Insurance Denials Specialist

rayusexternalcareers; Saint Louis Park (MN); Remote; USD 29,000 - 40,000; Full time

Benefits offered by this job

DailyPay

Remote work option

Job summary

RAYUS Radiology is seeking an Insurance Denials Specialist I to join our team. The role focuses on investigating denied or unpaid claims and expediting billing and collections.

This full-time position is 100% remote, with hours Mon-Fri 8:00 AM - 4:30 PM, and offers a pay range of $20.70 - $29.93 per hour based on experience. Required: High School diploma and 1+ year in medical billing or related field; proficiency with Excel, PowerPoint, Word, and Outlook; strong typing skills.

Qualifications

• Proficiency with Microsoft Office applications including Excel, PowerPoint, Word and Outlook.
• Ability to type accurately and efficiently in a fast-paced environment.
• 1+ year of medical billing/claims processing or related experience preferred.

Responsibilities

• Investigate and determine reasons for denied or unpaid claims.
• Expedite billing/collections by obtaining required documentation for resubmission.
• Communicate with patients, insurance carriers, and colleagues to resolve denials.
• Document all communications in the billing system and track workflow.
• Support reduction of days-sales-outstanding and improve collections performance.
• Follow daily tasks and QA standards; assist team as needed.

Skills

Excel

PowerPoint

Word

Outlook

Typing

Education

High School diploma

Job description

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

The pay range for this position is $20.70 - $29.93 based on direct and relevant experience.

RAYUS Radiology is looking for anInsurance Denials Specialist I 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, and referral sources in a timely, effective manner. This position is full-time 100% remote, workingMonday-Friday 8:00 AM - 4:30 PM.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

(95%) Insurance Denial Follow-up

• 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 a specific denial type or payer
• 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, and referral sources 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
• Collaborates with supervisor on prioritization of work to enhance bottom line results and achievement of the most important objectives
• Contributes to a team environment
• Makes and organizes notes to track workflow and identify trends to communicate to departmental leaders
• Meets or exceeds RCM Quality Assurance standards
• Ensures timely follow-up and completion of all daily tasks and responsibilities

(5%) Performs other duties as assigned

Required:

• High School diploma or equivalent
• 1+ year experience in a medical billing department, provider front office, the Company's imaging center operations, prior authorization department or payer claim processing department
• 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! Visit our career page to see them allwww.rayusradiology.com/careers.

DailyPay implementation is contingent upon initial set-up period.