Insurance Denials Specialist

RAYUS Radiology; Saint Louis Park (MN); On-site; USD 29,000 - 40,000; Full time

Job summary

RAYUS Radiology is seeking an Insurance Denials Specialist I for a full-time remote role. You will investigate denied claims, gather needed documentation, and coordinate with patients and payers to accelerate billing and collections.

This position offers DailyPay and a pay range of $20.70–$29.93 per hour based on experience. Essential duties include reviewing denials, resubmitting with required information, and tracking communications in the billing system.

Qualifications

• High school diploma or equivalent required.
• Experience in medical billing or payer claim processing environment.
• Proficiency with Microsoft Excel, PowerPoint, Word and Outlook.
• Familiarity with ICD-10, CPT and HCPCS knowledge is a plus.
• Preferred: medical billing program graduation and/or 4-year degree.

Responsibilities

• Investigate and determine reasons for denied or unpaid claims.
• Obtain and submit required documentation for denial resubmission per guidelines.
• Communicate with patients, carriers, coworkers and referrals to expedite collections.
• Document all communications and track workflow in the billing system.
• Support reduction of DSO and improve monthly gross collections.
• Collaborate with supervisor to prioritize work and meet objectives.
• Maintain timely follow-up and complete daily tasks.

Skills

Excel

PowerPoint

Word

Outlook

Typing

Education

High School Diploma or equivalent

Medical Billing certificate

Bachelor's degree preferred

Job description

Job Summary

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 an Insurance 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.

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

Job Summary

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 an Insurance 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, working Monday-Friday 8:00 AM - 4:30 PM.

Remote Position

Yes

Status

Full-time

Requirements

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 all www.rayusradiology.com/careers.

DailyPay implementation is contingent upon initial set-up period.