Job Listing
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| Job ID: 14519549 |
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| Job Location: |
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| How to Apply: | To see employer contact information, log in or register. |
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| Job Title: | Insurance Denials Specialist II |
| Work Type: | Work Days: Work Vary: Yes , Shift: Other, Hours Per Week: 40, Work Type: Regular |
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| Salary Offered: | Unspecified |
| Benefits: | 401(k) or other retirement, Dental Insurance, Health Insurance, Holidays, Sick Leave or PTO, Vacation or PTO, Vision Plan |
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| Physical Required: | Unspecified |
| Drug Testing Required: | Unspecified |
| Education Required: | High School Diploma/GED |
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| Experience Required: | Unspecified |
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| Required Skills: | Please see the job description for information about required job skills. |
| Preferred Skills: |
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| Job Description: |
RAYUS now offers DailyPay! Work today, get paid today!
The pay range for this position is $19.44 - $28.07 based on direct and relevant experience.
RAYUS Radiology is looking for a 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 a Insurance Denials Specialist I, 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 is a full-time position working 40 hours per week, from 8am to 5pm.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Creates a positive experience for every customer, every day by believing in and practicing The Experience
(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
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.
Rayus is an equal opportunity employer; applicants are considered without discrimination with regard to race, color, religion, sex, national origin, age, disability, veteran status or other statuses protected by state, local or other applicable laws. This policy extends to all aspects of employment, including recruitment and hiring.
Rayus and its associates have an employment relationship, which is known as employment-at-will. This means that either Rayus or an associate has the right to terminate the employment relationship at any time, for any reason with or without cause or prior notice.
Refer to ID 82938074 when applying |
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