Remote Claims Submission Specialist – Pre-Service Focus

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

Benefits offered by this job

DailyPay

Job summary

RAYUS Radiology seeks a Claims Submission Specialist to join our team remotely on a full-time basis, Monday–Friday, day shift. You will help ensure accurate claim submissions by pre-reviewing PSV data, validating eligibility, and correcting payer details to minimize denials.

Two years in healthcare billing, familiarity with EHRs and clearinghouses, and strong Excel/Outlook skills are essential. This role supports revenue cycle improvements and timely reimbursements.

Qualifications

• High School Diploma or equivalent.
• 2 years in healthcare billing, claims or revenue cycle workflows.
• Experience with medical billing software and clearinghouse applications.
• Proficient in Microsoft Excel, Word and Outlook.

Responsibilities

• Review pre-service validation and verify authorizations, IDs, group numbers and payer assignments.
• Monitor billing rejections and reduce denial delays; correct insurance information before service date.
• Validate active member coverage and resubmit modified claims as needed.
• Maintain payer profiles and coordinate benefits rules for accurate payer ordering.
• Communicate with patients, carriers and team to ensure accurate claim submissions.
• Prioritize workload to drive financial performance and contribute to team goals.

Skills

Healthcare billing

Excel

Office software

Clearinghouse applications

Education

High School Diploma

Tools

Nextgen

Waystar

Clearinghouse

Job description

RAYUS Radiology seeks a Claims Submission Specialist to join our team remotely on a full-time basis, Monday–Friday, day shift. You will help ensure accurate claim submissions by pre-reviewing PSV data, validating eligibility, and correcting payer details to minimize denials.

Two years in healthcare billing, familiarity with EHRs and clearinghouses, and strong Excel/Outlook skills are essential. This role supports revenue cycle improvements and timely reimbursements.