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.
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
Qualifications
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
[http://www.rayusradiology.com/careers].
Machine generated alternative text: DAILYPAY AVAILABLE dailypay. Apply today!
DailyPay implementation is contingent upon initial set-up period.