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RAYUS Radiology

Insurance Denials Specialist II

RAYUS Radiology, Minneapolis, Minnesota, United States, 55400


RAYUS now offers DailyPay! Work today, get paid today!RAYUS Radiology, formerly Center for Diagnostic Imaging and Insight Imaging, is looking for an

Insurance Denials Specialist I 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 II, 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 RAYUS our passion for our patients, customers and purpose requires teamwork and dedication from all of our associates. Working in a team environment, youll 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, and is 100% remote.ESSENTIAL DUTIES AND RESPONSIBILITIES:(90%) Insurance Denial Follow-upAccurately and efficiently reviews denied claim information using the payers explanation of benefits, website, and by making outbound phone calls to the payers provider relations department for multiple denial types, payers, and/or statesReviews and obtains appropriate information or documentation from claim re-submission for all denied services, per insurance guidelines and requirementsCommunicates 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 receivableDocuments all communications with coworkers, patients, and payer sources in the billing systemContributes to the steady reduction of the days-sales-outstanding (DSO), increases monthly gross collections and increases percentage of collectionsPrioritizes work load, concentrating on priority work which will enhance bottom line results and achievement of the most important objectivesContributes to a team environmentRecognizes and communicates trends in workflow to departmental leadersMeets or exceeds RCM Quality Assurance standardsEnsures timely follow-up and completion of all daily tasks and responsibilities

(10%) Performs other duties as assigned