Insurance Denials Specialist for Coding Denial Management

rayusexternalcareers; Saint Louis Park (MN); Remote; USD 29,000 - 41,000; Full time

Benefits offered by this job

DailyPay

Medical, dental, and vision insurance

401k with company match

Tuition reimbursement

PTO and holidays

Job summary

Rayus Radiology is seeking an Insurance Denials Specialist II to investigate denied or unpaid claims and expedite billing and collections. This full-time role works Mon-Fri, 8:00am-4:30pm, and is 100% remote.

You will communicate with patients, insurers, and internal teams to resolve denials and improve revenue cycle performance, requiring 2 years in medical billing or related experience and proficiency with Excel, PowerPoint, Word and Outlook.

Qualifications

• High School diploma or equivalent required.
• 2 years in medical billing or payer claim processing; or 9+ months in Insurance Denials Specialist within the org.
• Proficiency with Microsoft Office (Excel/PowerPoint/Word/Outlook).
• Proficient typing and computer system usage.

Responsibilities

• Investigate and determine reasons for denied or unpaid claims.
• Expedite medical billing and collections in accounts receivable.
• Communicate with patients, insurers, and internal teams.
• Document all communications in the billing system.
• Contribute to reducing days-sales-outstanding (DSO) and increase collections.

Skills

Excel

PowerPoint

Word

Outlook

Typing

Education

High School diploma or equivalent

Bachelor’s degree strongly preferred

Graduate of an accredited medical billing program

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, formerly Center for Diagnostic Imaging and Insight Imaging, is looking for anInsurance Denials SpecialistIIto 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 II, you willinvestigate 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 RAYUS 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 position is full-time working Monday - Friday 8:00am -4:30pm andis 100% remote.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

(90%) 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 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

(10%) Performs other duties as assigned

SUMMARY OF 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 offerbenefits (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!

DailyPay implementation is contingent upon initial set-up period.