Insurance Denials Specialist

RAYUS Radiology•St. Louis Park, MN

1d•$21 - $30•Remote

About The Position

RAYUS Radiology is looking for an Insurance Denials Specialist I to join their team. This role involves investigating and determining the reason for denied or unpaid claims, and taking necessary steps to expedite the medical billing and collections of accounts receivable. The position operates in a team environment, requiring effective communication with patients, insurance carriers, co-workers, and referral sources. This is a full-time, 100% remote position, working Monday-Friday from 8:00 AM to 4:30 PM.

Requirements

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

Nice To Haves

Graduate of an accredited medical billing program
Bachelor's degree strongly preferred
Knowledge of ICD-10, CPT and HCPCS codes

Responsibilities

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.
Performs other duties as assigned.