Lead Insurance Denials Specialist

RAYUS now offers DailyPay! Work today, get paid today!

The pay range for this position is $27.49-$34.32 based on direct and relevant experience.

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 remote Full-Time position working 8:00am-4:30pm.

ESSENTIAL DUTIES AND RESPONBILITIES:

Fosters an environment where customer service is a priority by believing in and practicing The Experience

(65%) 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

(30%) 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'

(5%) Performs other duties as assigned