Insurance Denials Specialist for Claim Rejections

RAYUS Radiology
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Job Location

St Louis Park, MN, US, 55416

Employment Type

Full Time

Job Posted On

12 May 2025

Job Overview

  • Job Category: Medical Assistants
  • Industry: Healthcare
  • Application Deadline: 9 June 2025

Job Description

Job Summary

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 is a full-time position working 40 hours per week. Shifts are from 9am-5pm.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

(90%) Waystar Rejection Work

  • Accurately and efficiently reviews rejected claim information using Fusion/ Synapse, the payer's websites, and by making outbound phone calls to payer's 
  • Reviews and obtains appropriate information or documentation from claim re-submission for all rejections, per insurance guidelines and requirements
  • Communicates with patients, insurance carriers, co-workers, centers, markets and referral sources 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 medical record denials as needed
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Job Overview

  • Job Category: Medical Assistants
  • Industry: Healthcare
  • Application Deadline: 9 June 2025