Lead Insurance Denials Specialist

RAYUS Radiology•St. Louis Park, MN

2d•$27 - $34•Remote

About The Position

RAYUS Radiology is seeking a Lead Insurance Denials Specialist to coordinate billing communications with patients, insurance carriers, coworkers, attorneys, and other responsible parties to support timely accounts receivable collections. The role also provides direction, training, and support to the account representative team. This is a remote, full-time position with working hours of 8:00 a.m. to 4:30 p.m. The position supports customer service as a priority and leads accounts receivable collection activities, denial prevention, workflow improvement, and staff development. It contributes to reducing days sales outstanding, increasing gross collections, and improving collection performance. The role partners with quality assurance and training staff, analyzes denial trends and root causes, and collaborates with stakeholders to prevent future denials. It also supports team scheduling, hiring, training, performance management, and staff engagement. The stated pay range is $27.49–$34.32, based on direct and relevant experience. Benefits, based on eligibility, include medical, dental, and vision insurance; a 401(k) with company match; life and disability insurance; tuition reimbursement; adoption assistance; pet insurance; paid time off; holiday pay; and other benefits. DailyPay is available after an initial setup period.

Requirements

High school diploma or equivalent.
At least 5 years of experience in a medical billing department, prior authorization department, or payer claim processing department.
Knowledge of Workers Compensation, HMOs, PPOs, MA, and other third-party payers.
Intermediate proficiency with Microsoft Excel, PowerPoint, Word, and Outlook.

Nice To Haves

Bachelor's degree strongly preferred.
Credentialed revenue cycle representative.
Previous supervisory experience.
Completion of a coding certificate program with AHIMA approval status.

Responsibilities

Communicate in a timely and effective manner with patients, carriers, coworkers, center staff, attorneys, contracted entities, and other responsible parties to expedite billing and accounts receivable collection.
Contribute to reducing days sales outstanding, increasing monthly gross collections, and improving the percentage of collections.
Identify and appropriately assign priority work that supports financial results and key objectives.
Partner with the RCM QA and Training Specialist on quality assurance assessment results and feedback to support team accuracy and productivity.
Ensure adjustment-request approvals follow protocol.
Initiate and participate in accounts receivable, workflow, and process-improvement projects.
Prepare reports, presentations, and other written communications.
Oversee denial prevention by analyzing trends, prioritizing issues, identifying root causes, collaborating with stakeholders on process updates, and monitoring progress.
Provide supervisors with updates on account status as needed.
Train, provide feedback to, and support Insurance Denials Specialists.
Collaborate with team members to improve knowledge of the collection process and reduce accounts receivable.
Promote teamwork and associate engagement.
Lead staff meetings and associate one-on-ones as needed.
Allocate job responsibilities and specialty tasks and define priorities.
Participate in staff performance evaluations, associate development, performance improvement plans, and disciplinary actions.
Participate in hiring and training new associates.
Manage department and team schedules and hours.
Perform other duties as assigned.