RAYUS Radiology
Lead Insurance Denials Specialist for prior authorizations
RAYUS Radiology, Saint Louis Park, Minnesota, United States,
Job Summary
RAYUS Radiology, formerly Center for Diagnostic Imaging and Insight Imaging, is looking for a Lead Insurance Denials Specialistto 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 Lead Insurance Denials Specialist, you will coordinate communications regarding billing information with patients, carriers, co-workers and attorneys to ensure timely collections of accounts receivables and provides direction and training to account representative team. Position is full-time, working remotely Monday - Friday 8:00am - 4:30pm
ESSENTIAL DUTIES AND RESPONBILITIES:
(65%) Accounts ReceivableCollection Leadership
Communicateswith patients, carriers, co-workers,center staff,attorneys, and other contracted entities and responsible partiesin a timely, effective manner to expedite the billing and collection of accounts receivableContributesto the steady reduction of the days-sales-outstanding (DSO), increase monthly gross collectionsand increase percentage of collectionsEnsures that “priority” work, which will enhance bottom line results and achievement of the most important objectives, is identified and assigned appropriatelyPartners with RCM QA and Training Specialist on quality assurance assessment results and feedback to ensure accuracyand productivityamongst the teamEnsures approvals for adjustment requests are in line with protocolInitiates and participates in special accounts receivable and workflowand process improvementprojectsPreparesreports, presentations and other written communicationOversees denial prevention process by analyzing denial trends, prioritizing issues and identifying root causeCollaborates with stakeholders to updateprocesses to prevent denials, and monitors and tracks progressCommunicates to supervisor as needed regarding updates on account statuses(30%) Staff Support
Providestraining, feedback, expertise andsupporttoInsurance DenialsSpecialistsCollaborates with team members to increase their knowledge of the collection process to effectively reduce accounts receivableCreates an environment that promotes team work and increases engagementLeads staff meetings and associate one-on-onesas neededAllocates specific job responsibilities/specialty tasks and definesprioritiesInitiates and participates in staff performance evaluations, development of associates including performance improvement plans and disciplinary actionsParticipates inthe hiring and training of new associatesManages departmentand teamscheduleand hoursCommunicatesto supervisor as needed regarding updates on account status’(5%) Performs other duties as assigned
Requirements
Required:
High School diploma or equivalent5+years’experience in a medicalbilling department, prior authorization department or payer claim processing departmentKnowledge of Workers Compensation, HMO’s, PPO’s, MA and other third party payersIntermediate proficiency withMicrosoftExcel, PowerPoint, Word and OutlookPreferred:
Associate’s or Bachelor’s degreeCredentialed revenue cycle representativePrevious supervisory experience
RAYUS Radiology, formerly Center for Diagnostic Imaging and Insight Imaging, is looking for a Lead Insurance Denials Specialistto 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 Lead Insurance Denials Specialist, you will coordinate communications regarding billing information with patients, carriers, co-workers and attorneys to ensure timely collections of accounts receivables and provides direction and training to account representative team. Position is full-time, working remotely Monday - Friday 8:00am - 4:30pm
ESSENTIAL DUTIES AND RESPONBILITIES:
(65%) Accounts ReceivableCollection Leadership
Communicateswith patients, carriers, co-workers,center staff,attorneys, and other contracted entities and responsible partiesin a timely, effective manner to expedite the billing and collection of accounts receivableContributesto the steady reduction of the days-sales-outstanding (DSO), increase monthly gross collectionsand increase percentage of collectionsEnsures that “priority” work, which will enhance bottom line results and achievement of the most important objectives, is identified and assigned appropriatelyPartners with RCM QA and Training Specialist on quality assurance assessment results and feedback to ensure accuracyand productivityamongst the teamEnsures approvals for adjustment requests are in line with protocolInitiates and participates in special accounts receivable and workflowand process improvementprojectsPreparesreports, presentations and other written communicationOversees denial prevention process by analyzing denial trends, prioritizing issues and identifying root causeCollaborates with stakeholders to updateprocesses to prevent denials, and monitors and tracks progressCommunicates to supervisor as needed regarding updates on account statuses(30%) Staff Support
Providestraining, feedback, expertise andsupporttoInsurance DenialsSpecialistsCollaborates with team members to increase their knowledge of the collection process to effectively reduce accounts receivableCreates an environment that promotes team work and increases engagementLeads staff meetings and associate one-on-onesas neededAllocates specific job responsibilities/specialty tasks and definesprioritiesInitiates and participates in staff performance evaluations, development of associates including performance improvement plans and disciplinary actionsParticipates inthe hiring and training of new associatesManages departmentand teamscheduleand hoursCommunicatesto supervisor as needed regarding updates on account status’(5%) Performs other duties as assigned
Requirements
Required:
High School diploma or equivalent5+years’experience in a medicalbilling department, prior authorization department or payer claim processing departmentKnowledge of Workers Compensation, HMO’s, PPO’s, MA and other third party payersIntermediate proficiency withMicrosoftExcel, PowerPoint, Word and OutlookPreferred:
Associate’s or Bachelor’s degreeCredentialed revenue cycle representativePrevious supervisory experience