Insurance Denial Specialist II

Foundation Radiology Group; Saint Louis Park (MN); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading radiology group is seeking an Insurance Denials Specialist II to work remotely. You will review denied claims and manage billing processes effectively. Ideal candidates have 2+ years of experience in medical billing and strong proficiency in Microsoft tools. Join our team and contribute to exceptional patient care!

Benefits

Medical, dental, and vision insurance

401k with company match

Tuition reimbursement

PTO and holiday pay

Qualifications

• 2+ years' experience in a medical billing department or 9+ months experience as Insurance Denials Specialist.
• Proficiency in using computer systems.

Responsibilities

• Investigate and determine reasons for denied claims.
• Ensure timely billing and collection of accounts receivable.
• Communicate effectively with patients and insurance carriers.

Skills

Proficiency with Microsoft Excel

Proficiency with Microsoft Word

Typing proficiency

Education

High School diploma or equivalent

Bachelor's degree strongly preferred

Job description

RAYUS now offers DailyPay! Work today, get paid today!

The pay range for this position is $22.04-31.87 based on direct and relevant experience.

RAYUS Radiology is looking for an Insurance Denials Specialist II to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As an Insurance Denials Specialist you will investigate and determine the reason for a denied or unpaid claim, and take necessary steps to expedite the medical billing and collections of the accounts receivable. At CDI our passion for our patients, customers and purpose requires teamwork and dedication from all of our associates. Working in a team environment, you'll communicate with patients, insurance carriers, co-workers, centers, markets, referral sources and attorneys in a timely, effective manner. This is a 100% fully remote full-time position working Monday-Friday from 8:00am - 5:00pm.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Insurance Denial Follow-up (90%):

• Accurately and efficiently reviews denied claim information using the payer's explanation of benefits, website, and by making outbound phone calls to the payer's provider relations department for multiple denial types, payers, and/or states
• Reviews and obtains appropriate information or documentation from claim re-submission for all denied services, per insurance guidelines and requirements
• Communicates with patients, insurance carriers, co-workers, centers, markets, referral sources and attorneys in a timely, effective manner to expedite the billing and collection of accounts receivable
• Documents all communications with coworkers, patients, and payer sources in the billing system
• Contributes to the steady reduction of the days-sales-outstanding (DSO), increases monthly gross collections and increases percentage of collections
• Prioritizes work load, concentrating on "priority" work which will enhance bottom line results and achievement of the most important objectives
• Contributes to a team environment
• Recognizes and communicates trends in workflow to departmental leaders
• Meets or exceeds RCM Quality Assurance standards
• Ensures timely follow-up and completion of all daily tasks and responsibilities

Performs other duties as assigned (10%):

• As backup for customer service team, communicates and responds to customer inquiries as needed

Qualifications:

Required:

• High School diploma or equivalent
• 2+ years' experience in a medical billing department, prior authorization department or payer claim processing department, or 9+ months experience as Insurance Denials Specialist within the organization
• Proficiency with Microsoft Excel, PowerPoint, Word, and Outlook
• Proficient with using computer systems and typing

Preferred:

• Graduate of an accredited medical billing program
• Bachelor's degree strongly preferred
• Knowledge of ICD-10, CPT and HCPCS codes

RAYUS is committed to delivering clinical excellence in communities across the U.S., driven by our passion for and superior service to referring providers and patients. RAYUS Radiology is built on our brilliant medicine, brilliant team, brilliant technology and services - all to provide the highest level of patient care possible.

We bring brilliance to health and wellness. Join our team and shine the light on Radiology Services! RAYUS Radiology is an EO Employer/Vets/Disabled.

We offer benefits (based on eligibility) including medical, dental and vision insurance, 401k with company match, life and disability insurance, tuition reimbursement, adoption assistance, pet insurance, PTO and holiday pay and many more!