Insurance Denials Specialist II for No Authorization Denials

RAYUS now offers reputed company! Work today, get paid today!

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

RAYUS Radiology is looking for an Insurance Denials Specialist II to join reputed company. We are challenging the status reputed company by shining light on radiology and making it a critical first reputed company in diagnosis and proper treatment. Come join us and shine brighter together! As an Insurance Denials Specialist 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 reputed company of our associates. Working in a team environment, you'll communicate with patients, insurance carriers, co-workers, centers, markets, referral sources and attorneys in a timely, effective manner. This position is full-time 100% fully remote, working Monday-Friday 8:00 AM - 4:30 PM

ESSENTIAL DUTIES AND RESPONSIBILITIES

(90%) Insurance Denial Follow-up

• Accurately and reputed company 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 reputed company 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 reputed company 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
• Prioritizes work load, concentrating on "reputed company" work which will enhance reputed company results and achievement of the most important objectives
• Contributes to a team environment
• Recognizes and communicates trends in workflow to departmental leaders
• Meets or exceeds RCM Quality Assurance standards
• Ensures timely follow-up and completion of reputed company daily tasks and responsibilities

(10%) Performs other duties as assigned

• As backup for customer service team, communicates and responds to customer inquiries as needed