RAYUS Radiology

Investigate and resolve denied insurance claims to expedite billing and collections. | High school diploma and 2+ years in medical billing or related experience, with proficiency in computer systems and coding knowledge. | RAYUS now offers DailyPay! 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 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 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 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 full-time, working Monday-Friday 8-4:30. ESSENTIAL DUTIES AND RESPONSIBILITIES: (90%) 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 • 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 • Meets or exceeds RCM Quality Assurance standards • Ensures timely follow-up and completion of all daily tasks and responsibilities (10%) Performs other duties as assigned • As backup for customer service team, communicates and responds to customer inquiries as needed Requirements: 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. We offer 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! Visit our career page to see them all www.rayusradiology.com/careers. DailyPay implementation is contingent upon initial set-up period.

Assist patients and staff with registration, scheduling, insurance verification, and administrative tasks in a medical office setting. | High school diploma, customer service experience, proficiency with computers, and knowledge of medical terminology preferred. | RAYUS now offers DailyPay! Work today, get paid today! The pay range for this position is $19.00 - $23.00 based on direct and relevant experience.    RAYUS Radiology is looking for a Front Office Associate 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 Front Office Associate, you will be responsible for providing services to patients and referring professionals by answering phones, scheduling appointments, greeting and registering patients in a cheerful, professional, and sincere manner, and performing other duties as assigned. This is a part-time position working 22 hours per week; Shifts Saturday and Sunday from 7:15am - 6:00pm.    ESSENTIAL DUTIES AND RESPONSIBILITIES: (55%) Registration * Greets and checks-in patients scheduled for imaging services; registers demographic information and processes payment plans and copays * Answers phones and handles calls in an efficient and friendly manner * Fields calls appropriately for center associates * Acts as liaison between technologists and the patients waiting for exams and relays messages regarding scanner status and other clinic information * Maintains front office lobby area by straightening magazines, organizing coffee supplies and assisting with general office clean up * Orders office supplies as needed * Maintains supply of patient information sheets * Pushes imaging via electronic interfaces * Completes confirmation calls and provides preparation instructions to patient * Faxes reports, billing information, and medical release forms as requested (20%) Insurance * Verifies patient's insurance * Pre-certifies all exams with patient's insurance company * Obtains insurance authorization * Uses knowledge of insurance carriers (example Medicare) and procedures that require waivers to obtain authorization if needed prior to appointment * Handles release of information requests for patients, referring offices, other medical facilities, attorneys & insurance companies following Company guidelines (20%) Scheduling * Arranges transportation, interpreters, and hotel accommodations for patients when appropriate * Enters and submits patient exam orders * Verifies orders match exam schedules * Schedules referrals and ensures proper authorizations are obtained * Schedules walk-in patients * Processes requests for image orders and CDs from referring physicians and patients * Maintains an up-to-date and accurate database on all current and potential referring physicians (5%) Performs other duties as assigned Qualifications Required: * High school diploma or equivalent * Working knowledge of Microsoft Office * 1-2 years customer service experience * Proficient with using computer systems and typing Preferred: * Previous medical office experience * Medical terminology and office background * Insurance knowledge * Bilingual 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.   We offer 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! Visit our career page to see them all www.rayusradiology.com/careers [http://www.rayusradiology.com/careers].   Machine generated alternative text: DAILYPAY AVAILABLE dailypay. Apply today!   DailyPay implementation is contingent upon initial set-up period.

Oversee billing team to resolve claim rejections and denials, train staff, optimize billing processes, and support revenue cycle operations. | Experience in billing supervision, claims and denial resolution, team leadership, knowledge of insurance payor processes, and ability to manage performance and training. | RAYUS now offers DailyPay! Work today, get paid today! The pay range for this position is $55,400 -$80,00 per year based on direct and relevant experience. RAYUS Radiology is looking for a Billing Supervisor 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 Billing Supervisor, you will beresponsible for the oversight of the timely resolution of clearinghouse rejections and other pre-claim alerts to effectively prevent post-claim denials. This role is key in educating/training the Billing Coordinator team, as well as facilitating consistent training of team members and increasing knowledge in the Market, to proactively prevent future rejections, pre-claim alerts, and post-claim denials.This is a 100% remote full-time position working 40 hours per week. Shifts are from 9:00am-5:00pm. ESSENTIAL DUTIES AND RESPONBILITIES: Claim and Denial Overview • Communicates with patients, carriers, co-workers and attorneys in a timely, effective manner to expedite the billing and collection of accounts receivable • Assists in the development and monitoring of goals for pre-claim alert and rejection resolution workflow as well as identification of opportunities for clearinghouse rejections, NextGen pre-claim edits, and RCx pre-claim edits • Continually works with managers and leaders across departments and markets to optimize process flows for various forms including, claim denials and resolutions, authorization request, and estimates. • Works with Market leadership to support education of market staff in relation to insurance plan selection, payor authorization requirements, and patient waiver requirements • Works with Director, Revenue Cycle Operations and Payor Operations Manager to facilitate proper payor and claim set up within all related systems • Supports Director, Revenue Cycle Operations and Accounts Receivable Managers with AR review and resolution, as needed • Responsible for legacy AR resolution as assigned Team Management • Supervise the Billing Coordinator team to prevent a backlog of clearinghouse rejections, NextGen pre-claim edits, and RCx pre-claim edits • Initiates and participates in associate performance evaluations, compensation and development of associates including performance improvement plans, disciplinary actions and/or termination of associates • Participates in the hiring and training of new team members • Provides feedback, coaching and opportunities for team member development through training and individual and group meetings • Leads team meetings and team member one-on-ones as needed