RAYUS Radiology, formerly Center for Diagnostic Imaging and Insight Imaging, is looking for aInsurance Denials Specialist IIto join our team. We are challenging the status quo by shining the light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together.

JOB SUMMARY:As an Insurance Denials Specialist II for invoicing you will create, submit and follow up on invoices that are sent to a variety of different partners. At Rayus 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, centers, markets, referral sources and attorneys in a timely, effective manner. This position is a day shift and you will be working 100% remote.Monday through Friday 8:00am - 4:30pm

ESSENTIAL DUTIES AND RESPONSIBILITIES:

(75%) Creating and sending out invoices

• Accurately and timely produce invoices to send to research sponsors, group bill contracts and other business partners that Rayus has contracts with
• Review and verify for appropriate pricing for the different studies and exams/procedures performed
• Communicates with both internal and external customers on status of each invoice
• Review existing and new contracts to ensure proper billing
• Help with implementation and setup of new invoicing arrangements
• 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
• 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
• Ensures timely follow-up and completion of all daily tasks and responsibilities

(20%) Follow up on outstanding AR on the invoice agreements

(5%) Perform other duties as assigned

Required:

• 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

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.