Lead Insurance Denials Specialist for No Authorization

RAYUS Radiology•St. Louis Park, MN

6d•$23 - $34

About The Position

RAYUS Radiology is looking for a Lead Insurance Denials Specialist 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 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. This is a full-time position working 8-4:30 Monday - Friday.

Requirements

High School diploma or equivalent
5+ years' experience in a medical billing department, prior authorization department or payer claim processing department
Knowledge of Workers Compensation, HMO's, PPO's, MA and other third party payers
Intermediate proficiency with Microsoft Excel, PowerPoint, Word and Outlook

Nice To Haves

Bachelor's degree strongly preferred
Credentialed revenue cycle representative
Previous supervisory experience
Completion of a coding certificate program in a program with AHIMA approval status

Responsibilities

Accounts Receivable Collection & Leadership
Communicates with patients, carriers, co-workers, center staff, attorneys, and other contracted entities and responsible parties in a timely, effective manner to expedite the billing and collection of accounts receivable
Contributes to the steady reduction of the days-sales-outstanding (DSO), increase monthly gross collections and increase percentage of collections
Ensures that "priority" work, which will enhance bottom line results and achievement of the most important objectives, is identified and assigned appropriately
Partners with RCM QA and Training Specialist on quality assurance assessment results and feedback to ensure accuracy and productivity amongst the team
Ensures approvals for adjustment requests are in line with protocol
Initiates and participates in special accounts receivable and workflow and process improvement projects
Prepares reports, presentations and other written communication
Oversees denial prevention process by analyzing denial trends, prioritizing issues and identifying root cause. Collaborates with stakeholders to update processes to prevent denials, and monitors and tracks progress.
Communicates to supervisor as needed regarding updates on account statuses
Staff Support
Provides training, feedback, expertise and support to Insurance Denials Specialists
Collaborates with team members to increase their knowledge of the collection process to effectively reduce accounts receivable
Creates an environment that promotes team work and increases engagement
Leads staff meetings and associate one-on-ones as needed
Allocates specific job responsibilities/specialty tasks and defines priorities
Initiates and participates in staff performance evaluations, development of associates including performance improvement plans and disciplinary actions
Participates in the hiring and training of new associates
Manages department and team schedule and hours
Communicates to supervisor as needed regarding updates on account status'
Performs other duties as assigned