defending clinically denied claims and providing relevant feedback to key stakeholders on denial prevention opportunities.
Why Mayo Clinic
Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & 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 comprehensive benefit plans – 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.
Benefits Highlights
Medical: Multiple plan options.
Dental: Delta Dental or reimbursement account for flexible coverage.
Vision: Affordable plan with national network.
Pre-Tax Savings: HSA and FSAs for eligible expenses.
Retirement: Competitive retirement package to secure your future.
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. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is.
Equal Opportunity
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 "EOE is the Law". Mayo Clinic participates in E-Verify 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.
Related keywords
Clinical AppealsDenialsPayer AuditsRevenue CycleCase ManagementICD-10-CM/PCSDRGMedicareMedicaidIPPSClinical ValidationUtilization ReviewPrior AuthorizationEpicMilliman Care GuidelinesInterQual
Mayo Clinic has expanded and changed in many ways, but our values remain true to the vision of our founders. Our primary value – The needs of the patient come first – guides our plans and decisions as we create the future of health care. Join us and you'll find a culture of teamwork, professionalism and mutual respect, and most importantly, a life-changing career.
Mayo Clinic was founded in Rochester, Minnesota by brothers Dr. William James Mayo and Dr. Charles Horace Mayo. More than 100 years later, their vision continues to evolve around a single guiding value: "The needs of the patient come first." Today we are the largest integrated, not for-profit medical group practice in the world.
We are recognized for high-quality patient care more than any other academic medical center in the nation. These endorsements are very gratifying, but also humbling. They remind us of the tradition that has been entrusted to each one of us, and the legacy of excellence that we uphold every day.
Offices: 200 First St. S.W., Rochester, Minnesota 55905, US · 13400 East Shea Blvd., Scottsdale, Arizona 85259, US · 4500 San Pablo Road, Jacksonville, Florida 32224, US · 5777 E Mayo Blvd, Phoenix, Arizona 85054, US · 201 W Center St., Rochester, MN 55902, US
Heart CareCancer TreatmentTransplantationand NeurosciencesHospitalHealth CareWellnessBiotechnologyMedicalVenture Capital
Based on 1182 listings with disclosed salaries, most administrative jobs in Minnesota pay between $50k–$100k per year. Individual offers vary with seniority, company size, and specialization.
How many Administrative jobs are open in Minnesota right now?
There are currently 5,228 open administrative positions in Minnesota listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Administrative roles in Minnesota?
Companies currently hiring include Mayo Clinic, Fairview Health Services, Children's Minnesota, Baseline Fitness, Hennepin Healthcare, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Administrative jobs in Minnesota?
Yes — 958 of the 5228 open administrative positions offer remote or hybrid work (200 remote, 758 hybrid).
How do I apply for Administrative jobs in Minnesota?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.