Insurance Denials Specialist for Coding Denial Management

Job Summary

RAYUS now offers DailyPay! Work today, get paid today!

About the role

RAYUS Radiology, formerly Center for Diagnostic Imaging and Insight Imaging, is looking for an Insurance Denials Specialist II to join their team. They are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment.

Essential Duties And Responsibilities

• 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 multiple denial types, payers, and/or states
• 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, centers, markets, referral sources and attorneys 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
• Prioritizes work load, concentrating on “priority” work which will enhance bottom line results and achievement of the most important objectives
• Contributes to a team environment
• Recognizes and communicates trends in workflow to departmental leaders
• Maintains RCM Quality Assurance standards
• Ensures timely follow-up and completion of all daily tasks and responsibilities

Requirements

• High School diploma or equivalent
• 2 years’ experience in a medical billing department, prior authorization department or payer claim processing department, or 9+ months experience as Insurance Denials Specialist within the organization
• Proficiency with Microsoft Excel, PowerPoint, Word, and Outlook
• Proficient with using computer systems and typing
• Graduate of an accredited medical billing program (preferred)
• Knowledge of ICD-10, CPT and HCPCS codes

Qualifications

• Required: High School diploma or equivalent
• Preferred: Graduate of an accredited medical billing program

Benefits

RAYUS offers 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!

Pay

The pay range for this position is $20.70 - $29.93 based on direct and relevant experience.

Schedule

This position is full-time working Monday - Friday 8:00am - 4:30pm and is 100% remote.